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Meet Dr. Amron & Dr. Herbst

Dr. David Amron and Dr. Karen Herbst are leading experts in lipedema and related fat disorders. Dr. Amron, a board-certified dermatologic surgeon and founder of The Roxbury Institute, developed the Advanced Lipedema Treatment (ALT) Program after performing over 10,000 surgeries. Dr. Herbst, a board-certified endocrinologist and Head of Research at The Roxbury Institute, co-authored the U.S. standard of care for lipedema and has pioneered research on lipedema, Dercum’s disease, and connective tissue disorders.

What We Talk About

Diagnosing and preventing Lipedema as the next frontier in care, shifting focus from symptom management to true root-cause healing.
Hormones through life stages, puberty, pregnancy, and menopause, and how these transitions influence the onset and progression of Lipedema.
Estrogen, progesterone, and cortisol in driving inflammation, vascular changes, and fat distribution unique to this condition.
Bioidentical HRT and GLP-1s: how they work, when they help, who should avoid them, and their evolving role before and after surgery.
Surgery timing around pregnancy or menopause and how early intervention can protect long-term outcomes and tissue health.
Managing swelling through compression, lymphatic drainage, pool therapy, rebounders, and anti-inflammatory nutrition.
Why diuretics backfire for most Lipedema patients and what safer, evidence-based options exist for fluid balance and inflammation control.
Fertility, IVF, and hormone shifts in Lipedema, plus insights into metabolic and inflammatory responses during treatment.
Ultrasound as a powerful diagnostic and monitoring tool that strengthens medical validation and insurance accessibility.
Advocacy, patient education, and the Lipedema Society’s growing mission to advance research, coverage, and global awareness.

Episode Resources

Diet Doc
GLPs to manage Lipedema inflammation. Use code TRAILTOHEALTH for 10% off. https://shop.thetrailtohealth.com/DietDoc

Therasage
Infrared therapy devices that support detox, lymphatic health, and inflammation reduction. Use code TRAILTOHEALTH for 10% OFF.
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Prolon
Five-day fasting-mimicking program that supports metabolism, inflammation, and cellular renewal. Use code THETRAILTOHEALTH for 20% OFF.
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Organifi
Superfood blends that reduce stress, balance hormones, and nourish the body. Use code TRAILTOHEALTH for 20% OFF.
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BiOptimizers
Digestive and metabolic supplements for gut health and inflammation balance. Use code THETRAILTOHEALTH for 10% OFF.
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Somavedic
Frequency devices that harmonize your environment and support lymphatic flow and sleep. Use code TRAILTOHEALTH for 10% OFF.
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Connect With Dr. Amron & Dr. Herbst

Website
https://www.advancedlipedematreatment.com/
https://www.theroxburyinstitute.com/

Instagram
https://www.instagram.com/davidamronmd
https://www.instagram.com/drkarenherbst/ https://www.instagram.com/advancedlipedematreatment

Keywords

Lipedema, hormones, menopause, fertility, inflammation, lymphatic health, connective tissue, GLP-1s, HRT, detoxification, diagnostics, ultrasound, longevity, The Roxbury Institute, Lipedema Society, women’s health.