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The authors, Alexander Panossian and Thomas Efferth, supported the project without funding but received funding in previous years to develop herbal medical products from EuropharmaUSA Inc., Green Bay, Wisconsin, USA

The dosage chart is not a suggestion or a protocol derived from trial data

This fat loss occurred via lipolysis, the breaking down of fat molecules in test subjects into smaller ones

Figure 5)

In-office Treatments: MicroBlepharoExfoliation (MBE): BlephEx ZEST NuLids Pro Advanced Thermal (Heat) Expression/Pulsation: OptiPLUS (NuEra Tight) Radio Frequency (RF) Thermal Treatment by Lumenis Lipiflow iLux 2 TearCare Miboflo Light Based Therapy OptiLight Intense Pulse Light (IPL) by Lumenis iLightPro Low Level Light Therapy (LLLT) by MDElite Meibomian Gland Probing or Maskin Probing Optivize - Vaporization Rinsada - High Flow Irrigating Lid Retractor Punctal Plugs Lacrifill HA gel Dilation & Irrigation (D&I) of puncta/nasolacrimal duct Prokera Cryo-Preserved Amniotic Membrane Scleral Lenses OptiLift with Dynamic Muscle Stimulation(DMSt) Technology by Lumenis: for lower eyelid laxity, stregthening of eyelid muscle tone and impaired/incomplete blink At-Home Treatment Devices: NuLids Pro (in-office) & NuLids (At-Home) Eyelid Hygiene iTear100 Neuro-stimulation At-Home Advanced Ocular Therapy Eye Drops (healing): RegenerEyes (Pro vs Lite) Autologous Serum Tears Platelet Rich Plasma (PRP) Mucomyst (N-acetylcysteine) - compounding pharmacy Pharmaceuticals : Prescription Eye Drops (Immunomodulators): Restasis, Cequa, Xiidra, Vevye (below #8) Prescription Eye Drops (Steroidal Anti-Inflammatories): Eysuvis, Flarex, Lotemax, FML, Klarity-L, Pred Forte, Dexamethasone, Durezol Tyrvaya Nasal Spray - Neuro-Stimulation of Tears: Oxervate Eye Drop Neurotrophic Keratitis Low Dose Naltexone (LDN) - Neuropathic Corneal Pain Oral Antibiotic/Steroids: Azithromycin (Zpack), Minocycline, Doxycyline (Oracea or Targadox), Prednisone, Augmentin, Cephalexin Topical Creams/Gels (external use): Ivermectin 1% (Soolantra), Oxymetazoline 1%, Azelaic Acid 10%, MetroGel, Zilxi (Minocycline gel), Triple Cream (Ivermectin, Niacinamide, and Oxymetazoline vs Azelaic Acid), Testosterone Cream

Protocols vary, but many clinics structure treatment in cycles of several weeks to a few months, with periodic reassessment to determine whether to continue, taper, or discontinue therapy