Understanding Lipedema with Chase Miller, DPT, CLT, AIB-VRC

In today’s episode, we’re talking about lipedema with Dr. Chase Miller, a doctor of physical therapy and certified lymphedema therapist. We dig into what lipedema actually is, how it differs from lymphedema and obesity, what symptoms to look for, and why lipedema is so frequently misunderstood or misdiagnosed. We also discuss what we know - and what we still don’t know - about the role of genetics, hormones, puberty, pregnancy, menopause, and adipose tissue dysfunction.

We also get into the practical side of managing lipedema, including compression, exercise, strength training, cardiovascular exercise, nutrition, calorie deficits, and surgical interventions like liposuction. Most importantly, this conversation is about giving people realistic expectations without taking away their sense of agency.

Lipedema may change what your body does, but there are still plenty of tools in your toolbox - and early education, consistent habits, and acceptance can help you manage the condition and give yourself the best chance of maintaining your health and quality of life.

"Diet will always matter, no matter if they have that body type or not. But diet does not simply eliminate lipedema tissue.” - Chase Miller, DPT

“Generally, for people who live an active or healthy lifestyle, lipedema symptoms tend to manage better." - Chase Miller, DPT

This week on Capable & Worthy: Fitness, Nutrition and Mindset for People Who Don’t Want Life to Suck: What lipedema is and how it differs from lymphedema and obesity Common physical signs and symptoms of lipedema The potential role of genetics and hormonal changes Why lipedema can be painful, tender, and difficult to identify How compression may help with comfort and circulation The role of strength training, cardio, and staying active Whether a calorie deficit affects lipedema fat and body proportions What to know before considering liposuction or other interventions

Connect with Adjuvant Physical Therapy / Chase Miller DPT, CLT, AIB-VRC: Adjuvant Physical Therapy Website Adjuvant PT on Instagram Adjuvant PT on Facebook

Thanks for tuning in to this week’s episode of Capable & Worthy: Fitness, Nutrition, and Mindset for People Who Don’t Want Life to Suck, where we challenge the common understanding of what it means and what it takes to be fit and healthy! If you enjoyed this episode, don’t forget to subscribe and leave a review wherever you listen to your favorite podcasts.

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