Keto & Lipedema Feasibility Study Application

Since this is an early stage Feasibility study, there will be a nominal cost for the online class of $97 (this is discounted $50 from the class price of $147). We will offer this discount whether you are accepted into the study or not to thank you for your application.

We recommend you have a comprehensive metabolic panel, an Hb1A1c, and Lipid Panel bloodtests performed through your own medical facility.

You will be required to join a secret FB group to receive ongoing group and individualized support throughout the study.

This is a Feasibility study, we hope that the data shows enough promise to lead to a comprehensive clinical trail. As a Feasibility study, we offer information and support, and not medical advice. Please be sure to read and agree to the disclaimer.

Any questions, please email catherine@lipedemaproject.org

Keto Feasibility Application

Contact Information

Name*

Address*

Phone*

E-mail*

General Information

Date of Birth*

Height*

Weight*

BMI*

Measurements

Measuring tape should lay parallel to the floor at all locations. Use just enough tension to keep the tape from sagging.

Bust*

Waist (at belly button)*

Hip (at widest part)*

Upper Left Arm (at the level of your armpit)*

Upper Right Arm (at the level of your armpit)

Left Thigh (at the groin )*

Left Thigh (just above the knee cap)*

Right Thigh (at the groin)*

Right Thigh (just above the knee cap)*

Medical Information

Are you taking an injectable medication for diabetes?

If yes, will/has your physician be/been monitoring your medication while you try this diet?

Medical Problems or Conditions*

Pictures

Please take pictures in underwear only, if possible. The image file size limit is .5MB or 500KB per image. Your application will not submit if you go over this limit, so please reduce the size before uploading, if necessary.

Headshot

Upload

Neck Down from Front

Upload

Neck Down from Left Side

Upload

Neck Down from Right Side

Upload

Neck Down from the Back

Upload

Current Diet

What is your current eating plan?*

What are your typical meals? Please include breakfast, lunch, dinner and snacks?*

If you have been doing Keto or a similar program of low carb, how long have you been on a low carb/Keto diet?*

Tell us about your progress so far.*

What other weight loss measures or diets have you done and what progress or not have you experienced?*

Lipedema and Keto Disclaimer
The contents on this site are for informational purposes only and are not a substitute for professional medial advice, diagnosis, or treatment. This information does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed.

The use of information on this site or materials linked from this blog is at the user's own risk. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their health care professionals for any such conditions.

Always seek the advice of your physician or other qualified health care provider with any questions you have regarding a medical condition, and before undertaking any diet, dietary supplement, exercise, treatment, or other health program.

The Lipedema Project and/or The Friedman Center for Lymphedema Research & Treatment are not responsible for any adverse effects resulting from your use of or reliance on any information contained on this site, any site linked on this site, or in the documentary film, The Disease They Call FAT.

Information presented is not intended to diagnose, treat, cure, or prevent lipedema, lymphedema or any other disease. The creators, producers, presenters and distributors of this material disclaim any liabilities or loss in connection with the information herein.

I have read and agree to the terms of to the Lipedema and Keto Disclaimer*

Please only click the submit button ONE time and be patient as it processes. It can take up to 60 seconds depending on the file sizes of your images.

If the application was submitted successfully, you will see a message saying, "Your Keto Feasibility Study was submitted successfully!" and receive a confirmation email.

Thank you!