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Lipodystrophy and WastingLipodystrophy and Wasting
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lypo causes hernias?
Apr 16, 2002

I have developed an umbilical hernia. It is of course unsightly. My doctor says I should not have it repaired until underlying lypo (which in my case is severe) is resolved.

I would say the bulge at this point is between and an inch and two inches. It makes it necessary to wear my shirt out of my pants..

Please advise.

Response from Dr. Dieterich

The umbilical hernia is a congenital weakness in the muscles. Pressure on it from the large abdomen might exacerbate the hernia. There seems to be some reason to believe that using a glitazone agent or metformin might reduce the size of the abdomen. Timing of the surgery is tricky. If you are really uncomfortable, then you should go for it sooner rather than later. Good luck! DTD

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