Nutrition, the Lymphatic System, and Lipedema: Evidence-Based Strategies with Dietitian Jean LaMantia

Kasi Grosvenor: Insights on Lipedema Awareness Month Lipedema Awareness Month’s focus on "lipedema literacy"

Lipedema Literacy, Surgery Realities, and Trusted Resources with Kasi GrosvenorHosts Cindy and Kristy welcome back Kasi Grosvenor, a project manager at the Lipedema Foundation, to discuss her lipedema journey, the way pain and functional limitations can be normalized, and how functional capacity evaluations may reveal hidden impacts—especially when conducted by clinicians familiar with lipedema. Kasi shares that she was diagnosed about five years ago (stage 2–3), has used conservative therapies since diagnosis, and has undergone five removal-related procedures (including brachioplasty, abdominoplasty, and low-volume liposuction), emphasizing surgery as a reset—not a cure—requiring ongoing daily management. The conversation covers comorbidities (including mast cell activation syndrome, hereditary alpha-tryptasemia, hypermobility, perimenopause), the slow progress toward ICD coding, and Lipedema Awareness Month’s focus on “lipedema literacy,” urging patients to seek vetted resources like lipedema.org, provider directories, print brochures, and the Legato Library.00:00 Welcome to the Podcast00:55 Sponsor Message01:42 Meet Casey Grosvenor02:34 Kasi’s Diagnosis Story04:35 Normalizing Pain and Limits05:30 Functional Capacity Testing10:12 Finding the Right PT or OT14:43 Life After Five Surgeries17:32 What Areas Were Treated19:08 Regrowth and Fibrosis Tools23:14 Habit Stacking at Home26:08 Comorbidities and Connections30:10 Hypermobility and Early Signs31:34 Aging With EDS Challenges32:43 Grassroots Awareness Materials34:44 Billboards And Viral Moments36:27 ICD Codes And Policy Progress41:58 Patient And Foundation Perspective44:26 Awareness Month Literacy Push47:04 Elevator Pitch For Lipedema49:41 Obesity Bias In Healthcare52:49 Trusted Resources And Legato Follow us on Social media!!! Kristy's Contact information: IG⁠⁠⁠⁠⁠ ⁠⁠⁠ [https://www.instagram.com/sunrisehealingaz?igsh=bnNleGpubHhhdDFr&utm_source=qr]⁠⁠⁠https://www.instagram.com/dellalunawellness/⁠⁠⁠ [https://www.instagram.com/dellalunawellness/] FB Group⁠⁠⁠⁠ ⁠⁠https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr⁠⁠⁠⁠⁠⁠ [https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr] Website  Kristy Dellacroce, MS,OTR/L, MLD-C ⁠⁠ ⁠⁠Dellalunawellness.com⁠⁠ [http://www.dellalunawellness.com] ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [http://sunrisehealingaz.com/]Lipedema Advocate 856-297-7437 Cindy contact information ⁠FB:⁠⁠⁠ ⁠https://www.facebook.com/withcindyhowell⁠⁠⁠⁠⁠ [https://www.facebook.com/withcindyhowell%E2%81%A0%E2%81%A0] Private FB Group:⁠⁠⁠⁠⁠ ⁠https://www.facebook.com/groups/7021999704562921⁠⁠⁠⁠⁠⁠ [https://www.facebook.com/groups/7021999704562921] IG:⁠⁠⁠⁠⁠ https://www.instagram.com/lipedema_withcindyhowell/⁠⁠⁠ [https://www.instagram.com/withcindyhowell/] Cindy Howell RN, CLT, MPHC Website:⁠ ⁠⁠⁠⁠⁠www.withcindyhowell.com⁠⁠⁠⁠⁠⁠ Lipedema advocate: 860-550-1161 Top 5 Foods to Avoid for Managing Lipedema! Link:⁠⁠⁠ https://withcindyhowell.com/checklist/⁠⁠⁠ [https://withcindyhowell.com/checklist/] Free surgery course:⁠⁠ ⁠⁠⁠⁠ [https://l.bttr.to/6cATB]⁠⁠https://l.bttr.to/6cATB⁠⁠⁠ [https://l.bttr.to/6cATB%E2%81%A0] This episode is proudly sponsored by Lipoelastic Compression Don’t forget to check out Lipoelastic and use code STLpodcast for 10% off your next order. ⁠⁠https://www.instagram.com/lipoelastic_usa/⁠⁠ [https://www.instagram.com/lipoelastic_usa/] ⁠⁠https://www.instagram.com/lipoelastic/⁠⁠ [https://www.instagram.com/lipoelastic/] Lipedema Foundation Website: https://www.lipedema.org [https://www.lipedema.org/?utm_source=chatgpt.com] * Access Lipedema Awareness Month Resources: https://www.lipedema.org/lipedema-awareness-month-2026 [https://www.lipedema.org/lipedema-awareness-month-2026] * Join the Lipedema Foundation Newsletter: https://lipedema.org/contact-us [https://lipedema.org/contact-us]  * Educational Resources: https://www.lipedema.org/educational-resources [https://www.lipedema.org/educational-resources] * Follow Lipedema Foundation on Social Media:  Facebook [https://www.facebook.com/Lipedema/], LinkedIn [https://www.linkedin.com/company/lipedema-foundation/], Instagram [https://www.instagram.com/lipedema_fndn/], X [https://www.instagram.com/lipedema_fndn/], TikTok [https://www.tiktok.com/@lipedema_foundation], and YouTube [https://www.youtube.com/channel/UCvpjYrsAUGB0-evCNqsSrGA] * Explore the Lipedema Research Library (LEGATO): https://www.lipedema.org/library [https://www.lipedema.org/library] * Access Treatments Resources: https://www.lipedema.org/treatments [https://www.lipedema.org/treatments] * Find a Lipedema Provider: https://www.lipedema.org/provider-directory [https://www.lipedema.org/provider-directory]  Kasi Grosvenor https://www.instagram.com/kasi.grosvenor/ [https://www.instagram.com/kasi.grosvenor/] https://www.instagram.com/thrivingwithlipedema/

Nutrition, the Lymphatic System, and Lipedema: Evidence-Based Strategies with Dietitian Jean LaMantia

Cindy welcomes registered dietitian Jean LaMantia, a Canada- and US-registered practitioner, cancer survivor, and author, to discuss lipedema, lymphedema, and nutrition. Jean shares how a lymphoma diagnosis at 27 led her to focus on the lymphatic system and later work with lymphedema and lipedema clients. She highlights her books on cancer nutrition, lymphedema (with a therapist co-author), intermittent fasting, and complementary therapies, plus lipedema self-care journals. The conversation emphasizes evidence-based guidance amid nutrition misinformation, tracking symptoms to identify triggers, and focusing on “non-scale victories” like pain and function rather than weight loss. Jean explains gut-lymph connections, notes frequent IBS-like symptoms, and recommends anti-inflammatory eating tailored to the individual. Listeners can find resources and a free consult at JeanLamantia.com. 00:00 Show Introduction 00:55 Sponsor Message 01:42 Meet Jean La Mattina 02:23 Cancer to Lymphatic Awakening 04:29 Why Lymphatics Matter 07:07 Books and Resources 09:50 Tracking Symptoms With Journals 13:56 Nutrition Career Origins 17:26 Career Path to Lymphedema 20:34 Evidence Over Fads 23:30 Nutrition and the Lymphatic Gut Link 26:21 Gut First Strategy 27:27 Personalized Nutrition Reality 28:21 Anti Inflammatory Basics 30:22 Tracking Symptoms Signals 31:45 Progression Debate Genetics 33:54 Edema Controversy Care 36:07 Medical Gaslighting Fight 39:33 Awareness Social Media4 1:21 Early Screening Teens 44:40 Why Diets Feel Like Failures 48:46 Non Scale Victories 49:27 Advice Resources Wrap Follow us on Social media!!! Kristy's Contact information: IG⁠⁠⁠⁠⁠ ⁠⁠⁠ [https://www.instagram.com/sunrisehealingaz?igsh=bnNleGpubHhhdDFr&utm_source=qr]⁠⁠⁠https://www.instagram.com/dellalunawellness/⁠⁠⁠ [https://www.instagram.com/dellalunawellness/] FB Group⁠⁠⁠⁠ ⁠⁠https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr⁠⁠⁠⁠⁠⁠ [https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr] Website  Kristy Dellacroce, MS,OTR/L, MLD-C ⁠⁠ ⁠⁠Dellalunawellness.com⁠⁠ [http://www.dellalunawellness.com] ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [http://sunrisehealingaz.com/]Lipedema Advocate 856-297-7437 Cindy contact information ⁠FB:⁠⁠⁠ ⁠https://www.facebook.com/withcindyhowell⁠⁠⁠⁠⁠ [https://www.facebook.com/withcindyhowell%E2%81%A0%E2%81%A0] Private FB Group:⁠⁠⁠⁠⁠ ⁠https://www.facebook.com/groups/7021999704562921⁠⁠⁠⁠⁠⁠ [https://www.facebook.com/groups/7021999704562921] IG:⁠⁠⁠⁠⁠ https://www.instagram.com/lipedema_withcindyhowell/⁠⁠⁠ [https://www.instagram.com/withcindyhowell/] Cindy Howell RN, CLT, MPHC Website:⁠ ⁠⁠⁠⁠⁠www.withcindyhowell.com⁠⁠⁠⁠⁠⁠ Lipedema advocate: 860-550-1161 Top 5 Foods to Avoid for Managing Lipedema! Link:⁠⁠⁠ https://withcindyhowell.com/checklist/⁠⁠⁠ [https://withcindyhowell.com/checklist/] Free surgery course:⁠⁠ ⁠⁠⁠⁠ [https://l.bttr.to/6cATB]⁠⁠https://l.bttr.to/6cATB⁠⁠⁠ [https://l.bttr.to/6cATB%E2%81%A0] This episode is proudly sponsored by Lipoelastic Compression Don’t forget to check out Lipoelastic and use code STLpodcast for 10% off your next order. ⁠⁠https://www.instagram.com/lipoelastic_usa/⁠⁠ [https://www.instagram.com/lipoelastic_usa/] ⁠⁠https://www.instagram.com/lipoelastic/⁠⁠ [https://www.instagram.com/lipoelastic/] Follow Jean Lamantia https://www.facebook.com/jean.lamantia [https://www.facebook.com/jean.lamantia]https://jeanlamantia.com/ [https://jeanlamantia.com/]

Navigating Awake Lipedema Surgery with Dr. Meegan Gruber

Guest: Dr. Meegan Gruber, Board-Certified Plastic Surgeon, Tampa, FL Episode Highlights & Timeline [1:42] – Meet Dr. GruberDr. Gruber introduces herself: 25 years in plastic surgery, ~10 years specializing in lipedema awake surgery based in Tampa, FL. [2:40] – Groundbreaking Research: University of Virginia StudyDr. Gruber announces an upcoming collaboration with Dr. Karol Gutowski at UVA to study lipedema at the molecular level – examining why lipedema cells behave the way they do. Surgeons like Dr. Gruber will contribute tissue samples (with patient consent) to help uncover what's happening at the cellular level. [4:54] – How Dr. Gruber Got Into Lipedema SurgeryShe shares how working with Art Lipo in Tampa exposed her to lipedema patients organically – they "came with the territory" of arm and leg procedures. [9:10] – Lipedema Surgery vs. Standard LiposuctionKey differences: lipedema fat is "hungrier" and more likely to regrow if not fully removed. Surgical planning must account for long-term behavior of remaining fat, especially in younger patients. [13:38] – Florida's 4-Liter Fat Limit ExplainedA clear breakdown of the 4-liter fat rule: it refers to extracted fat, not total aspirate (which includes fluid). Hospital-based procedures allow up to 10 liters. Recovery scales exponentially with volume removed. [22:33] – What Awake Surgery Actually Looks LikeStep-by-step walkthrough of the awake lipo + lift procedure for arms. Custom numbing fluid (with ropivacaine for 8-hour relief), no general anesthesia, and an interactive, patient-centered experience – "somewhere between the dentist and a spa." [35:10] – Splitting Up Surgeries: Lowers, Uppers & LiftsHow Dr. Gruber stages procedures by body weight, area, and goals. Legs typically require 2–3 separate sessions spaced at least 3 weeks apart. [36:23] – Post-Op Follow-Up & Traveling PatientsNext-day follow-up for garment fitting, negative pressure bandages, and how Dr. Gruber supports out-of-state patients with a direct line and nationwide colleague network. [51:10] – Why Awake Surgery Delivers Better Aesthetic ResultsThe real advantage: patients can stand up, flex, and point their toes during surgery, allowing Dr. Gruber to assess anatomy, correct asymmetry, and achieve a refined look impossible to achieve when a patient is under general anesthesia. [1:01:04] – Insurance: The Honest TruthDr. Gruber doesn't take insurance but helps with prior authorizations and letters. One patient successfully got 100% coverage by writing to her state senators. Discussion on "sick care society" and the challenge of accessing lipedema surgery. Follow us on Social media!!! Kristy's Contact information: IG⁠⁠⁠⁠ ⁠⁠ [https://www.instagram.com/sunrisehealingaz?igsh=bnNleGpubHhhdDFr&utm_source=qr]⁠⁠https://www.instagram.com/dellalunawellness/⁠⁠ [https://www.instagram.com/dellalunawellness/] FB Group⁠⁠⁠ ⁠⁠https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr⁠⁠⁠⁠⁠ [https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr] Website  Kristy Dellacroce, MS,OTR/L, MLD-C ⁠⁠ ⁠Dellalunawellness.com⁠ [http://www.dellalunawellness.com] ⁠⁠⁠⁠⁠⁠⁠⁠ [http://sunrisehealingaz.com/]Lipedema Advocate 856-297-7437 Cindy contact information ⁠FB:⁠⁠ ⁠https://www.facebook.com/withcindyhowell⁠⁠⁠⁠ [https://www.facebook.com/withcindyhowell%E2%81%A0%E2%81%A0] Private FB Group:⁠⁠⁠⁠ ⁠https://www.facebook.com/groups/7021999704562921⁠⁠⁠⁠⁠ [https://www.facebook.com/groups/7021999704562921] IG:⁠⁠⁠⁠ https://www.instagram.com/lipedema_withcindyhowell/⁠⁠ [https://www.instagram.com/withcindyhowell/] Cindy Howell RN, CLT, MPHC Website:⁠ ⁠⁠⁠⁠www.withcindyhowell.com⁠⁠⁠⁠⁠ Lipedema advocate: 860-550-1161 Top 5 Foods to Avoid for Managing Lipedema! Link:⁠⁠ https://withcindyhowell.com/checklist/⁠⁠ [https://withcindyhowell.com/checklist/] Free surgery course:⁠ ⁠⁠⁠ [https://l.bttr.to/6cATB]⁠https://l.bttr.to/6cATB⁠⁠ [https://l.bttr.to/6cATB%E2%81%A0] This episode is proudly sponsored by Lipoelastic Compression Don’t forget to check out Lipoelastic and use code STLpodcast for 10% off your next order. ⁠https://www.instagram.com/lipoelastic_usa/⁠ [https://www.instagram.com/lipoelastic_usa/] ⁠https://www.instagram.com/lipoelastic/⁠ [https://www.instagram.com/lipoelastic/] Resources & Links * Website: www.drmeegangruber.com [http://www.drmeegangruber.com/] * YouTube & Instagram: @DrMeeganGruber * TLC Show: Awake Surgery — streaming on Hulu, Discovery+, and Paramount+ (includes a lipedema patient episode) * https://www.facebook.com/meegan.gruber [https://www.facebook.com/meegan.gruber]

Navigating Lipedema: Samantha Waldrop's Inspiring Story

Samantha’s Lipedema Journey: Self-Diagnosis, Insurance, Surgery, and Sharing the Lived ExperienceHosts Cindy and Kristy welcome Samantha, a 38-year-old Oklahoma public school administrator and mom of two, to share how she recognized body differences starting in seventh grade (first in her arms) and later in her legs, faced family criticism, and eventually self-diagnosed lipedema after developing severe autoimmune-like symptoms following breast implants and being dismissed by her surgeon. She recounts realizing her wedding photos had been photoshopped, pursuing official diagnoses in Oklahoma (including Dr. Ryan Morgan and PT documentation), and using conservative measures like vibration plates, manual lymphatic drainage, and pneumatic compression. After a three-year insurance process and multiple failed surgeon consults, she chose surgery with Dr. Azouz in Dallas to prevent progression, detailing four procedures in 2025 (legs, arms with brachioplasty, mini tuck/trunk, and thigh/calf/knee lifts) and recovery challenges. Samantha now advocates on TikTok by documenting real surgical realities and building community.00:00 Welcome to the Show00:55 Sponsor Message01:42 Meet Samantha02:27 Early Signs in Middle School05:37 Family Reactions and Early Legs Changes07:08 Implants and Autoimmune Spiral08:16 Researching and Finding Lipedema12:54 Wedding Photoshopped Wake Up Call15:44 Diet Exercise and Progression19:40 Getting an Official Diagnosis21:45 Insurance Proof and PT Tracking22:51 At Home Conservative Treatments27:30 Choosing Surgery and Consult Setbacks30:58 Surgeon Search Roadblocks32:05 Finding Dr Azouz33:46 Supportive Diagnosis Moment35:22 Insurance Packet Strategy38:15 Four Surgery Breakdown40:38 Recovery Complications42:00 Life After Pain44:32 Advocacy on TikTok50:24 Beyond Before After Photos58:54 Where to Follow Samantha01:00:38 Episode Wrap Up Follow us on Social media!!! Kristy's Contact information: IG⁠⁠⁠ ⁠ [https://www.instagram.com/sunrisehealingaz?igsh=bnNleGpubHhhdDFr&utm_source=qr]⁠https://www.instagram.com/dellalunawellness/⁠ [https://www.instagram.com/dellalunawellness/] FB Group⁠⁠ ⁠⁠https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr⁠⁠⁠⁠ [https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr] Website  Kristy Dellacroce, MS,OTR/L, MLD-C ⁠⁠ Dellalunawellness.com [http://www.dellalunawellness.com] ⁠⁠⁠⁠⁠⁠ [http://sunrisehealingaz.com/]Lipedema Advocate 856-297-7437 Cindy contact information ⁠FB:⁠ ⁠https://www.facebook.com/withcindyhowell⁠⁠⁠ [https://www.facebook.com/withcindyhowell%E2%81%A0%E2%81%A0] Private FB Group:⁠⁠⁠ ⁠https://www.facebook.com/groups/7021999704562921⁠⁠⁠⁠ [https://www.facebook.com/groups/7021999704562921] IG:⁠⁠⁠ https://www.instagram.com/lipedema_withcindyhowell/⁠ [https://www.instagram.com/withcindyhowell/] Cindy Howell RN, CLT, MPCH Website:⁠ ⁠⁠⁠www.withcindyhowell.com⁠⁠⁠⁠ [about:blank] Lipedema advocate: 860-550-1161 Top 5 Foods to Avoid for Managing Lipedema! Link:⁠ https://withcindyhowell.com/checklist/⁠ [https://withcindyhowell.com/checklist/] Free surgery course: ⁠⁠ [https://l.bttr.to/6cATB]https://l.bttr.to/6cATB⁠ [https://l.bttr.to/6cATB%E2%81%A0] This episode is proudly sponsored by Lipoelastic Compression is key in managing lipedema — and finding pieces that are both supportive and comfortable makes all the difference. Don’t forget to check out Lipoelastic and use code STLpodcast for 10% off your next order. https://www.instagram.com/lipoelastic_usa/ [https://www.instagram.com/lipoelastic_usa/] https://www.instagram.com/lipoelastic/ [https://www.instagram.com/lipoelastic/]Follow Samantha on Social Mediahttps://www.tiktok.com/@samanthawlipedema?lang=en [https://www.tiktok.com/@samanthawlipedema?lang=en]YouTube @samanthawlipedema  [YouTube@samanthawlipedema ]https://www.instagram.com/samanthawlipedema/ [https://www.instagram.com/samanthawlipedema/]

Connecting the Dots: Carla Whorton's Revolutionary Insights on Lipedema

Connecting Estrogen Metabolism, MTHFR, and Fibrosis in Lipedema with Carla HortonHosts Cindy and Kristy interview nurse practitioner Carla Whorton, who presents findings from her 112-page mechanistic integrative review proposing a unifying model linking lipedema with other estrogen-related fibrotic disorders via the 16-hydroxy estrogen–TGF-beta–mTOR axis. Drawing on her ICU background and experience as a breast cancer and lipedema survivor and mother of a survivor. Carla explains how methylation polymorphisms such as MTHFR can impair estrogen detoxification, increasing proliferative metabolites (especially 16-hydroxy) that bind estrogen receptors, drive inflammation, activate TGF-beta, chronically stimulate fibroblasts, inhibit normal fibrosis breakdown, and suppress AMPK leading to mitochondrial dysfunction, insulin resistance, fatigue, pain, and liver burden. She discusses puberty, pregnancy, and surgery as overload triggers, stresses monitored, individualized methylation and hormone balancing, and notes fasting/keto may raise cortisol in lipedema due to reduced metabolic flexibility.00:00 Welcome to the Show00:55 Sponsor Message01:42 Meet Carla Horton04:08 Research Thesis Overview05:18 Why Pathways Connect06:54 Dutch Test Walkthrough07:30 Progesterone and Symptoms10:15 Testosterone and Metabolism11:17 Three Estrogens Explained14:53 Estrogen Detox Pathways16:51 Methylation Trash Analogy18:34 Hypoxia and Fibrosis Link19:30 16 Hydroxy on Receptors21:16 Microtrauma and Mast Cells22:54 TGF Beta Takes Command24:35 Acute vs Chronic Fibroblasts26:14 MMPs vs TIMPs Breakdown27:39 Hormone Overload Explained28:48 Puberty Pregnancy Triggers31:26 MTHFR Testing Gap34:28 Folate Brain Chemistry Links36:39 Homocysteine Clot Risk38:53 Methylation Treatment Cautions43:15 Mitochondria and TGF Beta47:20 Surgery Plus Restoration50:54 Finding Care and Resources51:34 Fasting Keto Warning52:31 Episode Wrap Up Follow us on Social media!!! Kristy's Contact information: IG⁠⁠⁠ ⁠ [https://www.instagram.com/sunrisehealingaz?igsh=bnNleGpubHhhdDFr&utm_source=qr]⁠https://www.instagram.com/dellalunawellness/⁠ [https://www.instagram.com/dellalunawellness/] FB Group⁠⁠ ⁠⁠https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr⁠⁠⁠⁠ [https://www.facebook.com/share/g/1F3pseJKUd/?mibextid=wwXIfr] Website  Kristy Dellacroce, MS,OTR/L, MLD-C ⁠⁠ Dellalunawellness.com [http://www.dellalunawellness.com] ⁠⁠⁠⁠⁠⁠ [http://sunrisehealingaz.com/]Lipedema Advocate 856-297-7437 Cindy contact information ⁠FB:⁠ ⁠https://www.facebook.com/withcindyhowell⁠⁠⁠ [https://www.facebook.com/withcindyhowell%E2%81%A0%E2%81%A0] Private FB Group:⁠⁠⁠ ⁠https://www.facebook.com/groups/7021999704562921⁠⁠⁠⁠ [https://www.facebook.com/groups/7021999704562921] IG:⁠⁠⁠ https://www.instagram.com/lipedema_withcindyhowell/⁠ [https://www.instagram.com/withcindyhowell/] Cindy Howell RN, CLT, MPHC Website:⁠ ⁠⁠⁠www.withcindyhowell.com⁠⁠⁠⁠ Lipedema advocate: 860-550-1161 Top 5 Foods to Avoid for Managing Lipedema! https://withcindyhowell.com/checklist/⁠ [https://withcindyhowell.com/checklist/] Free surgery course: ⁠⁠https://l.bttr.to/6cATB⁠ [https://l.bttr.to/6cATB] Carla Whorton https://www.instagram.com/carlawhortonnp/ [https://www.instagram.com/carlawhortonnp/] https://www.facebook.com/carla.whorton.np [https://www.facebook.com/carla.whorton.np] Sponsor: Lipoelastic ⁠https://www.instagram.com/lipoelastic_usa/⁠ [https://www.instagram.com/lipoelastic_usa/] ⁠https://www.instagram.com/lipoelastic/ [https://www.instagram.com/lipoelastic/]