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Initial Presentation: Weight: 318 pounds Bilateral leg pain and swelling Disproportionate tissue distribution in arms and legs Non-pitting edema in ankles, calves, thighs, and arms Tender, nodular subcutaneous tissue on palpation Skin lobules on knees, inner thighs, lateral thighs, and upper arms Wrist and ankle cuffs present Joint hypermobility (Beighton score: 9/9) Diagnosis: Type 3, Stage 3 lipedema of the legs Type 4, Stage 3 lipedema of the arms Class 3 obesity Treatment and Results: T underwent a loop duodenal switch bariatric surgery, combining sleeve gastrectomy with duodenal switch
If you have underlying kidney, liver, or stomach issues, consult your pharmacist or doctor before use
Most notice fat melting away from the waist, hips, and belly first
Education before starting therapy is one of the most important steps in preventing constipation
Lifestyle and Nutritional Support While medications and testing provide the clinical foundation, your lifestyle choices act as the "scaffolding." When taking a GLP-1, your appetite will decrease, which means every bite of food you eat needs to count
