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But lipedema fat is biologically different this is the core issue

10.1172/jci.insight.159863 73 KojimaM.TakahashiH.KuwashiroT.TanakaK.MoriH.OzakiI.et al (2020)

If you want to increase energy expenditure, exercise more

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He adds that there are strict dosage guidelines because the strength needs to be gradually increased, and - if in the instance that a patient still doesnt lose weight - its important to investigate what other hormonal problem could be going on, like thyroid issues, PCOS or excess cortisol