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Lipedema Services in Dallas, Texas

Understanding Lipedema: What It Is and How Endocrinology Can Help

What is Lipedema?

Lipedema is a chronic condition that causes an abnormal buildup of fat, most often in the legs and sometimes the arms. This fat accumulation is usually symmetrical (the same on both sides) and can cause pain, tenderness, and easy bruising. Unlike typical weight gain, lipedema fat does not respond well to diet and exercise.

Key Features of Lipedema:

  • Most commonly affects women, often starting or worsening at times of hormonal change (puberty, pregnancy, menopause).
  • Fat is distributed disproportionately, usually in the lower body (hips, thighs, legs) and sometimes the arms, but not the hands or feet.
  • Affected areas may feel tender, heavy, or painful.
  • Skin may bruise easily.
  • Swelling can worsen as the day goes on or with prolonged standing.

How is Lipedema Different from Lymphedema or Obesity?

  • Lymphedema is swelling caused by fluid buildup, often affecting one limb and including the feet or hands.
  • Obesity is a general increase in body fat, usually distributed more evenly.
  • Lipedema specifically involves abnormal fat accumulation in the legs and/or arms, sparing the hands and feet, and is often painful.

    • Why Consider an Endocrinology Evaluation?

    Endocrinologists are specialists in hormone-related conditions and metabolism. While the exact cause of lipedema is not fully understood, hormones—especially estrogen—are thought to play a role. An endocrinology evaluation can help in several ways:

    Accurate Diagnosis:
    • Lipedema can be mistaken for obesity or lymphedema. An endocrinologist can help distinguish between these conditions and rule out other causes of swelling or fat accumulation.
    • Since lipedema often starts or worsens with hormonal changes, an endocrinologist can evaluate for underlying hormonal imbalances or related endocrine disorders (such as thyroid dysfunction, polycystic ovary syndrome, or other metabolic issues).
    • Many people with lipedema also struggle with weight management, metabolic syndrome, or diabetes. An endocrinologist can help manage these conditions and provide guidance on safe, effective weight management strategies.
    • While there is no cure for lipedema, treatment may include specialized compression therapy, physical therapy, and in some cases, surgical options. An endocrinologist can coordinate care with other specialists and help optimize your overall health.

    What to Expect During an Endocrinology Visit:

    • A detailed medical history and physical exam
    • Review of symptoms and family history
    • Blood tests to check for hormonal or metabolic issues
    • Discussion of treatment options and referrals as needed

    Takeaway: If you have symptoms of lipedema, an evaluation with an endocrinologist can help clarify your diagnosis, address any underlying hormonal or metabolic concerns, and support you in managing your health.

    For more information or to schedule an appointment, contact Sol Endocrinology at 469-648-3636.