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Is En Bloc implant removal necessary

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Back2nature
I have smooth saline breast implants that were put in in 2004. I have had insomnia, mild brain fog, and mild tiredness for the last 8 years. I am not sure if the implants are the cause of these symptoms as everything I have tried medically has failed to treat my problems. IS it necessary to remove the saline implant En Bloc to potentially treat these problems that could be breast implant illness? will leaving the capsule in harm me in any way. My capsules are reported to be soft and thin.

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