Why Some Fat Won’t Go Away With Leslyn Keith episode artwork

EPISODE · Jun 29, 2026 · 55 MIN

Why Some Fat Won’t Go Away With Leslyn Keith

from Keto Made Simple - Learn With Doctor Westman · host Adapt Your Life

Send us Fan MailDr. Eric Westman sits down with Leslyn Keith, occupational therapist and lymphatic specialist, to discuss lipedema, lymphedema, painful fat, swollen legs, and why these conditions are so often misunderstood in mainstream medicine.Leslyn explains how lipedema is different from normal obesity, why painful fat and disproportionate swelling should not be ignored, and how the lymphatic system plays a major role in fluid balance, inflammation, immune function, and fat metabolism. They also discuss why many patients are told to simply “eat less and move more,” even when that advice fails to address the underlying problem.This conversation explores how ketogenic and low-carb diets may help improve lymphatic health, reduce inflammation, lower pain, and support people living with lipedema or lymphedema. Leslyn also shares the research behind ketogenic nutrition for lymphatic disorders, why compression therapy is often used, and why diet may deserve a much bigger role in treatment.If you have painful fat, swollen legs, unexplained lower-body weight gain, lymphedema after cancer treatment, or lipedema that has been dismissed as simple obesity, this episode may help you understand what is really going on.00:28 Meet Leslyn Keith01:17 How Leslyn entered lymphatic care02:34 Discovering ketogenic nutrition03:23 Keto’s impact on lymphedema patients05:16 Why healthcare gets so little nutrition training06:10 What the lymphatic system actually does07:00 Fat-soluble vitamins and chylomicrons10:21 Lymphedema after cancer treatment11:15 Why lymphedema is not only breast cancer related14:16 Can metabolic health affect lymphatic healing?15:18 Keto before or during cancer treatment17:10 Leslyn’s lymphedema research21:41 What lipedema looks like23:25 How to recognize lipedema24:17 Painful fat is not normal26:29 Family history and hidden lipedema28:25 Keto as a treatment hypothesis30:08 Traditional lipedema treatment31:04 Can keto reduce the need for compression?33:41 Compression therapy explained35:00 Finding trained lymphatic therapists37:05 Why lipedema is more recognized now39:06 Lipedema in the GLP-1 era41:24 GLP-1s, fibrosis, and lipedema42:37 Who studies the lymphatic system?44:06 Does lipedema belong in obesity medicine?46:51 Surgery for lymphedema48:24 Hormones, IUDs, and lipedema flares49:41 Keto and pain reduction in weeks50:04 Leslyn Keith’s books51:21 New textbook on lipedema53:12 Where to find Leslyn Keith55:00 Closing thoughts#Lipedema #Lymphedema #KetoMadeSimpleFor more Reacts Videos Click Here: https://www.youtube.com/playlist?list=PL55Chm2jfDSpOrkAYNuux9Pri4k5QmrZu🟣 If you enjoy my channel and would like to support what I do there are a few different ways you can show your support listed below: 🟣BECOME A CHANNEL MEMBER ON YOUTUBEReceive priority comments, early access to new videos and join livestreams twice a month to ask me anything live!🟣Support the channel via PayPal if you don't want anyone taking a chunk of what you send me and you can set up a recurring payment https://www.paypal.com/donate/?hosted_button_id=ZDZK4SN7DJYXC🟣Start Keto Right: A doctor-led keto course for beginners. Start simply, without tracking, guesswork, or overwhelm. https://adaptyourlifeacademy.com/start-keto-right/🟣Vist Adapt Your Life Academyhttps://adaptyourlifeacademy.com/🟣Bestselling Book – END YOUR CARB CONFUSION:https://www.amazon.com/Your-Carb-Confusion-Eric-Westman🟣END YOUR CARB CONFUSION COOKBOOK:https://www.amazon.com/End-Your-Carb-Confusion🟣Free Guide: Dr. Westman's Carnivore Guide: https://adaptyourlifeacademy.com/carnivore-diet-explained-bonus/ ========================================================================🟣MY SOCIAL MEDIA 🟣Like my Facebook Page ➡️  https://www.facebook.com/AdaptYourLifeAcademy🟣Follow me on Instagram ➡️  https://www.instagram.com/adaptyourlifeacademy/🟣Follow me on X ➡️  https://x.com/drericwestman========================================================================🟣Dr. Eric Westman, Associate Professor of Medicine at Duke. He is Board Certified in Obesity Medicine & Internal Medicine, & founded the Duke Keto Medicine Clinic. He is a Fellow in The Obesity Society. He is the author of The New Atkins for a New You, Cholesterol Clarity, and Keto Clarity, and End Your Carb Confusion & co-founder of Adapt Your Life.Disclaimer: Nothing on our channel is medical advice. Dr. Westman and the Adapt Your Life team do not diagnose, treat, cure, or prevent any medical conditions online. We provide education to help people better understand their own health and support their well-being. Make sure you are working with YOUR licensed provider to monitor your health and medications. These posts and videos are not designed to and do not provide medical advice, professional diagnosis, opinion, treatment, or services to you or to any other individual. We do not promote or endorse affiliate links and/or products unless they are our own.

Episode metadata supplied by the publisher feed · Published Jun 29, 2026

Send us Fan Mail Dr. Eric Westman sits down with Leslyn Keith, occupational therapist and lymphatic specialist, to discuss lipedema, lymphedema, painful fat, swollen legs, and why these conditions are so often misunderstood in mainstream medicine. Leslyn explains how lipedema is different from normal obesity, why painful fat and disproportionate swelling should not be ignored, and how the lymphatic system plays a major role in fluid balance, inflammation, immune function, and fat metabolism....

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This episode is 55 minutes long.

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This episode was published on June 29, 2026.

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Send us Fan MailDr. Eric Westman sits down with Leslyn Keith, occupational therapist and lymphatic specialist, to discuss lipedema, lymphedema, painful fat, swollen legs, and why these conditions are so often misunderstood in mainstream...

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