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What is cellulite? Cellulite
is a normal human variation that is viewed by a segment of the
public (with the help of the media, some physicians, and salesmen
of various sorts) as some sort of a disease. The term "cellulite"
was coined in 1973 to refer to the dimpled appearance of the skin
that some people have on their hips, thighs, and buttocks. This
appearance is much more common in women than in men because of
differences in the way fat, muscle, and connective tissue are
distributed in men and women's skin. Although female hormones
may play a role in contributing to this fat distribution, cellulite
is not treatable by hormone therapy.
In other words, the dimpled appearance of cellulite is one way
many perfectly normal human beings look. Just as some people have
thick hair while others have thin hair and some have large noses
and others small, some women have the smooth buttocks and thighs
that everyone seems to want while others have less satisfactory,
dimpled ones. These are all normal variations.
What are the supposed "treatments" for cellulite?
Most people dislike bumps and indentations on their bodies and
prefer to be as smooth as they possibly can. Additionally, because
hope springs eternal, much has been written about cellulite and
its causes and many treatments have been promoted. Some of these
therapies include:
A low-fat diet: Eating in a healthy manner is always a good idea
and a low-fat diet is usually recommended as part of a weight
maintenance lifestyle. However, the notion that you can shrink
a localized fat lump or smooth out a dimple by eating less fat
makes as little sense when it comes to cellulite as it does when
it comes to flabby thighs or "love handles."
Dietary supplements: Several of these products have been marketed
and contain a variety of ingredients such as ginkgo biloba, sweet
clover, grape seed bioflavinoids, bladderwrack extract, oil of
evening primrose, fish oil, and soy lecithin. These preparations
claim to have positive effects on the body such as boosting metabolism,
improving circulation, protecting against cell damage, and breaking
down fats. Such claims are difficult to evaluate as is the case
with similar assertions made on behalf of many supplements and
alternative therapies. Concepts such as "metabolism,"
"circulation," or "cell damage" cannot be
easily measured on an objective basis to determine whether or
not any improvement has been achieved. Additionally, because these
products are sold as dietary supplements and not as drugs, they
are not subject to the jurisdiction of the U.S. Food and Drug
Administration. They are therefore exempt from meeting the scientific
standards for both safety and effectiveness that are applied to
drugs.
Furthermore, there are no valid clinical studies to support the
use of these dietary supplements for the treatment of cellulite.
Studies that have been conducted have not demonstrated any value
of these supplements.
For example, one product containing a mixture of herbs marketed
as a "cure" for cellulite was tested to see whether
it had any effect on cellulite, body weight, fat content, or the
circumference of the thighs and hips. No beneficial changes were
found when results of those taking the dietary supplement were
compared to those taking the placebo (sugar pill). The only significant
changes were an increase in cellulite and body weight in the majority
of women who took the "miracle cure" product.
Some dietary supplements that are promoted for the treatment
of cellulite may also pose some risk. One popular cellulite product,
for instance, contains iodine, which may be harmful to patients
with thyroid and certain other conditions. Other preparations
may interact with certain prescription drugs.
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