lymphedema

What if the real issue isn't fat, hormones or inflammation?

Ever since I shared on social a couple weeks ago that I’m dealing with stage 2 lymphedema in my foot (yep, hi, surprise), I’ve had a flood of DMs, questions, and “wait… could I have this too?” messages.


Someone in our TME Q+A last week asked me if the symptoms she’s been quietly noticing for years might be early signs. I had a discovery call with a potential new 1:1 client who’s also in stage 2. And while I was on vacation, I saw a woman at the pool with late-stage lymphedema.


It’s clear this isn’t as rare as we’re led to believe.


So today, we’re diving in. All things lymph. With honesty. With hope. And with a little humor so it doesn’t feel like medical school in your browser.


Let’s start here: As of 2004 (yep, we’re still working off that data), the average U.S. medical student received 30 minutes or less of education on the lymphatic system. Thirty. Minutes. Total.


And it shows.


There are no routine checkups for lymph health. No standard labs that give us insight into how it’s functioning. No intake forms at your doctor’s office that ask, “Hey, how’s your lymph flow feeling lately?”


But your lymphatic system is in constant communication with your immune system, circulatory system, digestive system, endocrine system, nervous system, skin and fascia, and detox pathways like the liver, kidneys, and gut.


So when lymph becomes congested, sluggish, or blocked. it doesn’t just cause swelling. It can lead to fatigue, inflammation, brain fog, gut issues, hormone imbalances, recurring infections, slow healing, and yes... full-blown lymphedema.


So what is lymphedema?


It’s a condition where lymph fluid builds up in the body (usually arms, legs, feet), causing swelling, pressure, inflammation, and over time, fibrosis (that dense, hardened tissue you can feel under the skin).


There are two main types:


Primary lymphedema. This is genetic or congenital ... something you’re born with. You may not notice symptoms until puberty, pregnancy, or menopause. The vessels are underdeveloped, malformed, or missing entirely.


Secondary lymphedema. Acquired. The result of damage, overload, or trauma to the lymph system.
This can come from ...

  • Surgery, injury, or radiation

  • Infection or chronic fungal issues

  • Obesity

  • Sedentary lifestyle

  • Estrogen dominance

  • Chronic inflammation

  • Mold exposure

  • Scar tissue and fascia tightness

  • Blood sugar instability

 

Early signs that often get missed:

  • One ankle or foot feeling puffier than the other

  • Skin that retains an indentation (pitting) for a few seconds or more (mine is more than 2 minutes at this time)

  • Swelling that comes and goes with heat, travel, or long days on your feet

  • A feeling of heaviness or tightness in a limb

  • Recurrent skin infections, rashes, or fungal flare-ups

  • Puffy or shiny skin texture

  • “Water retention” that doesn’t fully respond to nutrition interventions or exercise

 

Most people brush it off or are told, “It’s probably just the heat,” or “Maybe you’re eating too much salt,” or “That’s just aging.” But by the time it’s stage 2 or 3, you’re dealing with persistent swelling, hardened tissue, and more complex interventions.


For context, I believe I’m in stage 2 right now. I’ve had symptoms for at least 12 years during my first pregnancy (though I can now think of symptoms that were present in my late teens!), including visible asymmetry, skin changes, and swelling that fluctuated until it didn’t. I now have 4+ pitting edema in one foot and noticeable fibrosis that I can feel with my hands.


But here’s what I want to make super clear... just like with insulin resistance, metabolic dysfunction, and hormone imbalance, I believe we can catch this earlier, improve it, and even reverse some of the damage if we support the body properly.


Let's talk about tools for lymphatic support + lymphedema management. This list is not meant to overwhelm you. Or me! Haha. It’s a menu. A buffet. A list of options you can explore based on your body, your situation, and your resources. 


With every tool, comes a little more hope.


Please remember: this is for informational purposes only. Always check with your healthcare provider, especially if you’re dealing with swelling, chronic illness, or taking medications. Also note: not every case of minor and temporary swelling is lymphedema! Most aren't, actually.


Things that can help (I don't do EVERYthing, everyday. My goodness, there aren't enough hours in the day. But it's my toolbox to pull from. Some I do daily, some almost daily, some more rarely). I've made an Amazon storefront with some of the tools here.

  • Opening up the 7 drainage points (start here)

    • Under chin and neck, over and under collarbone, armpits, belly, groin, behind the knees, bottom of the feet

  • Vibration plate (low setting)

  • Compression boots or sleeves

  • Red light therapy (10–20 min daily over fibrosis and drainage areas. I have an affiliation with this company and that link I shared gets your 43% off right now)

  • Castor oil packs (liver and swollen areas)

  • Rebounding (need to get another one. Don't have one currently)

  • Strength training (builds the muscle pump that helps move lymph)

  • Endurance cardio (like biking or swimming)

  • HIIT (1–2x/week, stimulates growth hormone + circulation)

  • Daily walking and other movement

  • Deep belly breathing and stretching

  • Grounding and sunshine

  • Dandelion root tea or bitter herbs (support liver and lymph)

  • Supplements like proteolytic enzymes if fibrosis is present, bromelain, diosmin, NAC, magnesium (cautiously ... can trigger detox symptoms aka Herxheimer reaction.)

  • Root cause investigation (was it inactivity, mold, fungal issues, inflammation, estrogen dominance, blood sugar...?)

  • Dry brushing

  • Cold exposure and sauna (or contrast therapy)

  • Nutrition strategies

    • Balance blood sugar

    • Reduce processed carbs, sugar, alcohol, sodium

    • Prioritize hydration with minerals

    • Eat enough ... but not too much

  • Sleep and nervous system support

  • Stress tolerance (not just stress management)

  • Legs up the wall

  • Compression socks, stockings or sleeves

  • Cupping, gua sha, and acupressure mat

  • Manual lymphatic drainage from a certified therapist (haven't had this done yet)


Whether you’re dealing with lymphedema, wondering if that low-key swelling might mean something, or you’re just here for better energy, hormone balance, fat loss, and a body that feels strong and steady, this all connects. The systems that impact lymph flow are the same ones that impact your metabolism, cravings, inflammation, and recovery.


You don’t have to wait until something gets “bad enough” to start giving your body the support it’s been asking for. And you definitely don’t have to figure it out alone.


Inside The Metabolic Edge, we take a full-body, full-context approach. That includes what’s trending and what’s being overlooked. It includes the subtle symptoms that most people ignore until they’re disruptive. It includes you ... as you are now, and as you want to feel in the future.


It's the most cost-effective way to work with me. ;-) Doors are open now. Join us!


With so much love and a fierce belief in your body,
Tara


P.S. This blog has been really growing lately, so if you're new here, welcome! I switch up the topics often, from fat loss and metabolism to women’s health, fitness, meal planning, recipe collections, skincare, favorite products / books / podcasts, video trainings, and more. I treat this like a weekly letter to my bestie who also happens to love wellness stuff and has GOALS. If there's something you’d love to see in a future issue, hit reply and let me know. If enough people want it, I’ll make it happen.

Working out, eating "clean", but your belly or arms won't budge?

Let’s talk about fat that feels stuck.


You’re eating "clean" (and in a very slight deficit). Hitting your steps. Lifting weights. Drinking your mineral water like it’s your job. You’re seeing changes in some places, but other areas are giving you radio silence.


The backs of your arms still feel rubbery. Your lower back / sides won’t budge. Your belly? Ugh, don’t even start.


And your brain spirals…


Is it hormones? Is your metabolism broken? Do you need to fast harder? Train more? Detox your soul?


But what if this isn’t about pushing harder? What if (in some cases) the issue isn’t about effort… it’s about access?


Now, pause. Because this is where we can so easily take a detour and start slapping a label on everything. Humans are funny like that ... we’d often rather believe something is "wrong" with our tissue than accept we need more time or consistency. So hear me loud and clear: Not all fat is fibrotic.


Not all slow-progress areas are a fascia emergency. And most of the time, a slight calorie deficit (no need to count), consistent lifting, proper sleep, and blood sugar balance WILL move the needle.


But for some of us, especially if you’ve had inflammation, trauma, hormonal chaos, chronic (like way more than most) stress, or lymph issues… that tissue may become physically bound up. That’s what we call fibrotic fat.


Think of it like this ... normally, fat is soft. It moves, it jiggles, it warms up with circulation. It’s a little metabolically active. But fibrotic fat gets tangled in stiff collagen fibers. It feels dense. Cool to the touch. Resistant to change. Like trying to burn a marshmallow that’s been stuffed inside a dry sponge. Not impossible. But you’ve got some un-packing to do first.


This has been really personal for me lately because I’m navigating lymphedema in one foot ... which has developed into fibrosis. And even though it’s not a typical fat-loss struggle, the protocols I use to soften and support that tissue overlap massively with what I’d use for someone with fibrotic fat from inflammation or estrogen dominance.


I’m not doing 57 things a day to deal with it. That would require a team and a nanny and probably an entirely different zip code. But I am doing a few of these each day ... and they’re making a huge difference in how my body feels, flows, and functions.


So let me give you the tour. Every day, I pull from this toolkit:


Walking
Infrared sauna
Strength training
Endurance cardio
HIIT
Hydration with minerals (I love this and this for higher sodium and this I use most for when I want less sodium)
Vibration plate
Castor oil on my foot and / or over my liver (I have a pack to put it on and tie it around me too)
Dandelion root tea (I open tea bags and steep in this instead of the bags)
Compression boots (these things help WAY more than I wish they did, haha, b/c I don't find them too pleasant but darn it, do they work!)
Sunshine
Grounding
Red light / infrared light on my foot and over liver (I also use for face, over thyroid, any area that needs special attention that day. I use it for every freaking thing. My whole family does. Full disclosure: I'm an affiliate for them)
Legs up on the wall
Open lymph drainage points
Dry brush
Manual fascia work (myself, have yet to get this done professionally)
Cupping
Rebounders are great too, but we are between them right now as our last got lost in the flood a few years back


None of this is “woo.” It’s deeply rooted in physiology. Once fascia becomes stiff, blood flow drops. Nutrients and oxygen can’t get in. Mitochondria can’t function. Detox slows. Hormones misfire. And your fat-loss plan suddenly feels like it’s bouncing off a brick wall (if it's fibrotic). Important to note: I added links where I could grab them but many of these tools are FREE or very low cost. No need to EVER feel like you need to buy something or won't be able to make progress without a purchase. NOT true.


So we wake the tissue up. We soften it. We bring flow back. Then and only then ... do our usual strategies start working again.


But here’s the question I always get next:


“How do I know if I actually have fibrotic fat?”


Glad you asked! ;-) I always recommend having the conversation with your healthcare providers, but to start to gather more info ...


1. The Pinch Test:
Pinch the area in question ... belly, back of arms, inner thigh. If it feels rubbery, dense, or like it barely separates from the muscle underneath, it could be fibrotic. Now pinch somewhere that’s almost never fibrotic (like your forearm or cheek). That’s your control group. Normal fat should feel soft and squishy. 

2. The Glide Test:
Can you gently glide the skin side-to-side over the muscle? Healthy fascia glides easily. Fibrotic tissue? Feels stuck. It doesn’t want to move. It's normal for the fat layer to be thicker in other areas! That's not what we're looking for. We're looking for adhesions here.



3. The Temp Test:
After a workout, sauna, or even just being warm… does that area stay noticeably cooler or pale compared to the rest of your body? Blood flow = heat. If it’s not warming up, it’s not circulating well.



4. The Bounce-Back Test:
Fat should feel like a marshmallow, not a dried-out sponge. If it feels firm, weirdly dry, or like it’s “locked in,” that might be fibrotic tissue.


5. Your History:
Chronic stress, years of yo-yo dieting, estrogen dominance, trauma (physical or emotional), low hydration, perimenopause, injury, inflammation, surgery ... these all increase your odds. If you check more than a few boxes here AND you’re also seeing signs above, it’s something to consider.



But remember, don’t go hunting for problems that aren’t there.



Fibrotic fat isn’t the default. It’s not an excuse for every slow area. It’s just something to know about if you feel like you’re doing everything and one zone still won’t play nice.


This is the kind of nuance we dive into in The Metabolic Edge. Because surface-level advice is everywhere. And it’s usually either “eat less, move more” or “detox your chakras and hope for the best.” I live in the middle. Where science meets strategy meets real life. We talk fascia, hormones, metabolism, mitochondria, nervous system health, nutrition, meals, workouts and how to actually get unstuck in a way that feels doable ... even with kids, a crazy schedule, lymphedema, or a trampoline-less life.


If you’re ready to stop guessing and start solving, I’d love to have you inside. Join us here.


And whether you do or don’t, remember this ...


Stuck doesn’t mean broken. Dense doesn’t mean doomed. And slow doesn’t mean it’s not working. Your body is paying attention. Now it’s your turn.


XO,
Tara