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Chapter 28 / Complete chapter

Appearance vs. Health

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Chapter 28 editorial cartoon: Maxed-out filters. Don't make your body the test subject. Enlarge illustration
Maxed-out filters. Don't make your body the test subject.

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Editorial cartoon · Chapter 28Maxed-out filters. Don't make your body the test subject.

Original illustration with Chinese lettering; the English dialogue is below. Humour is a reading aid, not evidence.

English dialogue
  • You can undo a photo.
  • Your body isn't a draft.

Do not use extreme dieting, fasting, or self-induced vomiting to control weight; if you want to lose weight, focus on exercise instead.

People with anorexia nervosa have a mortality rate roughly 5.9 times higher than their peers. Over a period of one year, 5.1 out of every 1,000 indivi…

Cost
No cost at all. In fact, it saves money you would otherwise spend on weight-loss products.
Benefit
This conclusion comes from a combined analysis of 36 studies that tracked a total of 166,6…

Two things to check before getting injections, thread lifts, or surgery: does the facility’s license list “medical aesthetics,” and is the practitioner a licensed attending physician?

Any procedure that involves needles, surgery, or medical devices — meaning anything that breaks the skin or enters the body — is considered medical tr…

Cost
There is no cost involved. Checking these two documents takes only a few minutes. The clin…
Benefit
Article 2 of the “Administrative Measures for Medical Aesthetic Services” defines medical …

Facial fillers should avoid the bridge of the nose, glabellar area, and forehead — and never opt for unregulated clinics just to save money.

Between 2015 and 2018, 48 new cases of partial or total vision loss following filler injections were reported worldwide. The nose was the most common …

Cost
No cost at all. You simply choose a different injection site, or skip the treatment altoge…
Benefit
Data compiled from all published case reports worldwide show that from January 2015 throug…

If you need weight-loss medication, get a prescription from a doctor — don’t buy it from online shops that ship it without one.

By regulation, prescription drugs must be sold only with a valid prescription, and pharmacies must keep that prescription on file for at least five ye…

Cost
A single doctor’s visit plus a round trip to the clinic. This costs just a few dozen yuan …
Benefit
The “Measures for the Supervision and Administration of the Quality of Drug Operation and …

Sex hormone therapy should only be used when prescribed by a doctor and with regular follow‑up; do not buy it online and do not adjust the dose on your own.

This section does not discuss whether hormone therapy is appropriate, only how to use it safely. A study followed transgender individuals for about fo…

Cost
Regular doctor visits and blood tests are required. Over a year this can cost several hund…
Benefit
Researchers examined electronic medical records from Kaiser Permanente, a large health‑car…

If the feeling of “being unattractive” has reached the point where you constantly check your reflection and obsess over changes, get a body image assessment before considering surgery.

When we combine data from 33 studies, we find that 15.04% of people seeking cosmetic surgery meet the criteria for body dysmorphic disorder — a condit…

Cost
A single visit to a psychiatrist or clinical psychologist costs only a few dozen yuan. The…
Benefit
A comprehensive review of those 33 studies shows that the prevalence of body dysmorphic di…

Seek in-person evaluation and scheduled follow-ups from a licensed orthodontist; do not purchase clear aligners online for self-treatment at home

Clear aligners are regulated medical devices that require clinical supervision. Regulatory authorities stipulate that aligners must be administered un…

Cost
Seeking professional care costs more in consultation and regular follow-up appointment fee…
Benefit
According to the National Medical Products Administration (NMPA) Center for Medical Device…

Verify the "Guozhuang Tezi" registration code on the National Medical Products Administration website before purchasing skin-lightening creams; avoid salon-formulated or influencer-sold preparations

Whitening and blemish-removing creams must be registered with the National Medical Products Administration (NMPA) and carry a valid special cosmetic r…

Cost
Free. Verifying a registration code on the official database takes 2 minutes. The friction…
Benefit
Under Article 16 and 17 of the Regulations on the Supervision and Administration of Cosmet…