If you have a rubbery lump under your skin that moves easily, it may be a lipoma. Lipomas are common benign lumps of fatty tissue. Almost 1 out of every 1,000 people will develop a lipoma. They most commonly appear between the ages of 40 and 60 but can appear at any age and are slightly more common in women.
In addition to genetic factors, lipomas are associated with imbalances in blood sugar and insulin function. An integrative functional medicine approach investigates underlying metabolic factors and uses diet, supplementation, and integrative therapies to rebalance weight and metabolism in order to reduce the risk of lipomas forming.
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What Are Lipomas?
A lipoma is a small round or oval lump of fatty tissue that forms just under your skin. They are usually smaller than two inches in diameter. These fatty growths move easily and usually feel soft or rubbery to the touch. Lipomas can appear anywhere on your body. They are most common on the trunk, back, arms, shoulders, and neck and very rarely form on muscles, internal organs, or the brain.
Lipomas are soft tissue growths that are not cancerous (benign). They usually grow very slowly and are limited to their own encapsulated area. While they don’t usually cause pain, lipomas can cause discomfort if they push on a joint, nerve, or tendon.
While most lipomas are round or oval and symmetrical in shape, pleomorphic lipomas have fat cells of different sizes and shapes. For example, spindle cells found in some lipomas are fat cells that are longer than they are wide.
Depending on the specific makeup of the tissue within a lipoma, they can be classified into different types. Basic conventional lipomas are made up of white fat cells that store energy, while Hhbernomas contain brown fat that generates heat and helps to regulate body temperature.
An angiolipoma contains fat and blood vessels and is often painful. Fibrolipomas contain fibrous tissue in addition to fat. Lipomas that produce blood cells are called myelolipomas.
What Are The Possible Causes of Lipomas?
Lipomas seem to have a genetic predisposition and are more common in people who have family members who develop them. These growths are also more common in those with obesity, alcohol abuse, metabolic liver diseases such as non-alcoholic fatty liver disease (NAFLD), and glucose intolerance, which occurs with metabolic syndrome and type 2 diabetes. They may sometimes appear after an injury or blunt tissue trauma.
Several genetic conditions involve the formation of multiple lipomas. For example, hereditary multiple lipomatosis or familial multiple lipomatosis is a rare, benign, genetic skin disorder that causes many painless lipomas all over the body. Dercum’s disease (adiposis dolorosa or Anders’ syndrome) is another rare condition that causes painful lipomas to grow on the arms, legs, and trunk. Similarly, Gardner syndrome is a variant of familial adenomatous polyposis that involves the formation of lipomas and many adenomatous intestinal polyps that have a high potential for malignancy.
Madelung’s disease, or multiple symmetric lipomatosis, causes many painless, non-encapsulated, symmetric fatty deposits in the neck, torso, breasts, abdomen, and upper and lower limbs, especially in genetically susceptible men who chronically consume excessive alcohol.
Functional Medicine Labs to Test for Root Cause of Lipomas
Functional medicine laboratory testing can help to assess factors contributing to lipoma formation and evaluate for the presence of accompanying health issues.
Blood Sugar Balance
Since issues with blood sugar regulation and insulin function can increase the risk of obesity and lipomas, parameters of blood sugar balance can be evaluated with functional medicine testing. A fasting glucose test can measure the level of glucose in the blood when you have not eaten for several hours, usually after an overnight fast.
In addition, measuring fasting insulin and C-peptide, a marker that the body is producing insulin, can evaluate if there is too much insulin in the blood due to issues like insulin resistance and metabolic syndrome.
Metabolic Function & Toxicity
Another way to evaluate these metabolic markers of glucose balance and insulin function in one test is with the Metabolomic Profile. To gain additional insights into cellular health, toxicity, and metabolism, the NutrEval FMV can be used.
Liver Function Testing
Metabolic imbalances, including being overweight and having blood sugar issues, increase the risk of developing fatty liver disease (NAFLD) and lipomas. A good way to assess liver function is with a Hepatic Function Panel that measures liver enzymes (alanine aminotransferase and aspartate aminotransferase), proteins, and bilirubin.
Gamma-glutamyl transferase (GGT) is another enzyme primarily made in the liver and can show that the body is trying to generate greater levels of glutathione to deal with detoxification or oxidative stress. These tests can help assess if liver dysfunction is contributing to the formation of lipomas.
Additional Labs To Test
While lipomas are usually easily diagnosed by physical examination, a skin biopsy is sometimes taken to look at the tissue under a microscope to confirm that the growth is not cancerous, such as a liposarcoma.
Imaging studies like ultrasound, magnetic resonance imaging scan, or computed tomography scan may also be used to evaluate the location of the growth and differentiate a lipoma from a cyst or other type of tumor.
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Conventional Treatment for Lipomas
The majority of lipomas do not need any treatment. If a lipoma is causing discomfort or other issues, surgical removal may be done traditionally or with liposuction to remove fatty tissue from the growth using a long, thin needle.
Holistic Treatment for Lipomas
An integrative dermatology approach to lipomas aims to uncover and address underlying contributing factors. Diet, lifestyle, supplements, and integrative therapies can be used to balance metabolic factors, blood sugar, and insulin levels to allow the body to regulate fat normally and maintain a healthy weight.
Nutritional Approaches for Lipoma Management
A whole foods-focused, balanced diet can help keep blood sugar and lipid metabolism balanced. A diet rich in fiber, vegetables, legumes, and other high-quality proteins like wild fish and grass-fed meats can help you maintain a balanced weight and fat distribution, reduce insulin resistance, improve markers of fat and sugar metabolism, and reduce inflammation. This approach reduces the consumption of processed simple sugars and carbohydrates and focuses instead on high-fiber foods and complex carbohydrates to keep blood sugars balanced.
A Mediterranean diet is one way of eating in this manner. This dietary approach emphasizes citrus fruits, vegetables, legumes, and complex carbohydrates with moderate fish and olive oil and has been shown to improve blood sugar, insulin, and cholesterol levels. This way of eating has wide-reaching benefits throughout the body, including improving some of the risk factors for lipoma formation.
In addition to simple sugars and carbohydrates, removing alcohol and trans fats from your diet may reduce your risk of lipomas and any accompanying fatty liver disease. Trans fats are unsaturated fatty acids with at least one double bond in the trans configuration that are found in processed foods like bakery goods. Consuming trans fats can result in metabolic changes that result in an increased risk of cardiovascular disease, abdominal obesity, and type 2 diabetes, which can increase the risk of lipoma formation.
Herbal Remedies for Lipomas
In addition to an anti-inflammatory diet that reduces inflammatory foods, simple sugars, alcohol, and trans-fats, targeted herbal remedies and supplements may help improve metabolic parameters to reduce the risk of lipomas.
Berberine
Berberine is derived from the Chinese medicinal plant Coptis chinensis and is used for its ability to regulate glucose and cholesterol levels, treat obesity, and improve insulin and blood sugar balance. These impacts and its ability to regulate lipid metabolism in several ways make it a promising approach for preventing lipoma formation.
Phosphatidylcholine
Phosphatidylcholine is a fat found in cell membranes. It has been studied as a treatment for reducing lipomas when injected into the fatty growths. Studies show that phosphatidylcholine causes fat cells to break up and reduce in number within fat and muscle tissues, making it a useful treatment for reducing lipomas.
Integrative Medicine and Lifestyle Changes for Lipoma Relief
Integrative medicine approaches can be added to nutrition and supplements to help reduce lipoma formation.
Maintain an Optimal Weight
There is evidence that lipoma formation is associated with obesity. Lipomas tend to increase in size when body weight is gained, so maintaining a healthy body weight can reduce your risk. Maintaining an optimal weight also helps control blood sugar balance and related consequences like metabolic syndrome and fatty liver disease.
High-Intensity Focused Ultrasound (HIFU)
High-intensity focused ultrasound (HIFU) is an effective, noninvasive alternative treatment modality for reducing lipoma size.
Light Therapy
Studies show that laser light therapy using a subcutaneous, micro-pulsed 1,444 nm wavelength Nd:YAG laser procedure reduced or completely removed lipomas without causing serious adverse effects.
Ayurvedic Medicine
Ayurveda is an ancient Indian form of healing that looks at imbalances within the physical body, mind, spirit, and life forces. An Ayurvedic approach to lipomas can incorporate herbal remedies in addition to excision. For example, Triphala is an Ayurvedic herbal remedy that has been shown to have fat-reducing properties that may help prevent the overgrowth of fat cells in lipomas.
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Summary
Lipomas are benign growths of fatty tissue that can form anywhere on the body. These common growths are soft and usually do not cause any pain.
Since they are associated with metabolic imbalances, like issues with lipids, blood sugar, and insulin function, a functional medicine approach can help bring the body back into balance using diet, supplements, and integrative therapies. This can help you maintain a balanced weight, regulate blood sugar and fat metabolism, and prevent lipoma formation and growth.
If you have a rubbery lump under your skin that moves easily, it may be a lipoma. Lipomas are common benign lumps of fatty tissue. Almost 1 out of every 1,000 people will develop a lipoma. They most commonly appear between the ages of 40 and 60 but can appear at any age and are slightly more common in women.
In addition to genetic factors, lipomas are associated with imbalances in blood sugar and insulin function. An integrative functional medicine approach may explore underlying metabolic factors and consider diet, supplementation, and integrative therapies to support weight and metabolism, potentially reducing the risk of lipomas forming.
[signup]
What Are Lipomas?
A lipoma is a small round or oval lump of fatty tissue that forms just under your skin. They are usually smaller than two inches in diameter. These fatty growths move easily and usually feel soft or rubbery to the touch. Lipomas can appear anywhere on your body. They are most common on the trunk, back, arms, shoulders, and neck and very rarely form on muscles, internal organs, or the brain.
Lipomas are soft tissue growths that are not cancerous (benign). They usually grow very slowly and are limited to their own encapsulated area. While they don’t usually cause pain, lipomas can cause discomfort if they push on a joint, nerve, or tendon.
While most lipomas are round or oval and symmetrical in shape, pleomorphic lipomas have fat cells of different sizes and shapes. For example, spindle cells found in some lipomas are fat cells that are longer than they are wide.
Depending on the specific makeup of the tissue within a lipoma, they can be classified into different types. Basic conventional lipomas are made up of white fat cells that store energy, while Hhbernomas contain brown fat that generates heat and helps to regulate body temperature.
An angiolipoma contains fat and blood vessels and is often painful. Fibrolipomas contain fibrous tissue in addition to fat. Lipomas that produce blood cells are called myelolipomas.
What Are The Possible Causes of Lipomas?
Lipomas seem to have a genetic predisposition and are more common in people who have family members who develop them. These growths are also more common in those with obesity, alcohol use, metabolic liver conditions such as non-alcoholic fatty liver disease (NAFLD), and glucose intolerance, which occurs with metabolic syndrome and type 2 diabetes. They may sometimes appear after an injury or blunt tissue trauma.
Several genetic conditions involve the formation of multiple lipomas. For example, hereditary multiple lipomatosis or familial multiple lipomatosis is a rare, benign, genetic skin disorder that causes many painless lipomas all over the body. Dercum’s disease (adiposis dolorosa or Anders’ syndrome) is another rare condition that causes painful lipomas to grow on the arms, legs, and trunk. Similarly, Gardner syndrome is a variant of familial adenomatous polyposis that involves the formation of lipomas and many adenomatous intestinal polyps that have a high potential for malignancy.
Madelung’s disease, or multiple symmetric lipomatosis, causes many painless, non-encapsulated, symmetric fatty deposits in the neck, torso, breasts, abdomen, and upper and lower limbs, especially in genetically susceptible men who chronically consume excessive alcohol.
Functional Medicine Labs to Test for Root Cause of Lipomas
Functional medicine laboratory testing can help to assess factors contributing to lipoma formation and evaluate for the presence of accompanying health issues.
Blood Sugar Balance
Since issues with blood sugar regulation and insulin function can increase the risk of obesity and lipomas, parameters of blood sugar balance can be evaluated with functional medicine testing. A fasting glucose test can measure the level of glucose in the blood when you have not eaten for several hours, usually after an overnight fast.
In addition, measuring fasting insulin and C-peptide, a marker that the body is producing insulin, can evaluate if there is too much insulin in the blood due to issues like insulin resistance and metabolic syndrome.
Metabolic Function & Toxicity
Another way to evaluate these metabolic markers of glucose balance and insulin function in one test is with the Metabolomic Profile. To gain additional insights into cellular health, toxicity, and metabolism, the NutrEval FMV can be used.
Liver Function Testing
Metabolic imbalances, including being overweight and having blood sugar issues, may increase the risk of developing fatty liver disease (NAFLD) and lipomas. A good way to assess liver function is with a Hepatic Function Panel that measures liver enzymes (alanine aminotransferase and aspartate aminotransferase), proteins, and bilirubin.
Gamma-glutamyl transferase (GGT) is another enzyme primarily made in the liver and can show that the body is trying to generate greater levels of glutathione to deal with detoxification or oxidative stress. These tests can help assess if liver function is contributing to the formation of lipomas.
Additional Labs To Test
While lipomas are usually easily diagnosed by physical examination, a skin biopsy is sometimes taken to look at the tissue under a microscope to confirm that the growth is not cancerous, such as a liposarcoma.
Imaging studies like ultrasound, magnetic resonance imaging scan, or computed tomography scan may also be used to evaluate the location of the growth and differentiate a lipoma from a cyst or other type of tumor.
[signup]
Conventional Treatment for Lipomas
The majority of lipomas do not need any treatment. If a lipoma is causing discomfort or other issues, surgical removal may be done traditionally or with liposuction to remove fatty tissue from the growth using a long, thin needle.
Holistic Treatment for Lipomas
An integrative dermatology approach to lipomas aims to uncover and address underlying contributing factors. Diet, lifestyle, supplements, and integrative therapies can be used to support metabolic factors, blood sugar, and insulin levels to help the body regulate fat normally and maintain a healthy weight.
Nutritional Approaches for Lipoma Management
A whole foods-focused, balanced diet can help keep blood sugar and lipid metabolism balanced. A diet rich in fiber, vegetables, legumes, and other high-quality proteins like wild fish and grass-fed meats can help you maintain a balanced weight and fat distribution, support insulin function, improve markers of fat and sugar metabolism, and support a healthy inflammatory response. This approach reduces the consumption of processed simple sugars and carbohydrates and focuses instead on high-fiber foods and complex carbohydrates to keep blood sugars balanced.
A Mediterranean diet is one way of eating in this manner. This dietary approach emphasizes citrus fruits, vegetables, legumes, and complex carbohydrates with moderate fish and olive oil and has been shown to support healthy blood sugar, insulin, and cholesterol levels. This way of eating has wide-reaching benefits throughout the body, including supporting some of the factors associated with lipoma formation.
In addition to simple sugars and carbohydrates, reducing alcohol and trans fats in your diet may support liver health and overall metabolic function. Trans fats are unsaturated fatty acids with at least one double bond in the trans configuration that are found in processed foods like bakery goods. Consuming trans fats can result in metabolic changes that may increase the risk of cardiovascular issues, abdominal obesity, and type 2 diabetes, which can be associated with lipoma formation.
Herbal Remedies for Lipomas
In addition to an anti-inflammatory diet that reduces inflammatory foods, simple sugars, alcohol, and trans-fats, targeted herbal remedies and supplements may help support metabolic parameters.
Berberine
Berberine is derived from the Chinese medicinal plant Coptis chinensis and is used for its ability to support glucose and cholesterol levels, assist with weight management, and support insulin and blood sugar balance. These impacts and its ability to support lipid metabolism in several ways make it a promising approach for supporting healthy fat distribution.
Phosphatidylcholine
Phosphatidylcholine is a fat found in cell membranes. It has been studied as a treatment for reducing lipomas when injected into the fatty growths. Studies show that phosphatidylcholine may help manage fat cells within fat and muscle tissues, making it a useful consideration for lipoma management.
Integrative Medicine and Lifestyle Changes for Lipoma Relief
Integrative medicine approaches can be added to nutrition and supplements to help support healthy fat distribution.
Maintain an Optimal Weight
There is evidence that lipoma formation is associated with obesity. Lipomas tend to increase in size when body weight is gained, so maintaining a healthy body weight can support overall health. Maintaining an optimal weight also helps control blood sugar balance and related consequences like metabolic syndrome and fatty liver health.
High-Intensity Focused Ultrasound (HIFU)
High-intensity focused ultrasound (HIFU) is an effective, noninvasive alternative treatment modality for managing lipoma size.
Light Therapy
Studies show that laser light therapy using a subcutaneous, micro-pulsed 1,444 nm wavelength Nd:YAG laser procedure may help manage lipomas without causing serious adverse effects.
Ayurvedic Medicine
Ayurveda is an ancient Indian form of healing that looks at imbalances within the physical body, mind, spirit, and life forces. An Ayurvedic approach to lipomas can incorporate herbal remedies in addition to excision. For example, Triphala is an Ayurvedic herbal remedy that has been shown to have properties that may help support healthy fat distribution.
[signup]
Summary
Lipomas are benign growths of fatty tissue that can form anywhere on the body. These common growths are soft and usually do not cause any pain.
Since they are associated with metabolic imbalances, like issues with lipids, blood sugar, and insulin function, a functional medicine approach may help bring the body back into balance using diet, supplements, and integrative therapies. This can help you maintain a balanced weight, support blood sugar and fat metabolism, and manage lipoma formation and growth.
Aust, M. C., Spies, M., Kall, S., Gohritz, A., Boorboor, P., Kolokythas, P., & Vogt, P. M. (2007). Lipomas after blunt soft tissue trauma: are they real? Analysis of 31 cases. British Journal of Dermatology, 157(1), 92–99. https://doi.org/10.1111/j.1365-2133.2007.07970.x
Bhatted, S., Verma, P., & Latika. (2020). Clinical management of lipoma with Triphala Kala Basti—A case study. Journal of Indian System of Medicine, 8(3), 225. https://doi.org/10.4103/JISM.JISM_68_20
Chait, A., & den Hartigh, L. J. (2020). Adipose Tissue Distribution, Inflammation and Its Metabolic Consequences, Including Diabetes and Cardiovascular Disease. Frontiers in Cardiovascular Medicine, 7(22). https://doi.org/10.3389/fcvm.2020.00022
Chaunt, L. A. (2023, March 23). What is Ayurvedic Medicine? Rupa Health. https://www.rupahealth.com/post/what-is-ayurvedic-medicine
Christie, J. (2023, January 6). A Functional Medicine Approach To Obesity And Weight Management. Rupa Health. https://www.rupahealth.com/post/an-integrative-approach-to-obesity
Cleveland Clinic. (2016). Lipomas | Cleveland Clinic. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/15008-lipomas
Cleveland Clinic. (2019). Liposarcoma: Symptoms, Causes, Tests and Treatments. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/21142-liposarcoma
Deporto, T. (2023, January 31). Glutathione Health Benefits: The Master Antioxidant. Rupa Health. https://www.rupahealth.com/post/glutathione-health-benefits-the-master-antioxidant
Diorio, B. (2023, January 17). Why Most Functional Medicine Practitioners Say No To Alcohol. Rupa Health. https://www.rupahealth.com/post/why-most-functional-medicine-practitioners-say-no-to-alcohol
Dorfman, S. E., Laurent, D., Gounarides, J. S., Li, X., Mullarkey, T. L., Rocheford, E. C., Sari-Sarraf, F., Hirsch, E. A., Hughes, T. E., & Commerford, S. R. (2009). Metabolic implications of dietary trans-fatty acids. Obesity (Silver Spring, Md.), 17(6), 1200–1207. https://doi.org/10.1038/oby.2008.662
Grimaldi, L., Cuomo, R., Castagna, A., Sisti, A., Nisi, G., Brandi, C., & D’Aniello, C. (2015). Giant lipoma of the back. Indian Journal of Plastic Surgery, 48(02), 220–221. https://doi.org/10.4103/0970-0358.163074
Hu, X., Zhang, Y., Xue, Y., Zhang, Z., & Wang, J. (2018). Berberine is a potential therapeutic agent for metabolic syndrome via brown adipose tissue activation and metabolism regulation. American Journal of Translational Research, 10(11), 3322–3329. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291723/#:~:text=PMID%3A%2030662589-
Jung, T. W., Park, T., Park, J., Kim, U., Je, H. D., Kim, H.-D., Cho, S.-W., Abd El-Aty, A. M., Song, J.-H., Kim, H.-C., Shin, Y. K., & Jeong, J. H. (2019). Phosphatidylcholine causes adipocyte-specific lipolysis and apoptosis in adipose and muscle tissues. PLOS ONE, 14(4), e0214760. https://doi.org/10.1371/journal.pone.0214760
Maholy, N. (2023, May 26). Integrative Nutrition Approaches to Managing Blood Sugar Levels. Rupa Health. https://www.rupahealth.com/post/integrative-nutrition-approaches-to-managing-blood-sugar-levels
Maximiano, L. F., Gaspar, M. T., & Nakahira, E. S. (2018). Madelung disease (multiple symmetric lipomatosis). Autopsy and Case Reports, 8(3). https://doi.org/10.4322/acr.2018.030
Mayo Clinic. (2018). Lipoma - Symptoms and causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/lipoma/symptoms-causes/syc-20374470
Piccolo, D., Mohammed Hussein Mutlag, Pieri, L., Fusco, I., Conforti, C., Crisman, G., & Bonan, P. (2022). Lipoma management with a minimally invasive 1,444 nm Nd:YAG laser technique. Front Med (Lausanne), 9(9). https://doi.org/10.3389/fmed.2022.1011468
Shemer, A., Brawer, S., Amichi, B., & Azhari, H. (2013). Noninvasive Lipoma Size Reduction Using High-Intensity Focused Ultrasound. Dermatologic Surgery, 39(10), 1446–1451. https://doi.org/10.1111/dsu.12269
Sweetnich, J. (2023, April 25). Complementary and Integrative Medicine Approaches to Type 2 Diabetes Management. Rupa Health. https://www.rupahealth.com/post/complementary-and-integrative-medicine-approaches-to-type-2-diabetes-management
Tukaram Dudhamal. (2016). Excision of Medoja Granthi (Lipoma) at ring finger of hand a rare location - A case study. Journal of Ayurvedic and Herbal Medicine, 2(6), 202–203. https://doi.org/10.31254/jahm.2016.2602
Weinberg, J. L. (2022, November 16). 4 Science Backed Health Benefits of The Mediterranean Diet. Rupa Health. https://www.rupahealth.com/post/4-science-backed-health-benefits-of-the-mediterranean-diet
Weinberg, J. L. (2023, January 11). How To Test Your Patients For Metabolic Syndrome. Rupa Health. https://www.rupahealth.com/post/how-to-test-your-patients-for-metabolic-syndrome-a-functional-medicie-approach
Weinberg, J. L. (2023b, June 1). If You’re Feeling Fatigued And Losing Weight Unexpectedly, Ask Your Practitioner For These 6 Lab Tests. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-non-alcoholic-fatty-liver-disease-nafld-protocol-testing-nutrition-and-supplements
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