Episode #361: Lipedema
Barbell Medicine Podcast
Barbell Medicine
4.8 • 1.2K Ratings
🗓️ 21 August 2025
⏱️ 54 minutes
🧾️ Download transcript
Summary
In this episode of the Barbell Medicine podcast, Dr. Jordan Feigenbaum and Dr. Austin Baraki delve into the chronic condition known as lipedema, which primarily affects women and is characterized by a disproportionate increase in fat tissue, particularly in the lower extremities. They discuss the symptoms, causes, risk factors, and the importance of differentiating lipedema from other conditions such as lymphedema. The conversation also covers the diagnosis and treatment options available, emphasizing the role of exercise, diet, and psychosocial support in managing the condition. The episode concludes with a discussion on surgical options like liposuction and the need for increased awareness and research on lipedema.
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Papers:
- https://pmc.ncbi.nlm.nih.gov/articles/PMC8495372/
- https://pubmed.ncbi.nlm.nih.gov/33170068/
- https://pubmed.ncbi.nlm.nih.gov/32934317/
- https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-1238-6657
- https://pubmed.ncbi.nlm.nih.gov/31895524/
- https://pubmed.ncbi.nlm.nih.gov/33170068/
- https://pubmed.ncbi.nlm.nih.gov/20358611/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC7465366/
- https://pubmed.ncbi.nlm.nih.gov/32407981/
- https://pubmed.ncbi.nlm.nih.gov/32616854/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC7465366/
- https://pubmed.ncbi.nlm.nih.gov/34250078/
- https://www.researchgate.net/publication/389426537_Metabolic_Therapy_for_Lipedema_Can_Tirzepatide_Overcome_the_Treatment_Gap
- https://pubmed.ncbi.nlm.nih.gov/21166777/
- https://pubmed.ncbi.nlm.nih.gov/21824127/
- https://pubmed.ncbi.nlm.nih.gov/34717741/
- https://pubmed.ncbi.nlm.nih.gov/37510461/
- https://www.barbellmedicine.com/blog/the-beginner-prescription-blog/
- https://www.barbellmedicine.com/blog/how-to-eat-a-healthy-diet/
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Transcript
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| 0:00.0 | Welcome back to the Barbell Medicine podcast where we bring modern medicine to strength |
| 0:03.6 | conditioning and strength conditioning to modern medicine. |
| 0:06.0 | I'm your host, Dr. Jordan Feigenbaum. |
| 0:08.1 | And this episode, well, what if I told you that there was a medical condition that is said |
| 0:13.0 | to make folks gain fat but not be responsive to diet and exercise? |
| 0:18.3 | Would you call me crazy? |
| 0:20.0 | Or would you say, he must be talking about |
| 0:22.4 | lipidema, chronic condition affecting many women worldwide. In this podcast, we'll cover everything |
| 0:27.6 | you need to know about lipidema, including what it is, who it affects, what to do about it, |
| 0:31.9 | and more. Now, on the other end of the line is the second most handsome doctor in North America, |
| 0:35.9 | Dr. Austin Baraki. What's going on, dude? Doing all right. Looking forward to this topic. I think it's one that is |
| 0:42.7 | both important and under-recognized and might cause some folks to, I don't know, maybe reconsider |
| 0:48.8 | how they talk about some of this stuff. Yeah, no, I agree. I mean, there's not enough, I think, discussion about this coming from what who should be considered like subject matter experts. And I don't know if that's just a function of like there's not that many subject matter experts out there. It's just like globally underappreciated. And, you know, so there's just less people out there that are like, oh, yeah, I know a lot about this. |
| 1:11.2 | I feel comfortable talking about it. |
| 1:12.4 | And it's like, here's a legit information. And so it's almost, I don't want to call it a cottage industry because there has like that's a negative connotation. But all of these like lay groups have popped up about lipidema with respect to like support, what it is, whatever. and unfortunately, some of the information that's been perpetuated even made its way into, |
| 1:30.2 | you know, some sort of, some medical providers, you know, how they talk about this. |
| 1:33.2 | It's not correct. |
| 1:35.2 | And so I don't know that it's harmful. |
| 1:37.5 | We can, you know, talk about that, maybe a philosophical discussion. |
| 1:39.9 | But yeah, we're going to talk about it on this podcast. |
| 1:41.9 | So there you go. |
| 1:42.8 | Yeah. |
... |
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