Objectives: To show the audience a different technique in lipolysis treatment using Aqualyx , a deoxycholic fat melting liquid.This method is different from mesotherapy as.intralipotherapy uses a long needle( similar to a cannula but pointed) and the solution is injected uniformly as the long needle is withdrawn. This is repeated on different sites within the affected area. Whereas in mesotherapy, you inject solutions in small boluses

Objectives: 1. To examine the effect of energy devices on visceral and subcutaneous fat
2. To examine the benefit of a healthy active lifestyle on both visceral and subcutaneous fat accumulation
3. To recommend a structured regimen with different combined forms of exercise and observe its effects on individuals with an active vs a sedentary lifestyle

Introduction: Aging is accompanied by decreased metabolism, increased toxicity, decreased skeletal muscle mass (SMM) & BMR, & increased visceral fat. Excessive exercise necessary to reduce visceral fat elevates cortisol while decreasing testosterone resulting in hormonal imbalance. The inverse cortisol/testosterone relationship leads to weight gain despite all the efforts invested in physical activity. Hepatic detoxification systems are overloaded by toxicity which disorganizes hypothalamic satiety modulation of central inhibitors & stimulators of appetite, including leptin & ghrelin triggering hunger.

Materials / method: A review of energy-based technologies reveals successful results in reducing subcutaneous fat layers, however, data is not currently available for deeper visceral fat reduction. Results usually rebound after laser and RF treatments, or fat migrates to other non-treated parts of the body forming new fat deposits in unwanted areas. A review of studies using exercise and nutrition shows greater permanence, especially with individuals who have adapted to a healthier lifestyle.

Results: We conducted a series of studies combining a structured regimen of different exercise methods designed to accommodate individuals over 50 who maintained substantial visceral fat deposits despite regular visits to the gym (the high activity group) and people with a sedentary lifestyle (the low activity group). We examined hormonal fluctuations of triiodothyronine Free T3, Testosterone, cortisol and dehydroepiandrosterone (DHEA), C-Reactive Protein, plus concentrations of the low-density lipoprotein (VLDL), the high-density lipoprotein (HDL) and Triglycerides.

Conclusion: Both visceral and overall fat were significantly reduced in both groups. Blood tests yielded a statistically significant decrease in VLDL & Triglycerides & a significant increase in HDL, DHEA, Testosterone and Free T3 and C-reactive protein for both groups. However, when the high-activity and low-activity groups were compared, the high-activity group had significantly better results in all variables. Sonography reports showed significantly greater improvement in the fatty liver of the subjects who also exercised on their own. The high-activity group also followed a healthier nutrition program

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