What We Will Cover

• What is lipoedema?
• How does lipoedema affect weight loss?
• What this means moving forward

What is lipoedema?

Lipoedema is a long term condition that causes extra fat build-up which is most commonly seen in the lower body (legs, hips, bottom) but can also be noticed in the arms. It is not caused by obesity.

It can cause parts of the body to seem out of proportion and is more common in women. For example, the waist may be much smaller than the hips and legs. 

There is no definite cause for Lipoedema but it can develop or become more noticeable with hormonal changes such as puberty, pregnancy or menopause. Lipoedema UK also suggests that it could run in the family.

Many people live with lipoedema for years which can be painful, frustrating and may leave people feeling confused about why their body responds differently during weight loss.

How does lipoedema affect weight loss?

The body decides where fat is lost from. As overall fat decreases, some people notice changes in their face, waist or upper body first, while their legs or arms appear to change more slowly. This is because lipoedema fat behaves differently from typical fat stores causing people with lipoedema to find losing weight more challenging. 

This can feel discouraging, especially when you are working hard and making positive changes. However, this does not mean your efforts are going to waste. Any weight loss will still bring important health benefits even if changes in certain body areas happen more slowly than expected.

What this means moving forward

Living with lipoedema can sometimes feel discouraging, especially when your body does not respond in the way you expect. People with lipoedema may notice improvements in their fitness, energy levels or general wellbeing before they notice visible changes in certain body areas.

The body decides where fat is lost from, and areas affected by lipoedema may change more slowly than other parts of the body or not at all. Regular movement can help improve strength, mobility and day to day activities, while healthy eating habits can support weight management. It can be helpful to focus on consistent actions that are within your control. For example, adding more protein to meals, staying hydrated or aiming for a regular sleep routine. 

Many people find it helpful to focus on the habits they can control, such as regular movement, balanced meals, good sleep and consistency over time. These habits can support better health regardless of how quickly physical changes happen.

For people experiencing emotional distress as a result of lipoedema, counselling or cognitive behavioural therapy may be of benefit. Surgical procedures and compression therapy may also be available if clinically indicated. This will be determined by a specialist. 

Summary

Lipoedema is a condition that causes a build up of fat, most commonly in the legs, hips and arms. Research suggests that weight loss can still improve overall health, but lipoedema affected areas may not change as much as other parts of the body. Remember that progress can be measured in many ways, not just by body shape or the number on the scales.