Diagnosing lipedema would require a physical exam mostly manual exam to find fatty nodules, easy bruising, looking for tell tale joint issues, like hyperlordodic spine, screening for common concurring conditions like Ehlers Danlos syndrome or eating disorder
Although uncontrolled hypothyroidism is associated with increased stroke risk via mechanisms, such as increased vascular resistance, endothelial dysfunction, dyslipidemia, and a pro-thrombotic state [68], the increased stroke risk may be attenuated by the potential cerebrovascular protective effects of GLP-1RA [69]
Diabetes 59 , 10631073 (2010)
The most common reported side effects are gastrointestinal nausea, vomiting, diarrhoea, and constipation consistent with GLP-1 receptor agonist class effects
Your body makes carnitine and alpha lipoic acid, but it would be advisable to eat foods rich in these nutrients (namely meats as the name carnitine implies) to attain higher levels to support maximum Glutathione production