Hi Fangs, it can certainly lead to terrible things, but usually then, it has happened through some poor diet choices (yo-yoing) and subsequent obesity where the normal fat came off, but the lipoedema fat would worsen each time. And of course, if that leads to the lymphatics failing resulting in the condition lipo-lymphedema, then you’re looking at those extreme cases. Luckily my weight has always been stabile, apart from some weight gain in my two pregnancies. That weight came off each time, within 6-12 months. But some fat stuck around, on and around my knees, on my calves, causing cuffs (though not very obvious) around my ankles. And that fat is still there. I’ve been listening to a few interviews now with Siobhan Huggins and she has by far it worse than me, it appears she has lipoedema over her whole body more as opposed to just the legs, but she has said although a ketogenic WOE hasn’t reversed her lipoedema, it has stopped it in its progress, and that’s still significant. As to surgery, I could never afford that privately and through the NHS is not an option. I’ve read about ladies far worse affected than me, begging for surgeries to address their issues, and being declined. It is an incredibly expensive procedure, even for those at early stages. For those at more advanced stages, the cost of surgery would be astronomical.
However, there is some science that shows a ketogenic WOE could be equally as efficient a treatment for lipoedema as surgery (without the risks). I can understand the thinking behind restricting surgeries. If people who were eating poorly, were obese with no handle on their WOE got such a surgery, the lipoedema could very well come back, if they just went back to that same way of eating and living. I do believe if the surgery was done on someone in the early stage, with no complication like lipo-lymphedema, and on a ketogenic WOE, then there is a good chance the surgery would be successful and lipoedema would stay gone, but much more research is needed. What is terrible is the situation a lot of ladies find themselves in having not known about their lipoedema condition, and simultaneously battled obesity, and perhaps eaten emotionally, and finding themselves stuck in their lipo-lymphedema bodies as a result, so knowledge and increasing awareness is what is needed. When people are armed with knowledge, they tend to make better choices.