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Traditional treatments have centered on conservative measures such as manual lymphatic drainage and compression therapy, with surgery (such as lipedema liposuction) frequently being the most effective long-term solution
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Thus, while the pathophysiological signal is robust, the primary clinical burden emerges elsewhere (in elevated rates of procedure cancellation, suboptimal bowel preparation, and prolonged capsule transit), each of which carries practical and logistical consequences for endoscopy services
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