Lipedema is
not caused by overeating. All the same a diet is mostly recommended. Either
because your doctor assumes you’re overeating after all or because of genuine
concern the lipedema might cascade. Diets are usually associated with limiting
calories. The nasty bit with lipedema is that you can still gain on the areas
affected by lipedema despite pretty much starving yourself. Latest insights
suggest what you eat is key. This
blog touches upon diets and dietary guidelines specifically recommended in case
of lipedema by doctors or other experts well informed on lipedema. The trick
question is always: will it get me slim ALL OVER, legs included? I’m not giving
the following diets a mention for that, since general consensus is that’s not
(entirely) possible. The idea is to stop inflammation and further weight gain
(and lose a bit if you’re lucky). Many of these diets have a claim related to
inflammation. It’s most unlikely that this overview is complete: it’s quite
possible other clinics, researchers or doctors have come up with dietary
recommendations or a complete program as well.
Probably
the most familiar in English speaking
parts is the Rare Adipose Disease (RAD) diet. It was developed by dr. Herbst, endocrinologist
(University of California, San Diego) and specialized in disorders related to
abnormal fat deposits. Its purpose is to reduce inflammation and avoid further
weight gain. The essentials are as follows: lower consumption of pasteurized
dairy, animal protein, fats, simple sugars, carb, salt and wheat or processed
flour products. Focus should be on organic fruits, veg, whole grains and
healthy proteins. Foods high in chemicals and additives are also to be avoided.
Regular liquid meals are suggested for easy digestion.
Also looked
at by lipedema patients is the Diet for Lymphoedema by Juliet George, from the Poppy Lane Lymphoedema Clinic, Australia. It claims to have
special focus on stimulating the lymphatic system and the body’s secondary
systems with reference to blood circulation and wandering macrophages. This
diet does allow for more animal protein as in meat and cottage cheese. Approved
food items or ingredients are divided over 2 lists. From the one list you can
choose 1 item, from the other 4 to combine all into a meal. This in order to
create a 1:4 ratio of acid/alkaline foods.
At the 2012
Nederlandse Lipoedeemdag (Dutch Lipedema Day) the Paleo diet was recommended for
lipedema by two researchers (Y. van Stigt
& H. van Egmond). To state
the obvious: the Paleo diet was never specifically designed for lipedema. Paleo,
originally promoted by dr. Loren Cordain, blames modern diet for autoimmune
disease and encourages people to return to the (unprocessed) food items we used
to digest. So, no dairy, grains, processed foods and sugars, legumes, starches
or alcohol. But you can have fruits, vegetables, lean meats, seafood, nuts
& seeds and healthy fats. Whether or
not lipedema is truly autoimmune is an unanswered question, but the idea to
support your immune system through diet is appealing.
Paleo has
ways been explained and reinvented in different ways. Some advocates also allow
for, for instance, bacon, which doesn’t fall into the lean meat category, or
some (raw) dairy. A more well known variation is The Primal Blueprint (Mark
Sisson). Guidelines include advice on exercise inspired on cave man lifestyle
and getting enough sleep.
I’ve also
looked into diet suggestions in Germany. At this point I don’t have much
detail. I mostly found a debate on protein: do or don’t? Dr. Weiss, for
instance, suggests a complete treatment including a change of diet. It should
be limited in both fat and protein, since the lipedema body is already burdened
by those. The rest is in a book I don’t have. The Földi Klinik, also informed
on lipedema, doesn’t give specifics on their page, but dr. Martin from this
clinic explicitly disagrees with that approach on a forum. He insisted the body
needs protein. So much for the tip of the German iceberg regarding lipedema
diets.
Different
diets, different focus and, unfortunately, some contradiction. Yet, the diets I
managed to look at in more detail have a few things in common: an aversion to
wheat/starchy foods and sugar. They also aim at keeping your blood sugar
stable. If you only look at those factors you already get issues with prepackaged
off-shelf food, which explains the abundant exchange of recipes on lipedema
websites and chat groups.
None of the
diets above were tested on lipedema patients in clinical trials. This blog does
not endorse a particular diet, but merely wishes to inform which diets are
currently recommended by some medical professionals. Through Lipese we do
encourage people with lipedema to put thought into their lifestyle. When
continuously gaining, your mobility suffers and literature suggests potentially
lower pain levels could be achieved through a change of lifestyle (diet,
supplements and exercise). Hence January Lifestyle Challenge (http://www.lipese.com/lifestyle-challenge.html). Starting out can be difficult,
but it becomes easier when you know you’re not alone. When considering making a
change to your diet, exercise regime and/or considering taking supplements, please
contact your healthcare professional first.
The medical information in this blog is provided as an
information source only, and is not to be used or relied on for any diagnostic
or treatment purposes. This blog should not be used as a substitute for
professional diagnosis or treatment. Please consult your healthcare provider
before making any healthcare decisions or guidance for a specific medical
condition.
No comments:
Post a Comment