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After reviewing literature and conducting a two-round Delphi survey with 42 experts, a consensus emerged that emphasizes prioritizing clinical symptoms in diagnosis, with serum B12 as a screening marker supported by methylmalonic acid or homocysteine levels for additional confirmation

It worsens with deep knee flexion or resisted extension

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Whats important to remember is that a tummy tuck removes excess fat and skin which otherwise cannot be removed while liposuction focuses on small fat deposits that can be removed from the hips, thighs, butt, or stomach