In this episode of The Heavy Truth, we wade into one of the most misunderstood conditions in obesity medicine: lipedema—the fat disorder that's not lymphedema, not “just weight gain,” and definitely not something your aunt on Facebook should be diagnosing.

Ben, Amy, and Michael break down the hallmark signs, stages, and why so many women are misdiagnosed, all while sprinkling in our signature brand of science-backed sass. We cover how lipedema behaves differently than typical adiposity, why calorie restriction alone often fails, and how to identify patterns that point away from “obesity alone” and toward a complex connective tissue disorder.

Because we’re obesity specialists, we dig into:

• Why lipedema fat doesn’t respond to typical weight-loss interventions

• How GLP-1s can help some symptoms but won’t cure structural fat

• The overlap with metabolic health (and why it’s still crucial)

• Supportive treatments: compression, manual lymph drainage, exercise types that help—and ones that make patients feel like angry seals

• When to refer patients for surgical management and resources to refer to.

This episode gives you the tools to recognize lipedema early, treat patients compassionately, and stop telling people to “just lose weight” when biology is clearly playing a more complicated game and resources to assist.