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I have been using elliptical machines for almost six years now, since I had knee surgery senior year in high school. I have lost over 80 pounds using these machines. I can't use treadmills because of the stress on my knees but these are painless in the joints. I love that they are so easy to use. You just hope on and go. They are quiet, I can even use mine while my husband is asleep and it doesn't wake him up. The different programs and resistance levels make it great for any fitness level. I would recommend it to anyone.