Strong Indication BMI of 30 or above, or 27 with a metabolic comorbidity (diabetes, prediabetes, hypertension, dyslipidemia, sleep apnea) Comorbid obesity contributing to mobility limits, joint pain, or surgical risk Pre-operative optimization before scheduled tumescent liposuction Possible Indication BMI of 25 to 29 without metabolic comorbidity, with significant inflammatory pain that hasnt responded to CDT, anti-inflammatory diet, and compression Patient has tried 6 months of conservative care with inadequate symptom relief Weak or No Indication BMI under 25 Goal of shrinking lipedema legs specifically Patient hasnt yet tried compression or anti-inflammatory diet What Should Patients Expect From the First 6 Months
References Conlon, B
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Bijzonder is dat het effect bij dieren niet alleen preventief was