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Lymphedema: A disorder of the lymphatic system Can be treated effectively with Granzow System SM , and the Granzow 2-phase process SM can both normalize the size of the affected arm or leg and also decrease the need for compression garment use and lymphedema therapy using VLNT, LVA and Granzow SAPL SM surgeries Blockage of lymphatic drainage causes tissue inflammation/damage Usually occurs after cancer treatment, but can be spontaneous (congenital) Usually affects one arm or leg Often associated with severe infections (cellulitis) Should be treated by a certified lymphedema therapist Worsened by obesity Can be caused by morbid obesity Lipedema: A disorder involving pathologic fatty deposits in legs and sometimes arms May be successfully treated with lymphatic-sparing Lipisuction surgery Occurs spontaneously but may affect multiple family members Usually affects both legs and/or both arms equally Fatty deposits usually are painful May result in walking/gait abnormality and skeletal issues over time May benefit from treatment by a certified lymphedema therapist (CLT) Worsened by obesity May or may not be associated with obesity May be associated with lymphedema as well, especially in the legs Dr

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Risk factors for riboflavin deficiency Alcoholics are at an increased risk of riboflavin deficiency, likely due to decreased dietary intake, decreased absorption, and/or impaired utilization of riboflavin

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Tirzepatide , by driving significant fat loss, actually corrects the underlying metabolic dysfunction that suppressed testosterone in the first place