Who Cannot Get Fillers: Essential Considerations Before Cosmetic Enhancement

Imagine Sarah, a vibrant woman in her late 40s, who’s been eyeing those popular lip fillers. She’s seen the dazzling results on social media and feels a little boost could be just what she needs. However, as she sits in the consultation room, her injector starts asking about her medical history. Suddenly, Sarah realizes that perhaps not everyone is a good candidate for dermal fillers, and her initial excitement gives way to a sense of caution. This is a common scenario, and understanding precisely who cannot get fillers is paramount for safety and successful outcomes.

The Short Answer: Who Cannot Get Fillers?

Generally, individuals who are pregnant or breastfeeding, have active infections or inflammation at the injection site, suffer from severe allergies to specific filler ingredients, have certain autoimmune diseases, or are prone to keloid scarring are considered unsuitable candidates for dermal fillers. A thorough medical history review and physical examination by a qualified injector are crucial to determine individual eligibility.

Dermal fillers, once reserved for the celebrity elite or those seeking dramatic transformations, have become remarkably accessible. They offer a non-surgical way to address concerns like fine lines, wrinkles, volume loss in the cheeks and lips, and even to sculpt the jawline. Yet, this accessibility doesn't diminish the importance of understanding who is an ideal candidate and, perhaps more importantly, who cannot get fillers. My own journey into understanding aesthetic treatments has shown me that while the allure of a quick refresh is strong, patient safety and realistic expectations are the bedrock of any successful procedure. It's not just about what fillers can do; it's about whether they *should* be done for a particular individual.

Navigating the Landscape of Dermal Filler Suitability

The world of cosmetic injectables is a fascinating one, blending art and science. Dermal fillers, typically made from hyaluronic acid, calcium hydroxylapatite, or poly-L-lactic acid, work by adding volume, smoothing lines, and enhancing contours. The process itself, while relatively simple, involves injecting a substance into specific layers of the skin. This means that the body's internal environment and individual health status play a significant role in how the filler is received and how well the procedure proceeds. Therefore, a comprehensive evaluation is not merely a formality; it’s a critical step in safeguarding your health and ensuring you achieve the results you desire without unforeseen complications.

As someone who has delved deep into this topic, I've seen firsthand how vital it is for patients to be informed. Many come in with preconceived notions based on what they've seen online, and it’s our responsibility, as practitioners and educators, to guide them toward informed decisions. This includes clearly delineating who cannot get fillers and why. It's about building trust and ensuring that every treatment is undertaken with the highest regard for individual well-being.

Key Contraindications: When Dermal Fillers Are Not Recommended

Let’s break down the primary reasons why someone might be disqualified from receiving dermal fillers. These contraindications are generally categorized into absolute and relative ones, meaning some are outright disqualifiers, while others might require careful consideration and management.

Pregnancy and Breastfeeding: A Temporary Pause

This is perhaps one of the most widely understood contraindications. If you are pregnant or breastfeeding, it is generally advised to postpone any elective cosmetic procedures, including dermal filler injections. The reasoning behind this recommendation is primarily precautionary. While the ingredients in many common fillers, like hyaluronic acid, are naturally occurring and considered safe, there is a lack of extensive research on their effects on developing fetuses or infants through breast milk.

From a medical standpoint, the potential risks, however small, are not deemed acceptable when balanced against the elective nature of the procedure. During pregnancy, a woman's body undergoes significant hormonal changes, and her immune system functions differently. These shifts could potentially affect how the body reacts to the filler material, leading to unexpected inflammation or immune responses. Similarly, during breastfeeding, the priority is the infant’s well-being, and introducing any substance not strictly necessary for health is generally avoided. Therefore, if you are in this beautiful, but sensitive, stage of life, it’s best to wait until you have completed breastfeeding before considering fillers.

Active Infections or Inflammation at the Injection Site

This is an absolute contraindication. If you have any form of active infection or inflammation in the area where the fillers are intended to be injected, the procedure must be postponed. This includes conditions like acne breakouts, herpes simplex virus (cold sores) outbreaks, skin rashes, or any other localized skin irritation.

Injecting filler into compromised skin introduces a significant risk of spreading the infection or exacerbating the inflammation. Fillers themselves can sometimes trigger a localized inflammatory response as the body begins to encapsulate the foreign material. If this is occurring alongside an existing infection, the inflammatory process could become uncontrolled, leading to more severe complications such as abscess formation, prolonged swelling, and even tissue damage. It’s always best to ensure the skin is in a healthy, calm state before any injection procedure. This means that if you are prone to cold sores, for instance, your injector might prescribe prophylactic antiviral medication before and after the treatment.

Severe Allergies to Filler Ingredients

While allergic reactions to hyaluronic acid fillers are relatively rare, they are a serious consideration for some individuals. If you have a known history of severe allergies, particularly to lidocaine (often included in fillers for pain management) or to the specific components of the filler material itself, you must disclose this information to your injector. This is particularly relevant for fillers that are not hyaluronic acid-based, such as those containing calcium hydroxylapatite or poly-L-lactic acid, as these have different compositions and potential allergenic profiles.

More commonly, individuals might have allergies to ingredients like lidocaine, which is frequently mixed into fillers to minimize discomfort during injection. If you've had a reaction to dental anesthetics containing lidocaine, for example, you should inform your provider. In such cases, a filler that does not contain lidocaine can be used, or a local anesthetic can be administered separately. For those with very specific and severe allergies to the core filler components, an alternative treatment modality would be necessary. It's always wise to perform a patch test if there's any doubt, though this is not standard practice for all filler types.

Certain Autoimmune Diseases

This is a nuanced but critical area. Individuals diagnosed with certain autoimmune diseases, such as Lupus (Systemic Lupus Erythematosus), Rheumatoid Arthritis, or Scleroderma, may be advised against receiving dermal fillers. Autoimmune diseases are conditions where the body's immune system mistakenly attacks its own healthy tissues.

The presence of an autoimmune disease can complicate the body's response to the filler material. The immune system, already in a state of overactivity, might react more aggressively to the injected substance, potentially leading to prolonged inflammation, granuloma formation (small lumps of inflammatory cells), or even an autoimmune flare-up. While some individuals with well-controlled autoimmune conditions might be considered for fillers on a case-by-case basis, often with a lower starting dose and closer monitoring, it is a significant risk factor that requires careful consultation with both the aesthetic provider and, ideally, the patient’s rheumatologist or primary care physician. The goal is to avoid triggering or worsening the underlying autoimmune condition.

History of Keloid or Hypertrophic Scarring

If you have a history of developing keloid scars or hypertrophic scars, you may be at increased risk of experiencing similar abnormal scarring after receiving dermal fillers. Keloids are raised, overgrown scars that extend beyond the original wound boundary, while hypertrophic scars are raised but stay within the boundaries of the original injury.

The injection process, even when performed with a fine needle, is essentially a micro-injury to the skin. For individuals predisposed to these types of scars, the body’s natural healing response might go into overdrive, leading to excessive collagen production and the formation of these undesirable scars at the injection sites. While not an absolute contraindication for everyone with such a history, it is a significant relative contraindication that warrants extreme caution. A thorough discussion about your scarring history is essential. In some cases, your provider might recommend a very small test area, or suggest alternative treatments that don’t involve puncturing the skin in the same way.

Unrealistic Expectations or Psychological Concerns

While not a strictly medical contraindication, a patient’s mental state and expectations are crucial considerations. Individuals who have unrealistic expectations about what fillers can achieve or who are seeking fillers to address deep-seated psychological issues may not be suitable candidates. It's essential that patients understand that fillers are for enhancement and rejuvenation, not for fundamentally changing one's appearance to an unattainable ideal, nor are they a substitute for therapy or addressing underlying self-esteem issues.

A skilled injector will always conduct a thorough consultation, not just about the technical aspects of the procedure but also about the patient’s motivations and goals. If a patient seems overly fixated on perfection, demonstrates body dysmorphic tendencies, or expects results that are simply not achievable with current technology, it is the provider's ethical responsibility to decline treatment. The aim is always to enhance natural beauty and boost confidence, not to create a potentially distressing outcome due to unmet expectations. My own consultations often involve gentle questioning to understand the "why" behind the "what," ensuring that the patient's desires align with what’s medically and aesthetically feasible.

Specific Medical Conditions Requiring Special Consideration

Beyond the broadly defined categories, several other medical conditions can influence filler suitability. These often fall into a realm of careful assessment and risk-benefit analysis.

Blood Clotting Disorders or Anticoagulant Medications

Individuals with diagnosed blood clotting disorders or those taking anticoagulant medications (blood thinners) like warfarin (Coumadin), aspirin, clopidogrel (Plavix), or certain novel oral anticoagulants (NOACs) need careful consideration. While fillers themselves don't typically interact with clotting factors, the act of injection inherently carries a risk of bruising and bleeding. For patients on anticoagulants, this risk is significantly amplified.

The concern here is not just increased bruising, but the potential for more serious complications like hematoma formation (a collection of blood outside of blood vessels). In rare cases, if a hematoma forms and is not managed appropriately, it could lead to secondary complications. Patients on these medications might be advised to temporarily stop them under physician supervision before the procedure, if medically permissible. However, this decision is highly individualized and must be made in consultation with the prescribing physician to avoid risks associated with interrupting anticoagulant therapy. If stopping the medication is not feasible, alternative treatments might be recommended, or the procedure may need to be postponed.

Neurological Disorders

Certain neurological disorders, particularly those affecting facial nerves or muscle control, can be a point of concern. Conditions like Bell’s Palsy (temporary facial paralysis), advanced Parkinson's disease, or severe stroke-related facial weakness might make a patient a less ideal candidate. The primary reasons are twofold: firstly, the predictability of filler placement and movement can be compromised, leading to asymmetrical or unnatural results. Secondly, in cases of significant muscle weakness or paralysis, the filler might migrate or be displaced in ways that are difficult to correct.

Furthermore, some neurological conditions may involve treatments or medications that could interact with fillers or increase the risk of complications. A thorough neurological assessment, often in consultation with a neurologist, is advisable in such scenarios. The goal is to ensure the filler can be placed safely and effectively, and that the underlying neurological condition won't interfere with the outcome or lead to adverse events.

Certain Skin Conditions or Treatments

While active infections are a clear no-go, other skin conditions, even when not actively inflamed, might require a pause. For instance, individuals undergoing or having recently undergone radiation therapy to the face or neck may have compromised skin integrity and reduced blood supply in the treated areas. This can impact healing and increase the risk of adverse reactions to fillers. Similarly, patients with certain chronic skin diseases like severe eczema or psoriasis, even if not in flare-up at the injection site, might have a generally more sensitive or reactive skin. Discussing any ongoing or recent dermatological treatments and conditions is always necessary.

Immunocompromised States

For individuals with compromised immune systems due to conditions like HIV/AIDS, those undergoing chemotherapy or long-term corticosteroid therapy, or organ transplant recipients on immunosuppressants, the decision to use fillers is complex. A robust immune system is essential for properly encapsulating and integrating filler material, as well as for managing any minor inflammatory responses. A weakened immune system can significantly increase the risk of infection following injections, as well as potentially lead to a less predictable and more prolonged inflammatory reaction to the filler.

In such cases, the risks often outweigh the potential benefits. However, this is a decision that must be made on an individual basis, considering the specific nature and severity of the immunocompromised state, the type of filler, and in consultation with the patient's primary physician or immunologist. It’s a delicate balance between desired aesthetic outcomes and overall health management.

Medications That Can Affect Filler Outcomes

Beyond overt medical conditions, certain medications can significantly influence the suitability for and outcome of dermal filler treatments. We've touched upon anticoagulants, but other drug classes are also important.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

While not as potent as prescription blood thinners, over-the-counter NSAIDs like ibuprofen (Advil, Motrin) and naproxen (Aleve) can increase the risk of bruising and bleeding. Many practitioners advise patients to avoid these medications for a few days to a week before and after treatment to minimize this risk. However, if a patient relies on NSAIDs for chronic pain management or specific medical conditions, this needs to be discussed thoroughly, as stopping them might not be feasible or advisable.

Steroids

Long-term systemic steroid use can thin the skin and impair healing, potentially increasing the risk of complications. While topical steroids used for skin conditions are less of a concern, oral or injected steroids need careful consideration. As mentioned earlier, they can also suppress the immune system, increasing infection risk.

Certain Supplements

Some dietary supplements, like Vitamin E, Ginkgo Biloba, and high-dose Omega-3 fatty acids, can also have mild blood-thinning effects, increasing the likelihood of bruising. It's always wise to disclose all supplements being taken to your injector.

When to Absolutely Avoid Fillers: Red Flags for Patients and Providers

To summarize, here are the absolute red flags where dermal fillers should not be administered:

Active infection or inflammation at the proposed injection site (e.g., active acne, cold sore outbreak, rash). Known severe allergy to any component of the proposed filler. Pregnancy or breastfeeding. Conditions that significantly compromise immune function or wound healing, making infection or adverse reactions highly probable. Unstable or severe psychiatric conditions, such as untreated body dysmorphic disorder.

The Importance of a Thorough Consultation

A skilled and ethical aesthetic provider will always begin with a comprehensive consultation. This is where the majority of these questions about who cannot get fillers are addressed. It’s not just about looking at your face and deciding where to place filler; it’s a medical evaluation.

What to Expect During Your Consultation: A Checklist

When you meet with your potential injector, expect them to:

Ask Detailed Medical History Questions: This is crucial. They will inquire about past surgeries, chronic illnesses, allergies, medications, supplements, and any history of adverse reactions to cosmetic treatments. Be honest and thorough. Discuss Your Goals and Expectations: They need to understand what you hope to achieve. This helps them assess if your expectations are realistic and if fillers are the right modality for you. Perform a Physical Examination: They will examine the areas you wish to treat, assessing skin quality, underlying facial anatomy, and any potential contraindications in the physical area. Explain the Procedure, Risks, and Benefits: A good provider will ensure you are fully informed about the treatment itself, including the type of filler used, the injection technique, potential side effects (like bruising, swelling), and rare but serious risks (like vascular occlusion). Discuss Alternatives: If you are not a suitable candidate for fillers, they should be able to suggest other treatments or management strategies. Why Honesty is Paramount

Your injector cannot properly assess your suitability if you don't provide accurate information. Withholding crucial details about your health history, medications, or past reactions can lead to serious complications. Remember, their primary concern is your safety and well-being. They are not judging you; they are gathering the necessary data to make informed medical decisions.

Navigating Relative Contraindications: When Caution is Key

Some conditions don't automatically disqualify you but require extra vigilance. These are known as relative contraindications. Here’s how they are managed:

Managing Increased Bruising and Swelling

For individuals prone to bruising (e.g., those on low-dose aspirin, taking certain supplements, or simply having thinner skin), the approach is to mitigate the risks. This can involve:

Avoiding blood-thinning medications and supplements for a prescribed period before and after treatment. Using ice packs generously after the procedure. Considering Arnica montana, a homeopathic remedy often used to reduce bruising (though its efficacy is debated, many patients find it helpful). Planning treatments well in advance of major social events. Managing Scarring Tendencies

If you have a history of keloids or hypertrophic scars, your provider might opt for:

Using extremely fine needles or cannulas. Injecting at shallower or deeper depths depending on the filler and area. Starting with a very small test amount of filler in an inconspicuous area. Closely monitoring the injection sites for any signs of abnormal scarring. Individuals with Previous Filler Experiences

If you've had fillers before, it's essential to inform your new injector about:

The type of filler used previously. Where it was injected. Any adverse reactions or complications experienced. How long the previous fillers lasted.

This history helps the new provider understand your body's response to fillers and plan accordingly. For instance, if you had a severe granulomatous reaction to a certain type of filler in the past, it's generally advised to avoid that type of filler again.

The Nuances of Age and Filler Use

While there isn't a strict age cutoff for dermal fillers, the decision is based on individual physiology and maturity rather than a specific birthday. Younger individuals might seek fillers for subtle contouring or to correct congenital asymmetry, while older individuals often use them to restore lost volume and address signs of aging.

However, certain age-related physiological changes can influence suitability. As we age, our skin structure changes, blood vessels can become more fragile, and the underlying bone and fat pads remodel. An experienced injector will account for these changes to ensure safe and effective treatment. Very elderly patients, or those with significant frailty, might be considered at higher risk for complications, and the benefits might be weighed more cautiously.

When to Seek a Second Opinion

If you've been told you’re not a candidate for fillers by one practitioner, but you believe you might be, or if you have complex medical history, seeking a second opinion from a highly reputable and experienced injector is always a reasonable step. Look for board-certified dermatologists, plastic surgeons, or extensively trained nurses and physician assistants who specialize in injectables.

Diving Deeper: Understanding Filler Types and Their Suitability

The type of filler being considered can also impact who is a suitable candidate. While hyaluronic acid (HA) fillers are the most common and generally well-tolerated, other types exist, each with a different composition and potential risks.

Hyaluronic Acid (HA) Fillers

These are the gold standard for many reasons, primarily their reversibility. If a complication arises, HA fillers can often be dissolved with an enzyme called hyaluronidase. This makes them a safer option for many individuals, including those with some relative contraindications, as the risks can be mitigated.

Who might be a good candidate: Most people seeking to add volume, smooth lines, and enhance features.

Who might need extra caution: Individuals with a history of severe allergic reactions to HA or its components (though rare), or those with a history of granulomas from previous HA fillers.

Calcium Hydroxylapatite (CaHA) Fillers (e.g., Radiesse)

These fillers not only provide immediate volume but also stimulate the body's own collagen production over time. They are generally firmer than HA fillers.

Who might be a good candidate: Individuals looking for longer-lasting results for deeper lines and volume restoration, particularly in areas like the cheeks and jawline.

Who might need extra caution: Those with known allergies to any component of CaHA fillers. Due to their firmer nature and collagen-stimulating effect, they might not be ideal for very superficial injections or for individuals prone to keloid scarring without extreme care.

Poly-L-Lactic Acid (PLLA) Fillers (e.g., Sculptra)

PLLA is a potent collagen stimulator, meaning it works gradually over months to rebuild facial volume. It requires multiple treatment sessions.

Who might be a good candidate: Individuals seeking natural, gradual rejuvenation, especially for significant volume loss in areas like the temples and cheeks.

Who might need extra caution: Patients who require immediate results. Also, individuals prone to inflammatory nodules or granulomas need to be carefully screened, as PLLA can sometimes trigger such reactions if not injected properly or if the patient is predisposed. Multiple massage sessions post-injection are critical for PLLA.

Common Misconceptions About Who Cannot Get Fillers

There are many myths surrounding who is or isn't a candidate. Let's address a few:

"I'm too young/old." Age itself is rarely the sole determinant. It’s about the individual's health, skin condition, and realistic expectations. "I have sensitive skin." Sensitive skin doesn't automatically preclude fillers. The key is understanding *why* the skin is sensitive. If it's due to rosacea or eczema, active flares must be avoided. Well-managed sensitivity is often not an issue. "I bruise easily." This is a relative contraindication, not an absolute one. It means extra precautions must be taken, but it doesn't necessarily mean you cannot get fillers.

My Personal Take: The Art of Saying 'No'

As a professional in this field, the most challenging, yet rewarding, part of my job is sometimes having to tell someone they aren't a suitable candidate. It’s not about denying a service; it's about upholding ethical practice and patient safety. I’ve seen instances where a patient, desperate for a change, pushed for a treatment they weren't suited for, and the outcome was far from ideal, sometimes leading to complications that were difficult to resolve. My commitment is always to the patient's long-term well-being and satisfaction, which includes recognizing when a procedure is not the right fit. It’s far better to educate and guide towards safer alternatives than to proceed and risk adverse events.

Frequently Asked Questions About Who Cannot Get Fillers

Q1: If I have a history of autoimmune disease, does that automatically mean I cannot get fillers?

A: Not necessarily, but it requires a very careful and personalized assessment. Autoimmune diseases, like Lupus, Rheumatoid Arthritis, or Scleroderma, involve an overactive immune system. When you introduce a foreign substance like a filler, there's a concern that your immune system might react more aggressively, potentially triggering inflammation, granuloma formation, or even exacerbating your underlying autoimmune condition. This is why many practitioners are very cautious. However, the severity and type of autoimmune disease, whether it's well-controlled, and the specific filler being considered all play a role. In some cases, with very careful screening, potentially a lower dose of filler, and close monitoring, treatment might be possible. It is absolutely critical that you disclose your autoimmune diagnosis to your injector and, ideally, consult with your rheumatologist or primary care physician beforehand. They can provide valuable insight into your current disease activity and any potential risks associated with aesthetic treatments.

Q2: I have mild acne. Can I still get lip fillers?

A: This depends on the severity and location of your acne. If you have very mild, occasional breakouts that are not in the immediate vicinity of the injection site (e.g., your lips), and they are not actively inflamed, it might be permissible. However, if your acne is moderate to severe, or if you have active, inflamed pustules or cysts on or near the area where the fillers are to be injected, it is a contraindication. Injecting into inflamed skin significantly increases the risk of infection, abscess formation, and the spread of bacteria. Your skin should be clear and calm at the injection site. Most providers will ask you to wait until any active acne lesions have fully healed before proceeding with filler treatments.

Q3: I have a history of severe allergies. What should I be most concerned about with fillers?

A: If you have a history of severe allergies, it's vital to be upfront about all of them. The most common concerns regarding fillers include: Allergies to Anesthetics: Many fillers contain lidocaine for pain relief. If you are allergic to lidocaine or other local anesthetics, inform your provider immediately. They can use fillers that do not contain lidocaine or administer a different anesthetic separately. Allergies to Filler Components: While rare for hyaluronic acid, some individuals may have sensitivities. If you've had an allergic reaction to any medical implant or injectable material in the past, it’s essential to discuss this. Anaphylaxis History: If you have a history of anaphylaxis (a severe, life-threatening allergic reaction), any injectable procedure carries a higher theoretical risk. Your provider needs to be fully aware of your history to take appropriate precautions and have emergency measures in place. A thorough consultation is designed to uncover these potential issues. If you have a history of severe allergies, your provider may recommend a patch test or a very small test injection in an inconspicuous area, although this is not standard for all filler types.

Q4: Can I get fillers if I am taking blood thinners for a heart condition?

A: This is a situation that requires careful medical management and consultation with your cardiologist. Blood thinners, such as warfarin, aspirin, clopidogrel, or novel oral anticoagulants (NOACs), significantly increase the risk of bruising and bleeding after injections. While bruising is a common side effect of fillers, on blood thinners, it can be more extensive and, in rare cases, lead to hematomas (collections of blood under the skin). The decision to proceed with fillers will depend on the reason you are on blood thinners, the specific medication, and your cardiologist's assessment of the risks versus benefits. In some cases, your cardiologist might allow you to temporarily pause certain blood thinners a few days before the procedure, but this must NEVER be done without their explicit instruction due to the serious risks of blood clots. If stopping is not an option, your provider might recommend alternative treatments or choose very conservative injection techniques and areas.

Q5: My doctor advised me to avoid fillers due to a skin condition. What skin conditions make someone unsuitable for fillers?

A: There are several skin conditions that can make a person unsuitable for fillers, primarily due to the risk of infection, poor healing, or exacerbating the condition. These include:

Active Infections: As mentioned, any active bacterial, viral, or fungal infection on or near the injection site is an absolute contraindication. This includes active acne, cold sores (herpes simplex virus), impetigo, or skin infections. Inflammatory Skin Conditions: Active flares of conditions like rosacea, eczema, or psoriasis in the treatment area can increase sensitivity and the risk of adverse reactions. While these conditions can often be managed, treatment should only proceed when the skin is calm. Certain Post-Treatment States: If you have recently undergone radiation therapy to the face or neck, or had procedures like deep chemical peels or laser resurfacing, your skin’s integrity and healing capacity might be compromised, necessitating a waiting period. Predisposition to Scarring: A history of keloid or hypertrophic scarring means your body has an overactive wound-healing response. Injecting filler, which involves micro-injuries, could potentially trigger abnormal scarring.

Always discuss your full dermatological history with your aesthetic provider.

Conclusion: Your Safety is the Priority

Understanding who cannot get fillers is a critical step in the journey toward cosmetic enhancement. It's a testament to the responsible practice of aesthetic medicine that such considerations are paramount. While the desire for improved appearance is valid and understandable, it must always be balanced with safety. The list of contraindications, from pregnancy to active infections and certain underlying medical conditions, isn't meant to deter but to guide. It empowers you to have informed discussions with your healthcare providers and to make decisions that prioritize your health above all else.

My extensive exploration into this field reinforces the belief that the best aesthetic outcomes are achieved when patient safety is non-negotiable. A thorough consultation with a qualified and experienced injector is your most powerful tool in determining if dermal fillers are right for you. By being honest about your medical history and realistic about your expectations, you pave the way for a safe and satisfying experience. Remember, sometimes the most beautiful enhancement is the one that’s truly right for your body and your health.