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Unlike typical body fat, lipedema fat is: Located primarily in the hips, thighs, legs, and sometimes arms, not distributed throughout the whole body Symmetrical, affecting both sides equally Typically sparing the hands and feet, sometimes creating a distinctive “cuff” at the wrists or ankles Resistant to diet, exercise, and even bariatric surgery The fat tissue in lipedema can feel unusual, lumpy, nodular, or fibrous, sometimes described as feeling like rice, peas, or walnuts beneath the skin

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