15/09/2026
Saw a client recently that's stayed with me.
She'd had liposuction and an arm lift, complications leading to additional surgery and thickened scar tissue.
As I worked on her I noted distinct nodules in her arms, legs and stomach. She ticked every box on the lipedema questionnaire.
Her personal history was an active woman who had spent her life grappling with weight. A history of a lap band, gastric bypass, a stomach lift — a lifetime of being unable to lose weight no matter what she did.
In all that time, across every GP and every surgeon, not one medical professional had ever raised lipedema with her. Not before the surgeries. Not after, when complications showed up that lipedema would explain.
Lipedema fat isn't just "stubborn fat." It's structurally different — the fat cells are enlarged, the tissue becomes fibrotic and nodular, and it doesn't respond to diet, exercise, or even bariatric surgery the way normal fat does. That's not a willpower problem. That's biology.
This is the pattern we experience over and over. Women told for decades it's their fault, sent through surgery after surgery, when what's actually going on is a distinct connective tissue disorder — one that carries real risk in a surgical context if nobody's screening for it first.
Lipedema affects an estimated 1 in 9 women. It is also still barely taught. If your body doesn't respond to diet and exercise the way it "should," if you bruise easily, if you've got tender, nodular fat that doesn't match the rest of your frame — it's worth asking about. Not as a last resort after everything else has been tried on you, but as a first question.
What a waste of energy and risk for something that can be supported rather than battled. X