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Wadden et al., 2023)
Although the methodological quality of the included studies was variable (scores ranging from 22 to 82), the overall findings support the clinical efficacy of extracorporeal SWT in aesthetic indications.52 While the data pertain specifically to cellulite, the underlying mechanisms improved lymphatic flow, microvascular function, and connective tissue remodeling are also pathophysiologically relevant to lipedema
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