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Having fat storage on my body including arms, biceps, thigh and stomach. Biopsy report showed Lipoma. Non-surgical method of treatment?

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Hello Doctors,

I have disproportionate fat storage in various parts of my body including arms, biceps, thigh, stomach to name a few. I consulted doctors and I was told that its lipoma and need not worry. However I was concerned at the rate this was propping up in different parts of my body. So, I consulted doctor again and got one big chunk removed and sent for biopsy. Here is the biopsy report:

Gross Desc: Received irregular yellow brown soft tissue measuring 4 x 3 x 1 cm. cut section shows fibrofatty tissue.
Micro Finding: Multiple section studied shows lobules of mature adipocytes separated by thin fibrous connective tissue.
Impression: Lipoma - Site not specified.

I would like to get your experts opinion on the aboe report.
I would like to know if there is any non-surgical method (through medicine or regular food control or exercise) can these fats be burnt from my body ?

Thanks in advance

Regards
XXXXXX
Posted Wed, 3 Jul 2013 in Cancer
 
 
Answered by Dr. Jorge Brenes-Salazar 16 minutes later
Dear patient,

Thanks for your health concerns. Lipomas need food to grow (in a sense), and the basic food that gets stored in them is eventually fat, but it actually comes from sugars and starch-like substances we eat in the diet (eg. rice, potatoes, bread, pasta) thus there is some anecdotal evidence that if you cut off their food chain by reducing the amount of these products in you diet, and exchanging for plenty of fruits and vegetables, you can control growth of this beningn tumors. Exercise, aerobic type, regular is also very important as it stimulates lipolysis. In terms of other foods and supplements, caffeine and tea (particularly green tea) have a lipolytic effect (break dowm fat) by stimulating enzymes that metabolize fat.

Hope this helps, wish you the best,

Dr Brenes Salazar MD
Cardiology
Mayo Clinic MN
Above answer was peer-reviewed by
 
Follow-up: Having fat storage on my body including arms, biceps, thigh and stomach. Biopsy report showed Lipoma. Non-surgical method of treatment? 7 hours later
Thanks Dr Brenes for the response and giving a hope...

I have few more queries here:
I strongly believed 2 aspects: 1. The food that I intake could be a cause and 2. Some deficiency in my body that is not able to dissolve these fats from the body/blood.

So., I wanted to control to a certain extent through food. You have mentioned few: rice, potato, bread, pasta. Until recently I used to take plenty of rice and breads. As for breads, I used to have 2-4 slices every day (that too white bread, which is made of maida). Only recently I started eating wheat breads and whole grain breads. Pls advise if I shall continue these breads or stop if not preferably avoid these breads also. Pls. Also suggest good alternatives.

I also used to eat a lot of quantity of rice. I'm trying to reduce it but I'm afraid I can't avoid rice completely. So., pls. Advise what quantity of rice per day would be acceptable.

Besides this, I'm usually very fond of chocolates, ice creams, biscuits..pls advise if I need to completely stop these as well or pls. Advise what is a moderate level or acceptable limit per day or per week.

I normally do not drink coffe or tea, only occasinonally...based on your advise, I shall start green tea regularly. Would 2 cups a day, one in morning and one in evening be good enough or pls. Advise a course of green tea to follow. Also, How about ice lemon tea and chrysanthemum tea ? Is it advisable to take them and would it help the cause ?.

Further to your advise., I'm surely going to focus on in taking a lot of fruits and vegetables. Pls. advise which few fruits and vegetables i should particularly start to love so that i shall concentrate more on that...In addition to this., could you pls. Advise other solid foods that are to be preferred to my normal diet..

As for physical exercise. I'm quite active. I play badminton 1-2 hrs a day for 2-3 days a week and I also spend 30-45 mins per day for 2-3 days in a week. (Though a bit irregular to the gym). Pls advise if this routine is good enough or pls. Suggest a better routine to follow..

Looking forward to your detailed response to each of my above concerns/queries. Pls. Kindly note that I would madly follow your advise in order to see results.. :-) as I want to seriously overcome this problem..and if I can do that., that will do a world of good to my confidence!
Thank you very much for your time and support.

Regards
XXXXXX
 
 
Answered by Dr. Jorge Brenes-Salazar 15 hours later
Thanks for your reply:

1) Whole grain breads are preferable; in each meal, you should not have more than one portion of starch like foods (all the ones we listed); as a rough reference, one portion is the size of your open palm.

2) The same applies for rice, you should not eliminate completely but reduce to a maximum of one palm size per meal; of note, only 1 starch type food allowed per meal (eg. dont eat bread and rice during same meal)

3) Chocolate, ice cream, etc are very dense in terms of calories and should only be consumed rarely (eg. one or twice a month)

4) Yes, at least 2 cups of good quality green tea will help. Iced lemon tea really has very low caffeine content so it would not help. Same for crysanthemum (but a tea can help you replace a snack sometimes)

5) Best fruits: watermelon, melon, bananas. Best vegetables: all leafy ones: lettuce, cabbage, spinach, asparragus, brocoli

6) Your exercise routine needs to "make you sweat" for a minimum cumulative of 150 minutes per week at a minimmum; you can include some light weight lifting to promote muscle metabolism, as we said muscles are the ones that feed on fatty acids in the resting state

There. I hope that was detailed enough, I made sure I went through all the bullet points. Let me know if I can assist you further, wish you the best on your health quest!

Dr Brenes-Salazar
Above answer was peer-reviewed by
 
Follow-up: Having fat storage on my body including arms, biceps, thigh and stomach. Biopsy report showed Lipoma. Non-surgical method of treatment? 1 hour later
Thanks Dr.for the timely response and as detail as possible.

Your response does give me a fair idea of what my regular food regime should be.

In the normal course rice and bread is my routine food. Now that the quantity of both of these should be sizeably reduced., I would like to know few other options for solid foods. What if the recommended quantity of rice/bread is inadequate ? What alternative solid foods should I consider...Pls. list a few...

Also., I forgot to query about the point that I mentioned in my query above. That is regarding medicinal supplements... To reduce the size of these lipomas and prevent them from recurring., pls. advise if there is any direct medicine or any supplements that I can take in on a regular basis. Like., a vitamin tablet or any other particular supplements?? Kindly advise.

Thanks & Regards
XXXXXX.
 
 
Answered by Dr. Jorge Brenes-Salazar 56 minutes later
Thanks for the follow up.

1) In terms of other solid foods, if you are not vegetarian then compensating with fish, poultry, eggs, and lean meat. If you are vegetarian, then soy based product including tofu. As I indicated, you could have up to 5 portions (5 palm sizes) of starch like foods for the whole day. Decreasing starch is the most effective way from preventing fat storage

2) In terms of supplements and vitamins, as I indicated in our prior communications there is anecdotal evidence that caffeine helps, and there are some dietary supplements that contain caffeine, including from a plant called guarana (it is the plant with highest caffeine content). Your total consumption of caffeine should not exceed 1000 mg a day.

Yours truly,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
Above answer was peer-reviewed by
 
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