If you’ve been trying to lose weight with Lipedema and noticing that your legs or arms never seem to change, you’re not imagining it. Lipedema fat is different to normal fat. It’s stubborn, resistant to traditional weight loss methods, and frustratingly misunderstood – by society, and even by doctors.
Lipedema isn’t caused by overeating or lack of movement. In fact, many of us have followed strict diets and exercise routines only to see our upper body shrink while our lower body remains the same – a key sign that might lead to getting a Lipedema diagnosis. Sound familiar? You’re not alone.
What Makes Lipedema Fat Different?
Lipedema fat isn’t just ‘regular fat’ in the wrong places. It’s a chronic fat disorder that affects the connective tissue and is often accompanied by pain, swelling, and easy Lipedema bruising.
Key differences include:
- Symmetrical fat accumulation, usually on the legs (and sometimes arms)
- Disproportionate body shape, with a smaller upper body
- Resistance to diet and exercise, especially in affected areas
- Painful, fibrotic fat that can feel lumpy or heavy
Can You Lose Lipedema Fat?
Here’s the hard truth: Lipedema fat does not respond to diet and exercise the same way as normal body fat. You can lose overall body fat, improve inflammation, and feel stronger – but the Lipedema fat itself won’t just disappear.
That said, managing your non-Lipedema fat, reducing inflammation, and strengthening your body can dramatically improve your Lipedema symptoms, energy and confidence. Many women see noticeable differences even without ‘losing’ the Lipedema fat.
What Can You Do About It?
Let’s focus on what’s within your control – because there’s actually a lot you can do to support your body and reduce discomfort.
1) Adopt an Anti-Inflammatory Diet
You don’t need to follow an extreme Lipedema diet plan. Focus on reducing processed foods, added sugars, and inflammatory oils. Many women with Lipedema feel better when following:
- Low-carb or keto-based diets
- Mediterranean-style eating – this is my personal choice!
- Gluten-free or dairy-free if you notice sensitivities
Remember, the goal isn’t weight loss – it’s symptom relief.
2) Embrace Movement
While you can’t out-exercise Lipedema, low-impact movement helps with lymph flow, energy levels, and joint strength. Great options include:
- Swimming or aqua aerobics
- Rebounding for Lipedema
- Walking with compression
- Yoga or Pilates
- Strength training (gently!)
3) Use Compression Garments
Wearing compression for Lipedema can reduce swelling, improve mobility, and help you stay active for longer periods. It’s not very glamorous, but it works. Speak to a Lymphedema specialist for proper fittings and prescription support if you’re in the UK like me. You can use code LIPEDEMAANDME for 10% off the whole Lipoelastic website.
4) Manual Lymphatic Drainage (MLD)
This gentle massage technique supports your lymphatic system and can help with pain and swelling. Some women learn to self-administer massage for Lipedema at home, while others go to a certified therapist. I do a combination of both, visiting a specialised MLD therapist once a month.
5) Consider Liposuction (If Accessible)
Lipedema Reduction Surgery (specifically water-assisted liposuction or VASER) can physically remove Lipedema fat. However, Lipedema surgery cost is expensive and often not covered by insurance. Surgery is a personal choice and needs lots of consideration. It’s important to consult with a specialist Lipedema surgeon experienced in treating Lipedema if you decide to explore this option.
Your Mental Health Matters Too
Lipedema can seriously affect mental health – living with a misunderstood condition for years takes a toll. The constant comments, unsolicited advice and feeling like your body is fighting you? It’s exhausting to say the least.
You are not lazy. You are not broken. You are not alone.
If you’re struggling, reach out – to a therapist, support group, or online community like r/lipedema, which I co-created. We’re a fast-growing, anonymous space filled with women who get it. You don’t have to do this alone.
So, Can You Lose Lipedema Fat?
The short answer? Not in the traditional way. Lipedema fat is resistant to standard weight-loss methods – but that doesn’t mean you’re powerless. By focusing on reducing inflammation, moving your body in ways that feel good for you, recognising early signs of Lipedema and embracing tools like compression and manual lymphatic drainage, you can take charge of your health and feel better in your body.
You don’t need to be fixed. You need to be heard, supported, and understood.
Disclaimer: My blogs talk about Lipedema, diet, surgery and much more. I’m talking from my point of view to help women, and remind them they are not alone. I am not a medical professional, so the content above is from my own perspective with research I have done into the topic. It’s not meant as medical advice, you should always consult your doctor or a specialist for both your diagnosis, and a treatment plan.
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Sophie is the founder of Lipedema and Me and Find a Surgeon. A fellow Lipedema sufferer based in the UK, she’s experienced first-hand the challenges of getting diagnosed and accessing surgery. Today, her mission is to support other women with Lipedema – raising awareness, sharing resources, and helping others feel less alone on their journey.