At present, insurance coverage does not include virtual visits for our program.

Conservative treatment approaches Physical activity and rehabilitation: Regular physical activity reduces proinflammatory adipokines and macrophages and improves blood flow, thereby counteracting hypoxia in adipose tissues.24 Exercise routines should be tailored to individual needs and ideally supervised by qualified health professionals.12 Beneficial exercises which should start slowly and progress as tolerated include swimming, aquatic therapy, elliptical machines, yoga, stationary biking, whole-body vibration, and walking.15 The goals of physical activity are weight control, improved muscle strength and mobility, and enhanced self-esteem.20 Special diets: Since lipedema is considered a polygenic disorder associated with chronic low-grade inflammation, some authors recommend anti-inflammatory diets such as the Mediterranean or ketogenic diet to reduce symptoms.37 Dietary management should prioritize reducing hyperinsulinemia and insulin resistance

Life begins improving relationships heal, opportunities return, and stability appears
(PubMed) And importantly: semaglutide reduced major adverse cardiovascular events in a large outcomes trial of adults with overweight/obesity and established cardiovascular disease
Four RCT studies including 12,480 patients provided information on the use of Dulaglutide and the risk of respiratory disease