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[heightconsultant]

Unless it will mess up your body proportions, safe max for femur is 7-8 cm and tibia 6-7 cm for most people. Even these numbers are possible only in case you really try hard with physiotherapy+exercises. I have seen doctors who claim to go up to 10-11 cm on femur, but that is too much trouble for muscles.

If you want to stick to safety first, then the ideal would be 5-6 cm on femur + 5-6 cm on tibia.
If you are low on budget and want to get as much as possible, you can do femur 7-8 cm, then see if that is enough for you. You will most probably be satisfied with that (It sounds as not much of an increase, but in reality 7-8 cm really matters) If not, you can always undergo a second surgery on tibia later anytime.

[MissLuna]

I will see what will be the limit for me,  but yeah I want a lot.
Is there something I could do to increase the number I might lenghten before/ during procedure?

[myloginacc]

I will see what will be the limit for me,  but yeah I want a lot.
Is there something I could do to increase the number I might lenghten before/ during procedure?

This is anecdotal evidence and we have no research backing it up, but it seems the ones who can lengthen the most, most easily, are gymnasts and the like.

Now, that begs the question: is that because they were always naturally flexible, or because they became even more so with their performance routines, which include a lot of stretching?

Anyway, a low fat diet, optimal vitamin D3 and calcium intake, and lots of stretching seem to be the best things one can do prior to distraction osteogenesis CLL.

[MissLuna]

Any tips for how increase muscle flexibility? Besides stretching

[heightconsultant]

Yes it is possible to increase muscle flexibility wit exercises and sports like swimming, but to see its effect you have to do it intensively and at least for some months. If let's say, you are aiming to do 8 cm on femur, which is the safe limit, the exercises done will help you a lot with it. If your leg muscles are not flexible enough and you do not live an active life, you might have to stop at 7 cm.

[cheekycabs]

Any tips for how increase muscle flexibility? Besides stretching

Yoga, kickboxing, swimming as mentioned, gymnastics, sports in general where your legs are used predominantly (there's plenty).

[MissLuna]

What about diet supplements / vitamins etc good for muscle/muscle tissue gaining?

[cheekycabs]

Weigh protein after exercise, Casein protein at night. Eat clean foods high in protein. Drink plenty of milk/yogurt/cheese.

Vitamin D3, Calcium, Magnesium, Multivitamins. What you don't use, you'll urinate out. Move/exercise your legs as much as you can so the blood flows and reconstruction is good.

[MissLuna]

Thank you:)
Much appreciated

[Ascending]

If you look in the last few pages of Unicorn888's diary - she gives a complete list of stretching exercises complete with pictures.  Interestingly she was a competitive gymnast and has a condition that makes her hyper flexible and she still had complications related to lengthening too much too fast - though this was in no way her choice.  She suffered from runaway nail lengthening.

A key factor in how much you can lengthen is your lengthening rate.  Go slower for more length - this is because soft tissue cannot be lengthened as fast as bone.

As far as diet - I would recommend animal and dairy proteins over others as they have the highest quality.  Vitamin D3 combined with Vitamin K-2 (MK-7).  The latter prevents problems associated with high dosages of D3.

[Ascending]

Some of the information on the following page is quite good - ignore the ads and research your own products.

https://www.betterbones.com/fractures-and-healing/speed-healing/

[MissLuna]

I am more concerned about the muscles, tho.  But hope good prep will do

[Ascending]

I am more concerned about the muscles, tho.  But hope good prep will do

I think the biggest concern should be about how painful it will be.  But no preparation will help.  The other concern is the psychological stress from being in pain, somewhat disabled (depending on the technique), and lack of sleep.  If you can have family or friends around you during the lengthening it will help.  Alternatively try and partner up with other LLers.

[MissLuna]

I try to do research on about what I could possibly do.
I want it so much that I don't think about pain