Apparatus The Synergie AMSª device manufactured by Dynatronics was used to deliver treatments to the study participants. The device offers 10 vacuum settings and a countdown timer. Two treatment head sizes were used. Group A. No additional instructions or rules applied to Group A. Group B. This group was required to take three nutritional supplements three times daily. The supplements, under the Synergie NSPª brand name, included Fat Metabolizer, CarbAidª, and MetaSlimª. Group C. This group was required to add a moderate aerobic exercise regimen for 30 minutes 3 to 5 times a week. Group D. This group was required to take the nutritional supplements described for Group B and was required to add the exercise regimen described for Group C. Participants were provided with a daily log sheet to record their individual performance. The log sheet was reviewed by the AMS treatment technician at each treatment appointment, and the participant's compliance with the program was logged in the participant's file. The AMS massage treatments were delivered primarily to the thigh, hip, abdomen, and buttocks areas, and to both right and left sides of the body. At the end of the fourth week and at the end of the study, each participant was again measured, and photographed. At the end of the study, each participant was asked to state a subjective opinion as to whether or not she had seen a reduction in the appearance of cellulite.