With Dercum's, years ago in 2000, I had a doctor concerned about my multiple fatty tumors to the point he sent me to a surgeon. They are all over my body, some are harder and a few hurt if I press on them. There is even lumps in odd places like my right arm and above my knee. The surgeon said, we just needed to watch them and make sure none would grow and get in the way. So at the time I dropped things. Lipedema folks are supposed to have some fatty tumors, but there is huge overlap with Dercum's. For years I always wondered why I had lumps all over my body.
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