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Why does body fat wasting occur?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am losing subcutaneous fat from the thighs, legs, hands, palms, foot soles, face, chest, etc. I also have some swollen nodes. I am not diabetic, my fasting blood sugar is between 100 and 107 mg/dL, and postprandial is between 110 to 120 mg/dL.

But when I start losing fat, then the fasting blood sugar becomes 133 mg/dL, and the postprandial becomes 154 mg/dL. After taking the Surbex Gold tablet, it came back to 110 and 139 mg/dL. What may be the reason for the loss of subcutaneous fat?

Please help.

Thank you.

Answered by Dr. Atul

Hi,

Welcome to icliniq.com.

The subcutaneous fat loss can be a part of acquired lipodystrophy. It is a very rare condition, but it can be associated with some autoimmune diseases or after any infection. This condition is usually related to a deranged lipid profile.

Consult an endocrinologist for a metabolic profile. I suggest you take food containing low carbohydrates. Get your blood pressure and lipid profile checked; if they are highly deranged, then you might require antilipidemics.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Patient's Query

Hello doctor,

Thank you for replying.

My total cholesterol is 225, triglyceride is 106, HDL is 40, LDL is 164, VLDL is 21, bilirubin is 1 mg/dL, SGOT is 22, SGPT is 30, alkaline phosphate is 126, serum total protein is 7.3, serum albumin is 3.7, globulin is 3.6, and A/G ratio is 1.0/1. If it is acquired lipodystrophy, is there any treatment?

Thank you.

Answered by Dr. Atul

Hello,

Welcome back to icliniq.com.

There is no specific treatment for acquired lipodystrophy. You need to consult a dietician and an endocrinologist. Leptin replacement has been tried, but is not commonly used.

I hope this helps.

Please revert in case of further queries.

Thank you.

Answered by

Dr. Atul

Medically reviewed byiCliniq medical review team

Published At May 21, 2017
Reviewed AtMarch 9, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atul

Dr. Atul

Internal Medicine

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