I'm writing because I want lipedema to be part of any clinical conversation about my body. It's a condition that affects an estimated 11% of women. It causes disproportionate fat accumulation in the legs and sometimes the arms. It does not respond to diet or exercise. It is almost universally misdiagnosed as obesity or lifestyle-related weight gain. If it isn't already on your radar, I'm asking that you look into it before drawing conclusions about what you're seeing.