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KAREN L. HERBST, PHD, MD
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Bariatric Surgery and RADs

6/21/2012

59 Comments

 
People with Dercum's disease and lipedema have undergone bariatric surgery.  The most successful people work with a manual lymph drainage therapist and wear appropriate compression or undergo wrapping as needed.  Normal fat is lost, some lipomas and areas of lipedema get smaller but in Dercum's disease, many of the lipomas remain, especially those that are fibrotic, and pain and fatigue can also remain.  There is one published report of a woman with Dercum's disease that did not lose weight after bariatric surgery.  There is one report of a woman with lipedema who lost a lot of weight with bariatric surgery and her lipedema improved greatly.  The underlying cause of Dercum's disease or lipedema does not improve with bariatric surgery, however, but the co-morbidities of diabetes, hypertension and hyperlipidemia improve making this procedure well worth it for some individuals.
59 Comments
Nancy Wyrick
6/23/2012 04:11:43 pm

I had bariatric surgery a few years after being diagnosed with Dercum's. I didn't lose as much weight as I had hoped, but lost approximately 100 lbs. Unfortunately, I have regained half the weight. But I didnt start regaining until mobility issues occurred due to more lipoma growth. I also did not work with anyone on MLD or compression garments. I still hope to lose that 50 lbs again, eventually. But even if I don't, I consider the surgery a success because I was on two types of medications for Diabetes and was going to be on insulin soon. Within a month after the surgery, my Diabetes disappeared and I have had no more problems with it.

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6/23/2012 05:00:03 pm

Thank you for this report. What is hyperlipidemia?

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What are the causes of the lipedema? Is there any herbal or natural treatment available for that?

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Heather
10/13/2013 06:51:02 am

My sister has dercums diseases , as do I . She is now three years post bariatric bypass surgery . She has lost 100 percent of her excess weight . Whilst this has not been a cure, she has become mobile and healthy

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6/13/2014 01:04:40 am

I had a RNY, unknown to me I have Lipoedema. I lost about 90 lbs but have stopped all wt lost an leveled at one wt which is about 100lbs over my goal wt. It feels like that wt is my lip wt because it absolutely refuses to move below my leveled number for any reason over the last 3 years.

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