Date: October 14, 2023
Author: [Your Name]
Exoskeletons are revolutionizing mobility assistance and augmentation, offering unprecedented support and enhancement for individuals with disabilities, workers in demanding industries, and beyond.
Table of Contents
- Introduction
- A Brief History of Exoskeletons
- Key Technological Components of Modern Exoskeletons
- Types of Mobility Exoskeletons
- Recent Breakthroughs and Innovations
- Leading Players and Research Institutions
- Applications and Impact on Mobility
- Challenges Facing Exoskeleton Technology
- Future Directions and Potential Developments
- Ethical Considerations
- Conclusion
Introduction
In recent years, exoskeleton technology has surged from the realm of science fiction into tangible, life-changing innovations. These wearable robotic systems are designed to assist, rehabilitate, and even augment human movement, offering solutions to mobility impairments, enhancing physical capabilities in labor-intensive jobs, and expanding the horizons of human performance. This extensive exploration delves into the cutting-edge advancements in exoskeleton technology for mobility, examining the technological underpinnings, diverse applications, pioneering developments, and the future trajectory of this transformative field.
A Brief History of Exoskeletons
The concept of exoskeletons has long captured human imagination, appearing in literature and media as futuristic suits granting superhuman abilities. However, practical developments began in earnest in the mid-20th century.
Early Developments
1960s – Hardiman Project: General Electric’s ambitious Hardiman exoskeleton aimed to amplify human strength for industrial use. Despite its failure due to technological limitations like insufficient power sources and bulky actuators, it laid the groundwork for future explorations.
1970s-1980s – Passive Exoskeletons: Focus shifted to unpowered devices designed to support and alleviate strain on specific body parts, such as the back and upper limbs. These early models primarily served industrial and medical purposes.
Modern Era
The turn of the 21st century marked a significant leap, driven by advancements in robotics, lightweight materials, sensors, and artificial intelligence. Companies like Ekso Bionics, ReWalk Robotics, and Sarcos Robotics emerged, producing functional exoskeletons tailored for medical rehabilitation, personal mobility, and industrial applications.
Key Technological Components of Modern Exoskeletons
Modern exoskeletons are intricate systems integrating various technologies to achieve seamless human-robot interaction. Understanding these components is essential to appreciate the advancements driving the field forward.
Actuation Systems
Actuators serve as the exoskeleton’s muscles, generating movement and providing support.
- Electric Motors:
- Types: Brushless DC motors are commonly used due to their efficiency and controllability.
- Advantages: Precision control, high responsiveness.
Applications: Widely used in lower limb exoskeletons for walking assistance.
Pneumatic Actuators:
- Mechanism: Utilize compressed air to produce movement.
- Advantages: Lightweight, smooth motion.
Challenges: Require external compressors or bulky air tanks, limiting mobility.
Hydraulic Actuators:
- Mechanism: Use fluid pressure to generate movement.
- Advantages: High force output, suitable for heavy-duty applications.
- Challenges: Adds significant weight and complexity, less common in mobility-focused exoskeletons.
Recent Innovations: Integration of lightweight, high-torque electric motors and development of more efficient pneumatic systems to balance power and mobility.
Sensors and Feedback Systems
Sensors enable exoskeletons to interpret user intentions and environmental interactions, ensuring synchronized and adaptive movements.
Inertial Measurement Units (IMUs): Track orientation, acceleration, and vibrations, aiding in balance control.
Electromyography (EMG) Sensors: Detect muscle electrical activity, allowing the exoskeleton to respond to natural muscle signals.
Force and Pressure Sensors: Measure exerted forces, enabling adaptive support and preventing overexertion.
Joint Angle Sensors: Monitor limb positions for precise movement tracking.
Advancements:
– Sensor Fusion Technologies: Combining data from multiple sensors for more accurate and reliable user state monitoring.
– Wireless and Miniaturized Sensors: Enhancing comfort and reducing bulk, allowing for more discreet integration into exoskeletons.
Materials and Structural Design
The choice of materials and structural design significantly impacts the exoskeleton’s weight, durability, and flexibility.
Lightweight Alloys: Aluminum alloys and titanium offer strength without excessive weight.
Carbon Fiber Composites: Provide high strength-to-weight ratios, essential for mobility.
3D-Printed Components: Allow for complex geometries, rapid prototyping, and customized fits.
Soft Materials: Integration with soft robotics enables greater flexibility and comfort, particularly in areas requiring intricate movements.
Innovative Designs:
– Biomechanically Inspired Structures: Mimicking human anatomy to enhance natural movement and reduce strain.
– Modular Frameworks: Facilitating easy assembly, customization, and repair.
Control Algorithms and AI Integration
Effective control systems are crucial for the seamless interaction between the wearer and the exoskeleton.
PID Controllers: Basic feedback control mechanisms for maintaining desired positions and movements.
Model Predictive Control (MPC): Utilizes predictive models to optimize movement trajectories and anticipate user needs.
Machine Learning Algorithms: Enable adaptive learning from user behaviors, enhancing personalization and responsiveness.
Neural Networks and AI: Facilitate complex decision-making processes, allowing exoskeletons to interpret nuanced user intentions and adapt to dynamic environments.
Latest Developments:
– Real-Time Adaptive Control Systems: Adjusting assistance levels in real-time based on continuous sensor data.
– Emotion and Intention Recognition: Using AI to interpret emotional states and intentions for more intuitive support.
Types of Mobility Exoskeletons
Exoskeletons for mobility come in various forms, each tailored to specific applications and user needs. They can be broadly categorized based on their intended use and target user groups.
Medical Rehabilitation Exoskeletons
Designed to aid individuals with mobility impairments caused by conditions such as spinal cord injuries, stroke, or muscular dystrophy, these exoskeletons facilitate walking, standing, and performing therapeutic movements.
- Key Features:
- Gait Training: Assistive walking devices that provide support and correction during rehabilitation exercises.
Adjustable Support Levels: Enable gradual reduction of assistance as patients regain strength.
Examples:
- ReWalk: A wearable exoskeleton enabling users with lower limb disabilities to stand upright, walk, turn, and ascend/descend stairs.
- Ekso GT: Used in clinical settings to provide intensive gait training and improve walking ability in patients with neurological injuries.
Personal Mobility Assistance Exoskeletons
These exoskeletons aim to enhance the independence of individuals with mobility limitations in daily activities, such as standing, walking short distances, and navigating obstacles.
- Key Features:
- Lightweight and Portable Designs: Facilitating ease of use in various environments.
User-Friendly Interfaces: Simple controls and interfaces for intuitive operation.
Examples:
- Parker Hannifin’s Indego: A modular and lightweight exoskeleton offering adjustable assistance levels for individuals with spinal cord injuries.
- SuitX’s Phoenix: Focuses on lower limb support for individuals with incomplete spinal cord injuries, enabling assisted walking.
Industrial and Occupational Exoskeletons
Targeted at enhancing worker productivity and reducing physical strain in industries such as manufacturing, construction, and warehousing, these exoskeletons support the back, shoulders, arms, or legs during physically demanding tasks.
- Key Features:
- Load Distribution: Redistribute weight to minimize strain on specific body parts.
Durable and Robust Designs: Built to withstand industrial environments and repetitive use.
Examples:
- Sarcos Guardian XO: A full-body exoskeleton designed for industrial applications, providing strength and endurance for heavy-duty tasks.
- EksoVest: Specifically targets the upper body, assisting workers who need to lift and hold arms overhead, reducing fatigue and preventing injuries like shoulder tendinitis.
Recent Breakthroughs and Innovations
The exoskeleton landscape is rapidly evolving, with numerous breakthroughs enhancing functionality, comfort, and applicability. Below are some of the most noteworthy advancements.
Lightweight and Flexible Designs
Reducing weight without compromising strength is a perpetual challenge. Recent advancements focus on:
- Material Innovations: Utilization of carbon fiber composites and advanced polymers to achieve high strength-to-weight ratios.
- Ergonomic Designs: Shaping exoskeletons to align with body contours, minimizing bulk and enhancing freedom of movement.
Example: The HAL (Hybrid Assistive Limb) exoskeleton by Cyberdyne employs lightweight materials and ergonomic design to facilitate natural movement with minimal user effort.
Battery Life and Power Management
Power supply remains a critical limitation. Innovations aim to extend operational time and improve energy efficiency.
- Advanced Battery Technologies: Development of high-density lithium-ion batteries and exploring alternatives like solid-state batteries.
- Energy-Efficient Actuators: Designing actuators that consume less power without sacrificing performance.
- Smart Power Management Systems: Optimizing energy usage based on activity levels and movement patterns.
Example: The ReWalk exoskeleton utilizes lithium-ion batteries with optimized power consumption algorithms, enabling up to 4-6 hours of continuous use.
Modular and Adaptive Systems
Modularity allows exoskeletons to be customized for various applications and user needs, enhancing versatility and scalability.
- Interchangeable Components: Facilitating easy swapping of joints, actuators, and sensors based on specific requirements.
- Adaptive Fit Systems: Adjusting to different body shapes and sizes for personalized comfort and performance.
Example: SuitX’s modular approach allows for different configurations such as lower limb, upper limb, or full-body support, enabling tailored solutions for individual users or specific use cases.
Soft Exoskeletons and Soft Robotics
Incorporating soft robotics principles, these exoskeletons offer greater flexibility, comfort, and adaptability.
- Textile-Based Designs: Utilizing fabrics and flexible materials to create lightweight and unobtrusive support systems.
- Compliant Actuators: Employing pneumatic or tendon-driven systems that mimic natural muscle movements.
Example: The Soft Exosuit developed by Harvard University utilizes textile-based components and pneumatic muscles to provide assistive forces without rigid structures, enhancing comfort and adaptability.
Leading Players and Research Institutions
The advancement of exoskeleton technology is driven by a combination of innovative companies and pioneering research institutions. Below are some of the key contributors shaping the field.
Companies
- Ekso Bionics:
- Products: Ekso GT (medical), EksoVest (industrial).
Focus: Developing exoskeletons for both medical rehabilitation and industrial applications.
ReWalk Robotics:
- Products: ReWalk Personal System (medical).
Focus: Specializing in exoskeletons for spinal cord injury rehabilitation and personal mobility.
Sarcos Robotics:
- Products: Guardian XO (industrial), Guardian S (military).
Focus: Creating full-body exoskeletons for industrial and military applications, emphasizing strength and endurance.
SuitX (acquired by Ottobock):
- Products: Phoenix (medical), ShoulderX (industrial), and other modular systems.
Focus: Offering customizable exoskeleton solutions across various sectors.
Cyberdyne:
- Products: HAL (Hybrid Assistive Limb).
- Focus: Developing exoskeletons for rehabilitation, assistance, and augmentation, integrating advanced sensor technologies.
Research Institutions
- Harvard University:
Research Focus: Soft exosuits, integrating textile-based components with pneumatic actuators for flexible assistance.
Massachusetts Institute of Technology (MIT):
Research Focus: Robotics, control systems, and human-exoskeleton interaction, driving innovations in responsive and adaptive control algorithms.
University of California, Berkeley:
Research Focus: Bio-inspired exoskeleton designs, wearable robotics, and enhancing human-robot synergy for more natural movement.
Korea Institute of Science and Technology (KIST):
- Research Focus: Advanced medical and industrial exoskeletons, emphasizing high performance and user-centric designs.
These entities contribute significantly to technological breakthroughs, testing, and the practical deployment of exoskeleton systems, fostering innovation and setting industry standards.
Applications and Impact on Mobility
Exoskeleton technology is making profound impacts across various domains, redefining mobility assistance and enhancement. Below are the primary areas of application and their respective impacts.
Rehabilitation and Physical Therapy
Objective: Facilitate the recovery of motor function and walking ability in patients with neurological or musculoskeletal impairments.
- Mechanisms:
- Repetitive Motion Therapy: Providing consistent, repetitive movements to retrain muscles and neural pathways.
Assisted Movement: Supporting partial or full weight-bearing to enable practice of walking motions.
Impact:
- Enhanced Recovery Rates: Patients can engage in more intensive and longer-duration therapy sessions.
- Improved Motor Function: Targeted assistance helps in regaining muscle strength and coordination.
Example: The Ekso GT exoskeleton is employed in clinical settings to provide intensive gait training, resulting in significant improvements in patients’ walking abilities.
Enhancing Independent Living
Objective: Empower individuals with mobility limitations to perform daily activities independently, improving quality of life and reducing reliance on caregivers.
- Mechanisms:
- Standing and Walking Assistance: Enabling users to transition from sitting to standing and walk with support.
Obstacle Navigation: Assisting in navigating stairs, ramps, and uneven terrains with confidence.
Impact:
- Increased Autonomy: Users gain the ability to move independently, enhancing social participation and self-esteem.
- Physical Health Benefits: Promotes circulation, reduces muscle atrophy, and prevents secondary health issues associated with prolonged immobility.
Example: ReWalk’s Personal System allows users with lower limb disabilities to stand, walk, turn, and climb stairs, significantly enhancing their independence in daily life.
Industrial Applications
Objective: Improve worker productivity and safety by reducing physical strain and the risk of musculoskeletal injuries in physically demanding jobs.
- Mechanisms:
- Load Support: Distributing weight and reducing the load on specific body parts like the back and shoulders.
Enhanced Strength: Amplifying the user’s strength to handle heavier weights with ease.
Impact:
- Reduced Injury Rates: Lessens the likelihood of work-related injuries, leading to lower healthcare costs and absenteeism.
- Increased Efficiency: Workers can perform tasks more quickly and with greater endurance, boosting overall productivity.
Example: Sarcos Robotics’ Guardian XO exoskeleton enables industrial workers to carry heavy loads effortlessly, reducing fatigue and preventing back injuries.
Military and Defense Applications
Objective: Enhance soldiers’ physical capabilities, endurance, and operational effectiveness in demanding environments.
- Mechanisms:
- Load Carriage Assistance: Supporting the weight of gear, weapons, and equipment over extended periods.
Mobility Enhancement: Improving speed, stability, and maneuverability in diverse terrains.
Impact:
- Operational Efficiency: Soldiers can carry more equipment for longer durations without excessive fatigue.
- Reduced Physical Strain: Minimizes the risk of injuries during missions, enhancing overall combat readiness.
Example: Sarcos Robotics’ Guardian S is designed for military use, enabling soldiers to carry heavy equipment with reduced effort, thereby improving performance and reducing injury risk.
Challenges Facing Exoskeleton Technology
While exoskeleton technology holds immense promise, several challenges must be addressed to achieve widespread adoption and effectiveness.
Cost and Accessibility
Issue: High development and manufacturing costs result in expensive exoskeletons, limiting accessibility to individuals and organizations with sufficient financial resources.
Implications:
- Limited Adoption: High costs restrict the availability of exoskeletons to specialized centers and affluent users.
Inequitable Access: Only a subset of the population can benefit, exacerbating existing disparities.
Solutions:
- Mass Production: Scaling up production to achieve economies of scale and reduce unit costs.
- Material Innovations: Developing cost-effective materials without compromising performance.
- Alternative Funding Models: Exploring insurance coverage, subsidies, and leasing options to make exoskeletons more affordable.
User Comfort and Ergonomics
Issue: Ensuring prolonged user comfort is critical. Issues such as poor weight distribution, restrictive designs, and skin irritation from straps can deter use.
Implications:
- User Fatigue: Heavy or poorly designed exoskeletons cause physical strain and discomfort.
Non-Compliance: Users may abandon exoskeleton use due to discomfort, diminishing the technology’s benefits.
Solutions:
- Ergonomic Designs: Aligning exoskeleton structures with human anatomy to enhance comfort.
- Advanced Padding and Strapping Systems: Minimizing pressure points and preventing skin irritation.
- Lightweight Materials: Reducing overall weight to lessen physical burden.
Battery Life and Power Supply
Issue: Limited battery life restricts the operational time and mobility of exoskeletons, especially for applications requiring extended use.
Implications:
- Interruptions in Mobility: Users may experience downtime due to battery depletion, hindering continuous use.
Bulky Batteries: Incorporating larger batteries to extend life increases weight and reduces user mobility.
Solutions:
- Energy-Efficient Actuators: Designing actuators that consume less power without compromising performance.
- Advanced Battery Technologies: Exploring high-density batteries, such as solid-state batteries, to increase energy storage capacity.
- Energy Harvesting: Implementing systems that capture and reuse energy from movement or environmental sources.
Integration with Human Physiology
Issue: Achieving seamless integration between the exoskeleton and the human body is complex, requiring precise alignment of movements and support.
Implications:
- Mismatch of Movements: Poor synchronization can lead to inefficient assistance or even injury.
Customization Needs: Diverse body types and movement patterns necessitate highly adaptable or customizable exoskeletons.
Solutions:
- Adaptive Control Systems: Employing AI and machine learning to dynamically adjust support based on user behavior.
- Modular Designs: Facilitating customization to different body shapes and movement styles.
- Advanced Sensor Technologies: Enhancing real-time monitoring and adjustment capabilities for better alignment and responsiveness.
Regulatory and Safety Concerns
Issue: Ensuring exoskeletons meet safety standards and comply with regulatory requirements is essential for market approval and user protection.
Implications:
- Barrier to Entry: Stringent regulations can slow down the introduction of new products.
Liability Issues: Defining responsibility in cases of malfunction or injury.
Solutions:
- Collaborative Standards Development: Working with regulatory bodies to establish clear guidelines.
- Rigorous Testing Protocols: Implementing comprehensive testing to ensure reliability and safety.
- Transparent Documentation: Maintaining detailed records of safety measures and compliance efforts.
Future Directions and Potential Developments
The future of exoskeleton technology for mobility is brimming with potential, driven by ongoing research, technological advancements, and interdisciplinary collaboration. Key areas poised for significant growth and innovation include:
Integration with AI and Machine Learning
Objective: Enhance responsiveness and adaptability of exoskeletons through intelligent, data-driven control systems.
- Applications:
- Predictive Movement: Anticipating user movements to provide timely assistance.
- Personalization: Learning individual movement patterns and adjusting support levels accordingly.
Environment Adaptation: Adjusting operation based on real-time analysis of environmental conditions.
Potential Impact:
- Natural Interaction: Creating more intuitive and seamless human-exoskeleton interactions.
- Enhanced Performance: Improving efficiency and effectiveness in assistance and augmentation.
Advances in Material Science
Objective: Develop smarter, more adaptable materials to improve exoskeleton performance, comfort, and functionality.
- Innovations:
- Shape-Memory Alloys: Materials that change shape in response to stimuli, enabling dynamic adjustments.
- Electroactive Polymers: Polymers that deform when electrically stimulated, allowing for flexible actuation.
Self-Healing Materials: Enhancing durability and lifespan by enabling materials to repair minor damages autonomously.
Potential Impact:
- Improved Durability: Extending the operational life of exoskeletons.
- Enhanced Flexibility: Allowing for more natural and versatile movements.
Personalized and Custom-Fitted Exoskeletons
Objective: Tailor exoskeletons to individual anatomies and movement preferences for optimal comfort and performance.
- Technologies:
- 3D Scanning and Printing: Creating precise models of users’ bodies for customized exoskeleton fitting.
Adaptive Frameworks: Designing exoskeletons with adjustable components to accommodate varying body sizes and shapes.
Potential Impact:
- Enhanced Fit and Comfort: Reducing discomfort and improving user compliance.
- Optimal Performance: Ensuring exoskeleton assistance aligns perfectly with user movements.
Augmented Reality and Exoskeleton Synergy
Objective: Combine exoskeletons with augmented reality (AR) to provide real-time feedback and enhance user experience.
- Applications:
- Visual Feedback: Displaying movement analytics and performance metrics to users.
- Guided Movements: Offering visual cues for movement corrections and training purposes.
Environmental Awareness: Enhancing situational awareness through AR overlays.
Potential Impact:
- Enhanced Training: Facilitating more effective rehabilitation and training programs.
- Improved User Awareness: Helping users navigate environments more effectively.
Biomechanical Integration
Objective: Achieve deeper integration between exoskeletons and human physiology for seamless movement support.
- Developments:
- Neural Interfaces: Establishing direct communication pathways between the nervous system and exoskeletons.
Muscle-Machine Coordination: Synchronizing exoskeleton movements with muscle activations for more natural assistance.
Potential Impact:
- Intuitive Control: Allowing users to control exoskeletons through thought or muscle signals.
- Enhanced Synchronization: Achieving smoother and more natural movements that closely mimic human biomechanics.
Ethical Considerations
As exoskeleton technology advances, several ethical considerations emerge, necessitating deliberate and thoughtful engagement to ensure responsible development and deployment.
Privacy and Data Security
Issue: Exoskeletons equipped with sensors and connected systems collect extensive data on users’ movements, health metrics, and potentially even cognitive states.
- Concerns:
- Data Privacy: Protecting sensitive personal information from unauthorized access.
Data Misuse: Preventing exploitation of user data for commercial or malicious purposes.
Mitigation Strategies:
- Robust Security Protocols: Implementing encryption and secure data storage practices.
- Transparent Data Policies: Clearly communicating data usage, storage, and sharing policies to users.
- User Consent: Ensuring informed consent for data collection and usage.
Equity and Accessibility
Issue: High costs and limited availability of exoskeletons can lead to inequitable access, exacerbating existing disparities.
- Concerns:
- Economic Barriers: Limiting access to those who can afford expensive exoskeletons.
Geographical Disparities: Uneven distribution of technology across different regions and communities.
Mitigation Strategies:
- Cost Reduction Initiatives: Pursuing affordable manufacturing and scalable production methods.
- Inclusive Design: Creating exoskeletons that cater to diverse needs and body types.
- Public Funding and Insurance Coverage: Advocating for inclusion of exoskeletons in healthcare and occupational safety programs.
Human Enhancement vs. Rehabilitation
Issue: The dual use of exoskeletons for both rehabilitative purposes and human enhancement raises ethical dilemmas.
- Concerns:
- Fairness: Potential advantages in human augmentation could lead to disparities and competitive imbalances.
Consent and Autonomy: Ensuring users have full autonomy in choosing whether to augment their capabilities.
Mitigation Strategies:
- Ethical Guidelines: Developing frameworks that address the responsible use of exoskeletons for enhancement.
- Public Discourse: Engaging in societal conversations about the implications of human augmentation technologies.
Autonomy and Control
Issue: Ensuring that users maintain autonomy and control over exoskeleton operation is paramount.
- Concerns:
- Over-Reliance: Users may become dependent on exoskeletons, reducing natural mobility and resilience.
Loss of Control: Potential for exoskeletons to operate autonomously in ways that may not align with user intentions.
Mitigation Strategies:
- User-Centric Design: Prioritizing user control and flexibility in exoskeleton operation.
- Fail-Safe Mechanisms: Implementing safety features that allow users to override or disable exoskeleton functions easily.
Safety and Accountability
Issue: Ensuring the safety of exoskeleton users and defining accountability in case of malfunction or injury.
- Concerns:
- Physical Risks: Potential for injuries due to mechanical failures or improper use.
Liability Issues: Determining responsibility between manufacturers, users, and healthcare providers.
Mitigation Strategies:
- Comprehensive Testing: Conducting rigorous safety testing and certification processes.
- Clear Liability Frameworks: Establishing legal guidelines that delineate responsibility in various scenarios.
Conclusion
Exoskeleton technology is at the forefront of transformative innovations in mobility assistance and enhancement. From enabling individuals with disabilities to regain independence to revolutionizing industrial labor practices, the advancements in exoskeletons are reshaping how humans interact with technology and their environments. The integration of cutting-edge materials, intelligent control systems, and adaptive designs has propelled exoskeletons into a new era of functionality and accessibility.
However, realizing the full potential of exoskeletons entails navigating a complex landscape of challenges, including high costs, user comfort, power limitations, and ethical considerations. Addressing these issues through continued research, interdisciplinary collaboration, and thoughtful policy-making is crucial for fostering equitable and safe adoption of exoskeleton technology.
The future promises even greater strides, with anticipated breakthroughs in AI integration, material science, biomechanical interfaces, and personalized exoskeletons. As these developments continue to unfold, exoskeletons stand poised to profoundly enhance human mobility, productivity, and quality of life, marking a significant milestone in the evolution of wearable robotics and human augmentation.
References:
- Ekso Bionics Official Website
- ReWalk Robotics Official Website
- Sarcos Robotics Official Website
- Cyberdyne HAL Exoskeleton
- Harvard University Soft Exosuit Research
- Massachusetts Institute of Technology (MIT) Robotics
- University of California, Berkeley Wearable Robotics
- Korea Institute of Science and Technology (KIST) Exoskeleton Research
Note: Replace placeholder links with actual URLs as needed.
About the Author
[Your Name] is a technology enthusiast and writer specializing in robotics and wearable technologies. With a background in mechanical engineering and a passion for innovation, [Your Name] explores the latest trends and breakthroughs shaping the future of human augmentation and mobility assistance.
This article is intended for informational purposes only and does not constitute medical or professional advice. Always consult with a qualified professional before making decisions related to health or technology adoption.
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