Breathing and Lymphedema – my CDT homework 

Before I tell you about my homework, I want to take you back in time. These memories are what comes to mind when I think about diaphragmatic breathing.  When I was in the 4th grade, my Mother came home from work one day with an ad in the newspaper (yes, newspapers were still around back then haha) that listed tryout times for a local children’s community chorus.  This was an organization sponsored by the city at large and not affiliated with my elementary school.  At the dinner table, she announced that I was going to audition the following week and handed me the ad.  I was stunned.

Me:  Um, audition? Sing in front of people? Why? Noooooo!!!!!

Mom: Yes, you are.

Me: But Dad? Please no!!!

Dad: Your Mother says this will be good for you. You should expand your horizons.  I’m out of it.

Me: But I don’t know how to sing!

Mom: You will learn. Eat your dinner.


A week later we were in the hallway of the College of Fine Arts auditorium, and I made one last plead to go home. Mom sat there reading her newspaper and ignored me. Minutes later my name was called.  Palms sweating, I followed the Choir Director into a room with choir risers, music sheets, and a beautiful black piano.  She said my name was lovely and asked if I had singing experience. I answered “No.” She smiled as she hit a key on the piano and said repeat after me “Do-re-mi-fa-so-la-ti-doooooo,” I tried it. Not very good. I was ready to bolt.

She stepped toward me and asked “May I?” as she pointed to my tummy.  I nodded. With a finger she barely poked my tummy and told me to breath in pushing my tummy all the way out and then fill my chest with air without my  shoulders rising. “Good job,” she said.  “Now breathe out.”

“We use our diaphragm in singing,” she informed me.  We do?  Diaphragm? What’s that? I tried this a few times and on the last go she said, “Now again.  Do-re-mi-fa-so-la-ti-dooooo.”  My singing was much louder and clearer. I smiled. Even I could tell the difference.  She smiled with approval.  She fixed my posture and again with the breathing exercises. Again repeating different notes on the scale as she hit various piano keys.

At home Dad asked me how it went.  I said, “Well, she sounded like Mary Poppins and made me breathe a lot. Like this.” I poked him in the stomach. 

The next day Mom and Dad got the call that I was in, and I spent the next two years diaphragmatic breathing as I sang, learned about people like Bach and Strauss, and sometimes sang in French and German. It was one of the most rewarding experiences of my childhood.  I was 9 yrs old when I learned about the power of diaphragmatic breathing.

Why does this matter over 3 decades later? This pesky lymphedema. 

Breathing for Lymphatic Health

Research studies suggest that diaphragmatic breathing alone reaps all kinds of health benefits including activating the lymphatic system.  The lymphatic system is mostly about your gut, and your diaphragm helps kick it into gear.  I don’t know all the medical stuff, but really smart people study this.  I knew about breathing benefits in terms of delivering oxygen to your blood cells, but I didn’t know about the lymphatic system benefits.

CDT is a little scary for first time Lymphies.  Hopefully your CLT is giving you suggestions to try at home.  You can be out of your comfort zone for sure with the wraps and everything else thrown at you.  My first assignment for this CDT round is deep breathing and truncal stretching.  Last Thursday when I was all excited about the new patient intake form with the pain question, I was told to breathe for at least 30 minutes per day.  Cue Choir Director flashbacks.  Sounds weird huh? I mean we breathe all day long without giving it any thought. It can be difficult to carve out time to deliberately do and get started.  I need to get my truncal swelling down though, and this is one of the best tools to have in the LE toolbox.

Note – While most people recommend yoga or pilates, I’m not a yoga pro so I can’t speak to it from personal experience.  

Breathing Hacks

Some little hacks I already had in my Lymphie toolbox are as follows.


Break out your karaoke machine.  Don’t laugh! Around the house and in the car, my jams are pumped up! These days my voice is terribly off key, but I’m working on that 4th grade training again. Can you picture me twirling around my living room Mary Poppins style?  Supercalifragilisticexpialidocious  Why does lymphedema homework have to be boring? For songs I know all the words to, it has to be 80’s or 90’s music. A side benefit is that it embarrasses my son.  Hehe

Lung Fitness Gadgets

A group member in one of my Facebook groups told me back in 2016 about some gadgets you can get on Amazon to work on lung fitness.  Remember that time you had surgery, and the respiratory therapist walked in with this thing? Don’t throw it away! It can help you as a deep breathing exerciser.

This next gadget is used by some runners to improve fitness.  Search on YouTube for videos.  This is what I have been using lately.

Both of these things are experimental and anecdotal of course, but I like them.  Don’t judge.

More Breathing Advice

This week I turned to Kathleen Lisson CMT, CLT for her thoughts and tips on diaphragmatic breathing.

Diaphragmatic breathing is a really clever hack for moving lymph through our lymphatic system. Unlike sitting around in a pump or practicing self-MLD (which are both essential), we can switch from breathing shallowly to breathing deeply and using our diaphragm anytime and anywhere, and no one will be able to tell!

The first question – am I doing it right? Many people will tell you to focus on pushing your belly out as you breathe. This is good advice, but I have found that it’s much easier to train breathing when we are lying down. An easy way to really experience what diaphragmatic breathing feels like is to lay down on our back with bent knees and pile some books on our tummy, right over our belly button. For a child, use a stuffed animal. Focus on moving the books or teddy bear up and down as we breathe. I found that it was a little harder than I thought it was going to be and did really train my body to breathe by moving my diaphragm.

Diaphragmatic breathing is also built into some movement practices that are good for getting lymph moving, like Qi Gong. I find that smelling or diffusing Frankincense essential oil helps to increase my deep breathing as well.

I talk more about diaphragmatic breathing in my book ‘Swollen, Bloated and Puffy,’ and for a deep dive into breathing, I recommend reading ‘Breathe’ by Dr. Belisa Vranich. — Kathleen Lisson CMT, CLT

Books on my belly button?  Why didn’t I think of that? So simple, easy, and CHEAP. I’m going to try this out, and I’m also on the hunt for a Qi Gong class and the book called “Breathe.”  It’s always good to get a fresh perspective on what others recommend.

Results So Far

The combination of breathing, changes in eating, and MLD already have my system detoxing hard.  This was a phenomenon that I had not experienced prior to CDT for the trunk in 2016.  I literally feel my trunk detoxifying.  It’s kind of like you are coming down with the flu but with no cough or fever.  A general feeling of tiredness, irritability, and some aches.  I go to the restroom A LOT and have been drinking water and hot herbal teas to replenish. The good news is it’s a great sign my lymph is moving.  You know what they say. Mom is always right. I can hear her voice saying, “You will learn. Eat your dinner.” 

Do you have any tips for diaphragmatic breathing? Please share them below. 

Wishing you awesome lymphatic health,

Lymphie Strong

Food and Lymphedema

If you are NEW to Lymphedema and no one has told you that food is a potential trigger for swelling, it can definitely be a source for more inflammation. The catch is everyone is different, so the triggers are NOT the same for all.

This concept is similar to someone eating chocolate and breaking out in acne, or headaches from the sulfites in wine. We all have different reactions based on different factors in our lives.

Factors involved include but are not limited to:


✔️Food allergies

✔️Co-existing conditions like diabetes, lipedema, etc.

For example, sodium is NOT a trigger for me but watermelon makes me swell. I also have an endocrine condition that makes me prone to insulin resistance. I don’t know how many people have told me my Lymphedema would be “cured” if I just avoided salt. I wish it were that simple.

Not here to recommend a specific diet or get into a debate about the best one. You know your body and needs best.  I’m not a registered or certified dietitian, nor do I play one on TV.

I’m just here to pass the message to pay attention to your diet for any clues on how it impacts your swelling.  Keep a diary or notes on these observations and take action if necessary to make changes.  Ask around for what other people with lymphedema are doing or trying and make your own judgement call for your lymphatic health.  You may find that you have several triggers or none at all.

The following link was personally life altering for me 2 years ago.

THE SECRET BEHIND THE WEIGHT GAIN-INFLAMMATION CONNECTION – Amy is a medical doctor specializing in food allergies and inflammation. She combines her nutrition background with medical training from Harvard and Columbia hospitals to provide a unique take on wellness.

It might help you see the food and inflammation connection from a different perspective.  Or not.  Completely up to you.  Similar to pain, food is very personal.

Drop your thoughts on food and any swelling triggers you might have in the comments below. Which changes, if any, have helped you the most?


Lymphie Strong

That Junk in My Trunk

Let’s talk about truncal Lymphedema, or what I like to call “That Junk in My Trunk.”  Hey, we have to laugh, right? 🙂

My Lovely Little Lumps -Fergie

As of January 16, 2017, it has been a year since my truncal lymphedema diagnosis was confirmed.  The new lympheversary where I received yet another gift from the one that seemingly keeps on giving as I tacked on yet another year where it appeared in a new place – 1994, 2007, and 2016.  Lymphedema appeared in my trunk after having it 22 years in my legs.  No rhyme or reason. No explanation whatsoever.  Just a “Hey, I’m here! I’m moving in like it or not.  Go figure it out!”  My “LE” is like a bad roommate that just doesn’t want to move out and just keeps taking over more rooms in the house!  Sigh.

What is Truncal Lymphedema?

The good people at Lymphnotes -DESCRIBING TRUNCAL LYMPHEDEMA do a great job of explaining it.  The National Lymphedema Network also has a great paper on it.  See below:

Presentation of symptoms in patients with truncal lymphedema can vary from obvious swelling, with or without discomfort, to no signs of swelling, but significant pain. The sensations can include shoulder discomfort or pain that is localized, or radiates across their trunk. Other sensations can be described as “feelings of fullness,” “heaviness,” or “tingling” under the arm. It is important to keep in mind that arm “tingling” can sometimes be confused with the numbness and tingling that is due to the surgical procedure and position in which the patient lies on the operating room table. Lower back pain can be reported if there is enough posterior LE that requires the individual to alter body stance for comfort. If the patient has peripheral hand neuropathies from Taxane chemotherapies, it is possible that their finger numbness might be worse with posterior LE. Signs of truncal lymphedema include swelling in the breast, fullness over the clavicle or fullness over the anterior chest, with bulging along the mastectomy or lumpectomy scar lines. Posterior view examination may reveal extra “rolls” of skin along the lateral trunk, or fullness anywhere along the scapular or upper back area… -Esther Muscari-Lin, RN, MSN, APRN, BC, AOCN. Source: Truncal Lymphedema By Esther Muscari-Lin, RN, MSN, APRN, BC, AOCN.


Before you panic too and wonder if this will happen, I will remind you that I have primary Lymphedema.  This is an excerpt from the National Lymphedema Network.


People can be born with abnormalities in the lymphatic system. This type of lymphedema is known as primary lymphedema, which can impact any part of the body and may involve swelling in multiple limbs or body regions.  – National Lymphedema Network

The first question – How Did I Know?

For a couple of weeks after the new year in 2016, I felt this heaviness in my back, a pins and needles type feeling. Some pain. More pain than usual.  I also noticed that despite my best efforts, I wasn’t getting that much thinner relative to my activity and eating habits. The year started with a 5K.  Yet, something was wrong. It was eerily similar to what I felt previously in my legs and ankles when I was Stage 1 there.

You know that sick feeling you get when basic intuition kicks in that you are about to receive some bad news, yet you try to push it to the back of your mind?  I didn’t tell anyone, but I made an appointment for an evaluation.  Maybe I didn’t tell anyone because saying it out loud would make it more true.  In my mind, I labeled it as a “checkup”, but in my heart I kind of already knew.  It was a weird sort of déjà vu.

The second question – How was it confirmed?

It was a Saturday.  I was kind of in a rush to get it over with, so I made the earliest appointment possible, which was on the weekend.  A certified lymphedema therapist (CLT) whom I had never met before did my evaluation.  She told me she had 18 years of experience.  I was asked to take off my shirt and not say where I felt my symptoms. Within a few moments, the CLT put her hand on the exact spot, and said “You have it here.”

My eyes were closed in prayer, but just then a lone tear escaped down my cheek. I wiped it away very quickly, since I wasn’t with my normal CLT. My mind started racing. As she continued to talk, her voice sounded farther and farther away and I was trying to rationalize how this could happen to me. I was doing everything humanly possible to manage my lymphedema.  I felt like I was being punished for something I didn’t do.

Then I heard her say, “And we can’t wrap you…” All of my senses snapped back to the present moment.

 What do you mean you can’t wrap me?

She said, “Well, you have to breathe.” Ah! Breathe. Breath. Oxygen. A basic necessity to human life.  Okay, I get it.  She continued, “Not much else can be done other than wear compression, exercise like you do..” As she kept talking, I realized I was being handed another life sentence with maybe even less of an arsenal to fight back with.  Panic started to rise.  I interrupted her speech again and said “If I can’t wrap, then I’ll do CDT again this year, KT tape, go to the pool more, reduce my stress, WHATEVER IT TAKES!”  In that moment I didn’t know how I would survive with Lymphedema in 3 places.

I was scared. I was mad. I was in shock.  A whole range of emotions flooded through me. Thank God a group of great friends helped me process it.

Getting Started

The following week I was scheduled with my usual CLT.  My personal hero, friend, and confidante.  The woman who helped me accomplish Stage 1 reversal with my legs.

I showed up very emotional, had a cry, and she said she was very sorry that this was my new diagnosis on top of everything I was previously dealing with in my legs.  Then we got down to business.  I asked “Is it really true that I can’t wrap?”  In my mind, I had not accepted it yet.  She said “Yes, it’s true.  But that’s okay.  We are going to be okay.  We are going to work together to figure this out.”  Cue the Rocky music soundtrack.


First non-medical truncal photos

Attitude is everything in managing chronic illness.  You often have no control over how your body will turn against you, and simultaneously no idea how hard it is working for you to fight back or compensate.  Keep reminding yourself that your body ultimately wants to heal itself.  It’s the power of self preservation.  Knowing that my legs and trunk are working hard to heal me, I feel empowered to control my attitude and reaction.  Like my Dad said in January 2016…

You beat it in your legs.  You can do it again. -Daddy

Game Changers

1 – MLD

The first thing that changed was the manual lymphatic drainage process.  Specifically, the sequencing of the flow movement was changed, and the timing was extended to be able to turn over and perform on my back.  Instead of 60 minute sessions, they were extended to 90 minutes.  Sometimes we decided to wrap my legs, sometimes we decided to tape my back, and sometimes we decided to do tape on both.  We made judgement calls on what was more swollen and which area needed focus.  My services are done in a hospital.  I am not a medical professional, so I will not attempt to explain the detailed process.  What I do know is that both CLTs that worked with me in 2016 focused very hard on deep breathing and pushing hard on the lymphatics around my gut.

Here is a great video by a friend of mine that has truncal lymphedema and does his own routine at home – Truncal MLD

This was also the first time I experienced nausea and flu-like symptoms post MLD.  When my trunk started to become decongested, my nose began to run and my ears popped for a few hours.  Hours later this stopped just as suddenly as it had began. That week I felt like I had been hit by a truck. I had pains and aches all over my body, and I was completely stunned at how differently my body was reacting to truncal CDT versus lower extremity. In the same person no less!

Managing truncal has been a completely different experience from managing bilateral lower extremities, and there is a delicate balance in managing all 3 areas. Do not make assumptions that just because you have lymphedema in one place or treat lymphedema patients, that all people with it have the same symptoms. Even if it’s the same person. That was a huge mistake on my part, but I did not know until I experienced it first hand.

2 – Truncal Compression


This is probably the most frustrating aspect of having both truncal and bilateral leg lymphedema. Almost full body compression.  There are all of these “RULES” you have to follow with truncal LE too.  After going home and mulling over the rules, this is what I thought.

The Rules & My Inner Lymphie Goddess Responses 

  • No underwire bras
    • What? Why? I don’t know about you, but me and my bra go way back. That’s my girl!  Every woman has their certain type of bra that they like. Now you want to yank that way from me, LE? Boooo you!!!
  • No racerback bras
    • As an avid gym goer and of course novice 5K runner, say WHAT?!!! Try scanning the globe for a sports bra that does NOT have a racerback on the back.  I dare you to try it. To find one that is “U” shaped.  It seemingly defies all logic and reasoning.  When you jump, the girls need support.  Another boo for LE!
  • You want snug but not “too snug”
    • Um, what’s that supposed to mean? Snug but not too snug. A girdle? A waist trainer? 
  • You might have to sleep in a nighttime garment
    • Oh. H___. No.  On top of the Tribute for my legs, I now need upper extremity heat.  Where am I supposed to sleep?  An igloo?
  • You have primary Lymphedema, so we really don’t know which products to recommend.  You’ll have to make do.
    • What is this? A game of I Spy?  Ok, now I’m really mad, LE.  But that’s ok! We shall see about that.

Pain – Truncal Lymphedema is PAINFUL

Types of pain I experience from having truncal lymphedema.

  • A sensation of my rib cage being squeezed or sharp, piercing pain
  • Heaviness in my back, like I am carrying a tool belt or fanny pack
  • Pins and needles along the left side of my back at random times

For relief I will stick a large Solaris SP-20 Tic-Tac  swell spot on my back underneath my compression camisole.  It really does help!


The Hunt for Truncal Compression

The First Day

I will never forget the first day I went on the hunt for “Shapewear”, and it was not pretty.  It took me three hours.  I went to Macy’s and pulled all kinds of stuff from the racks.  The salesladies ignored me completely.  I needed something temporary to wear during CDT until I could reduce.  Similar to trying to find shoes to wear with bandaged legs.  Picture trying on about 20 different kind of girdles. I ended up leaving with 2 things.

Looking back, I wish I would have taken a picture of myself.  After trying on so many “garments”, I was sweating and my hair looked like a bird’s nest.  There was a huge pile of different garments on the floor.  For comfort and “snug but not too snug”, I chose the Maidenform Flexee, only to find out the next week that I could have gotten on Amazon for 1/2 of the price.

Lymphedema Support Team

My Lymphedema Support Team consists of my online support group called the Lymphie Strong Inspiration Group and The Lymphedema Running & Fitness Club.  I have known some of the members for years now.  If I have a question, they are my go to resource. Whether you find one online or in-person, it’s important to find friends that understand first-hand what you are experiencing and are researching themselves on how to make improvements in living with this disease.

Rebuilding My Lymphedema Toolbox

Let me once again begin by saying this is MY personal toolbox.  There are no guarantees whatsoever expressed or implied as to whether or not it will work for you.  I have primary lymphedema and have had it a very long time. No medical advice is being rendered, so follow-up with your own doctor or therapist before making any changes. I’m not a doctor, no do I play one on TV.  I’m joking, but seriously this is the internet.  Use common sense on things you try to help manage your lymphedema.

Basic Tools

  • Proper sleep – No change. I still aim for 7 hours a night.
  • Proper hydration – No change. I still have the same water drinking goal.
  • Exercise in compression  & Exercise in water
  • Adherence to the Do’s & Don’ts of Lower Extremity Lymphedema – I think this goes without saying.
  • Awesome LE therapist – No change except 2 rounds CDT: Jan – April & Aug – Dec 2016

Self MLD

Stepped this up by adding tools to try to reach my back.

Massage Stick Roller

The one I have is a Gaiam Pressure Point Massager (Blue), and I use it to roll my back similar to these pictures below.  It provides much needed relief when I’m having a bad day. 😦

Dry Brushing

As I have stated before, I dry brush every single morning in the same manner I perform self mld. Begin by sweeping the collarbone area and then finishing with the rest of the body.  Ecotools bristle bath brush – You can find this at any drugstore or big box retailer.  It’s probably the cheapest thing you can buy for lymphedema management.  I kid you not.


Compression Garments 23/7

Ah, a Lymphie list is incomplete without a list of garments.

Solaris Tribute
  • Vest and full pants nighttime garment
  • YES, this is very hot to wear.
  • Yes, it’s very EXPENSIVE.
  • Yes, I fought my previous insurance for it with various appeals.
  • YES, there are other alternatives. You choose the one that works for your budget and insurance.
  • It keeps me reduced, so I made the sacrifice. Don’t judge me, and I won’t judge you.




Juzo Custom Thoracic Vest

Next is the custom Juzo Thoracic Compression Vest for daytime compression wear.  My doctor wrote a prescription for this.  I was measured and surprisingly it was approved without issue.  It did take 3 tries to get the fitting correct but well worth it.  The garment has a zipper and internal fish eye hooks.  Yes, once again it is hot and the fabric is thick.  The main thing is IT HOLDS me. I use it mainly for work.



JoviPak Bellisse Bra

Depending on what I wear to work, I might use this Lymphedema Bellisse Comfort Compressure bra.  My doctor actually suggested this.  I have 2 of them.


On days when it is super hot outside, I might opt for wearing the Wear Ease garment tank, which can be found at Wear Ease Compression Camisole. Again expensive, but they do have Flash sales from time to time.  Subscribe to their email list to get notifications.

For the gym, I am currently using the Bioflect® FIR Therapy Lymphedema Support Micromassage Compression Vest Tank Top , but it has been unavailable on Amazon for awhile now.  The material is similar to the Solidea type garments if you have ever tried those.  Another good one is SlimMe By MeMoi womens High impact sports Shaping Tank.  I’m always looking for good suggestions on gym wear, so please drop a comment below if you have any great suggestions.


Kinesiology Taping

If you haven’t tried to tap the power of Kinesiology Taping for Lymphedema, I highly suggest you do.  Be sure to ask your certified lymphedema therapist if they are certified in taping.  This is a huge tool for me, because I cannot reach my back.   Below you will find an example of my legs and back.  Google search “Kinesio tape for Lymphedema” and you will find all types of examples in the images.  There is also a book called Kinesio Taping for Lymphoedema and Chronic Swelling – Kinesio Taping Manual. I also have a self-made video on this blog.


Rebounding (mini trampoline)

Many people find a huge benefit from rebounding.  I have the following mini trampoline that I bought at Wal-Mart – Gold’s Gym Mini Trampoline.  Trampolines are like anything else.  They go from low end to high end.  Choose one that fits your budget.

Vibration Therapy

Vibration therapy is thought to be beneficial because the theory is that it “shakes the sludge” of your lymphatics.  I don’t understand all the science behind it, but I do know that I jump on the one at my gym every chance I get.  I stay on for about 30 seconds at a time.  Some therapists have one in their offices  and put patients on after MLD is done.  I tend to do it after I exercise.  Vibration platforms go from low end to high end in the thousands of dollars range.  Hard to say which is best.


Aqua Therapy

When my father was dying of cancer, the pool was my lifesaver.  I had very little time for self LE care during the summer of 2016.  Here are some sample videos.  You don’t have to be an Olympic swimmer!  Just jump in, have fun, and do your thing.

 Diet Modifications

I am currently experimenting with diet modifications by using the ketogenic diet.  You can find more information in the Lymphedema and the Classic Ketogenic Lifestyle group on Facebook.  Here are a couple of books I use as references.




Now here I am, 15 months later. So far I have survived.  Will I ever be naturally thin again? Probably not.  I know I have to battle swelling in my trunk and legs until a cure is found.

Thank you for sharing the journey and learning curve with me. One day at a time.  Don’t foget to #movethatlymph ❤


Lymphie Strong KT Taping for Lymphedema 

My homemade KT tape video, and my voice is sleepy and tired. It’s the first time I’ve gone public with this video outside of my own closed group. This was originally recorded on June 14, 2016 in the middle of the night. I couldn’t sleep, as I was several weeks into caring for my Lymphie Dad who was battling metastatic adenocarcinoma at the time. He subsequently passed away on June 29. 

I was just reduced from stage 1 the previous year and wearing my daytime garments but caring for him 24/7 and totally off my routine. Things were outside of my control like being 125 miles away from my house & gym (pool time), sleeping on the couch every night, had not had a full nights sleep. Diet wise away from my kitchen and normal groceries. Lots of fast food or casseroles and such that family had brought over in the essence of time or as a well meaning gesture. Most of my Lymphedema toolbox was at home. Not to mention my emotional state. 

It was hot!! South Texas in the middle of summer with my Dad saying he was freezing all the time. Temp was 78F in the house, and I was sweating profusely in trunk and full compression 30-40 mmhg pantyhose for both legs. I don’t have a pump either. The 5 inches I reduced off my trunk came back with a vengeance. I started to swell back up and experiencing that familiar pain like a bad EX trying to come back into my life. I asked my husband to bring my KT tape. 

All of the above affect Lymphedema- sleep, diet/food, heat, lack of exercise, lack of time to do self MLD and self care, STRESS, etc. 

Life happens. We are not always in the ideal environment, but we have to do what we have to do. I would do it all over again infinite times in less than a heartbeat. I loved my Dad so much and miss him terribly. He was my Lymphedema coach besides my father. ❤

Sorry for the long post but felt I needed to explain the background. 

Uses: I use it on my legs to help me mainly with my runs when I’m going to do a 5K. It has been a Godsend for my back and critical to my truncal LE management. Usually leave it on for about 5 days and just trim the edges as they start to peel. It’s rare that I’m without compression, so yes I use it underneath compression. 

Disclaimer: This is my own personal way of taping. It’s not in any book or YouTube. I’m just a LE patient just like everyone else. I don’t claim to be an expert and definitely not a medical professional. It’s just what I feel works for me after months of trial and error. I’ll probably keep tweaking as I do more trial and error or try different tape brands. It’s just another tool in my LE toolbox. 😁😁

Consult your certified taping and/or Lymphedema therapist for more questions for your individual needs. 

Here’s the You Tube link – 

Happy New Year 2017! 

“I’m not THAT bad…” – Importance of managing mild Lymphedema and avoiding living with regret

This page is not just about hope, inspiration and taking action, it’s about preventing (as much as possible) the advancement of LE too. The flip side of the story.
This picture is from Oct 2007. The day I went bilateral. 😪 Literally within hours of stepping off an 8 hour direct flight from Houston to Honolulu my left leg began to puff up. You can see my original right LE leg with NO compression. I was in shock and DENIAL that I had LE and now that it had spread. My father always pleaded with me to wear my compression in the original right leg and wear sensible shoes with laces. I complied in winter when it could be hidden but not in summer. ☹️ Certainly not on an island like Hawaii. 🌴🌺

My excuses to my Dad –

1) I’m not THAT bad. I don’t really have LE, not like you. It’s just a little swelling compared to yours.

⭐️ I didn’t realize Dad was once mild too. Shame on me. 🤔😔

2) I’m a woman, you’re a man. 💃🏻💃🏻 You always wear pants and no one questions it. I want to wear skirts and shorts like other young women my age. I was 33 here but had had LE since 20. I don’t know any young people with LE my age! You’re old.

⭐Typical childish response to a parent.  Little did I know Dad had worn shorts fishing and swimming with his friends and brothers and had been made fun of too. That his brothers had defended him, because my grandpa had had it too. They too knew he was mild compared to my grandpa. See that cycle?
3) It is #%^*^ hot! Dad, how can you stand to wear full compression under jeans in this heat??? 😧😢😥😖😫😩
⭐️Dad was a welder by profession and worked outside in the Texas sun day in and day out. Never complained.
I will live to the day I die with the regret of NOT wearing my compression full -time when he told me to in those early years, and I have no one to blame but myself. I take full responsibility. As part of that responsibility, I am now encouraging everyone that is mild to share their compression and fashion advice.

I will never know if I had been wearing compression properly on that flight, had the outcome been any different. However, at least I could have looked back and said “I did everything I could and LE won” instead of “I wish I had at least tried.” 😢

Regret is very tough to live with, and I had to learn to forgive myself and move forward with that on my own. I can only share my story. If you are mild, wear your compression if you have it. And yes, always always always feel safe and free to post your success too. ❤️

As always, I’m wishing you great lymphatic health and hope that you are pain free. 💙


Compression Meme 😂

Beyond how I maintain reduction, the other question I am most frequently asked is, “What kind of compression are you wearing?”  Back in the first week of August, I shared something that happened to me at the gym with some friends. Today I thought it would be the perfect intro to this blog post about compression.

As most of you know, right around this time is when I got involved in Hydro Fitness as a regular part of my schedule 2x a week.  One particular evening, I decided to ditch a nutrition class when nobody showed and instead went to the water class held in the outdoor pool. We all know the profound effects of water on the lymphatic system. It is a natural form of compression. Hence, my enthusiasm for joining the class.

Read More

The Tights Lady

Lymphedema Management Mini Starter Pack

Lymphedema Management Mini Starter Pack

These tips were originally published in the Lymphedema Management Starter Pack.  However, to cut right to the chase, I have split the two blog posts to make it easier to read.

Start with the basics and do this until you can get to a Certified Lymphedema Therapist.  The good news is you will be somewhat ahead of the education process, which is great.  The tips are not expensive at all.

Read More

Stay Lymphie Strong: Do’s and Don’ts

Stay Lymphie Strong Shoes in Grass

The biggest questions I now receive is “How do you maintain reduction?  What are your Do’s and Don’ts?”

When you become a patient of a Certified Lymphedema Therapist (CLT), one of the first things they hand you, or should (EMPHASIS ON SHOULD) is a few handouts of the Do’s and Don’ts for lifelong Lymphedema Management.  In my case, it was for the lower extremity.

For me, maintaining the reduction of Lymphedema swelling is comprised of adherence to these basic principles combined with a little common sense and listening to your own unique body.  In other words, it’s a mixed approach and it’s very personal and individualized.  I see you rolling your eyes. Just bear with me.

What works for one person may not work for another, due to innumerous factors.  Anything from LE severity, stage, age, weight, or other general health conditions.  What matters most is consistency and tenacity.  It took me six whole months to fit into shoes.  That’s roughly 180 days!  Do you know how many times I wanted to quit?  How many times I had a few choice words for my compression and MLD and the whole caboodle? Countless!

Take your routine very seriously and do what works for you based on your doctor’s advice. Never do anything without consulting your doctor.  My endocrine doctor has been my doctor for almost 20 years.  I have absolutely no idea what I am going to do if he ever decides to retire.  I will probably freak out.

I’ll be completely candid.  The leaflet packet I was handed was about 10 pages or more.  I groaned when I heard, “Here’s your homework. Read it and commit it to memory.”  As I briefly scanned the pages, all that was highlighted in my mind was “Don’t do this and don’t do that.”

Here is where I make a sing-song whiney voice like a 5 year-old.  Don’t sit too long. Don’t stand too long.  Don’t cross your legs. Don’t dangle your legs off a chair.  Don’t sit in the sun. Don’t use saunas or hot tubs. Don’t ice or heat your legs. Don’t gain weight. Don’t get bit by bugs. Don’t go barefoot. Don’t get cut.  Don’t eat sodium. Don’t, don’t, don’t…….

I drove home thinking, “Well, what can I do?  I can barely drive with these huge bandages on my legs in these awkward post-op shoes.  Just wrap me in bubble wrap now!”

Weeks later it came down to the inevitable.  I was discharged from CDT, and on my own with Lymphedema. Yes, time to sink or swim.  I knew that if I didn’t comply I was going to end up right back at square one.  I wanted the score to be, Veronica 1 Lymphedema 0.

Finding the right Lymphedema Products

Two game changers happened for me right about the time I was discharged.  I found compression that I liked and fit me correctly, and I found a nighttime compression garment which replaced having to wrap at night for bedtime.  I cried on the floor when I heard I needed nighttime compression, which meant Compression 23/7. Don’t worry, I waited until I was home alone.  I can’t stand socks! My therapist put me in touch with the right products that fit my needs and my budget.

Finding The Lymphedema Guru

I found the Lymphedema Guru by accident on social media, and quickly became a huge fan of Joachim E. Zuther’s work at which lists the Do’s and Don’ts for Lymphedema of the Leg in a clear, concise manner.  At least to me, it was finally something I could save on my phone and reference quickly when needed!

Finding the Connection between Inflammation and Weight Gain

Last year I worked with a registered dietitian to initially help me with meal planning.  All I really wanted was some help getting started. Instead she gave me the biggest lesson of my life.  After I told her all my health problems, she said all of your conditions have one thing in common: Inflammation. She recommended a food sensitivity test.

At my heaviest in 2013

At my heaviest in 2013

My test results were as follows: Bay Leaf, Pinto Bean, Cauliflower, Cocoa, Cinnamon, Egg White, Egg Yolk, Gluten, Grapefruit, Black Pepper, Safflower, Black Tea, Tomato, Turkey, Watermelon, Wheat, and Yeast, Bakers & Brewers. I don’t break out in hives, but I do feel remarkably better when I avoid these foods. Each person’s test results are unique to that individual.  After the fact, I found out that this test is very controversial. All I know is it helped me!  I have dropped 35 lbs to date.  You can always do a food diary and record your swelling responses to food.  This is an interesting article on the Weight Gain Inflammation Connection.


September 23, 2015

Stay Lymphie Strong Do’s

As humans we tend to fall into routines. Armed with my new products and my lists, I clapped my hands together and rubbed them together, ready to take on the new challenge.

  • Mornings consist of removing the nighttime compression garment first thing.  I still have trouble with walking. It feels like I am walking on shattered glass or pins and needles, so I take it slow.  I stretch out my legs and quickly do the LE exercises.  Toe stretches, ankle point and flex, ankles left to right, ankle rolls, and knees to chest – all 3 sets of 10.
  • Olympic action into compression stockings is next.  If you have ever had to put them on, you know what I’m talking about.
  • Breakfast, lunch, and dinner normally consists of something not on my Foods to Avoid list.  I pair a protein with a carbohydrate.  No egg whites or egg yolks, and no wheat toast for breakfast.  Usually a plant-based protein shake that is dairy and gluten-free is my breakfast or snack.  Almond milk is my friend.  Yes, I sound like a health food junkie or foodie snob.  (And yes, I’d much rather have breakfast tacos or French toast!) So what. It’s my legs, not anybody else’s.  I buy my food at the local supermarket, not any specialty grocery store. In the beginning I did, but decided it was a waste of money.  I still go back for some specific things I like.  This past August I added a greens protein smoothie from my gym café that has turmeric and bromelain in it.  I love it!  I usually meal prep on Sundays, which often includes making mason jar salads for myself to have them ready to go for the week.
  • Water is very important. I’m always drinking water.  Sometimes I make infused waters with different fruits just to change it up.  One thing I’m finding tough to give up is coffee.  Need my daily latte. Sigh. I’m working on it.
  • Ginger and peppermint teas are stockpiled.
  • Skin care is a daily routine. I check my skin for cuts or breaks all over, not just the legs. I even check my gums. Dental care is very important. An infection can come from anywhere.  Used to be faithful to a lotion product recommended for LE for years.  After doing research, I decided to switch to coconut oil as moisturizer for my skin.  I also switched to aluminum free deodorant.  All of this was cleared by my doctor first. It seems to be helping, because I had a swollen armpit and now that has even reduced.
  • Speaking of dental care, I get antibiotics every time I get my teeth cleaned or have any dental work done. My Dad swears by this.
  • Wear compression every day. Yes, I wear it faithfully, and so does my Dad.  Even in 110 F Texas heat and especially while exercising. Again, no going back to square one.
  • My weekly exercise routine is 30 min jog/walk followed by 30 minutes upper strength training 3x a week.  I also do Hydro Training in the pool 2x a week with water weights and wearing water shoes.  This is not water aerobics.  It is more like aqua boot camp.  I pee like crazy after water exercise.  It really does detoxify your lymph system.  I’m not a swimsuit model, but I don’t care! Virtually everyone in the class has some sort of issue, whether it’s a bad back, bad knees, or whatever.  Hey, I have bad lymph vessels. Note: This routine was gradually built up over time. Listen to your body and take precautions.

Stay Lymphie Strong Trail

  • I use Lymphedema gadgets like a leg elevator pillow and a durable medical footrest.  These things make LE life easier.  Wish list – one of those divided electric beds that elevate your head or feet.  Santa please! I’m green with envy.
  • I’m very picky about where I sit. No legs dangling where the lymph node behind my knee will be crushed. Elevate, elevate, elevate. Yes, it’s rude to put your feet up on furniture, especially in public.  I do it anyway.  If it’s you or my legs, my legs will win. Sorry!
  • Sleep is important to me.  Sometimes it’s hard because I get a burning feeling in my legs that has been discussed in some LE forums.  Not sure what to make of it, but I do get sleep.  DO NOT DISTURB.
  • I am striving towards my ideal weight.
  • Last, but not least, I do Manual Lymphatic Drainage (MLD) every single day. No exceptions.  Sometimes it’s the way I was taught by my therapist, sometimes dry brushing, sometimes You Tube videos.  I do it differently to break up the monotony of having to do it.

Stay Lymphie Strong Don’ts

  • I avoid mosquitoes like the plague, which means I don’t spend much time outside.  I’m okay when the mosquitoes die, and we head into fall and winter seasons. I love temps in the 70’s.  My family will say I’m antisocial until I show them the huge welts from the bites, even through compression garments.  I’m scared of cellulitis. Nobody else will get bit but me.  Lately coconut oil has been helping, but I don’t know if that’s purely a placebo effect.  I know I’m not dousing myself with insect repellant as much as I used to.
  • I avoid pets.  My one and only case of cellulitis was from a cat scratch, and I was traumatized for life.  I don’t want 104 fever and four days in the hospital again.  Fur babies are lovely and wonderful.  We have a dog, but my husband and son are responsible for her.
  • I avoid heat in all forms. No hot showers, baths, saunas, hot tubs, or direct sunlight.  Heat is very bad for Lymphedema.  Sometimes I take an Epsom salt lavender bath after a workout.  I pour it in and let it dissolve. When the water is already cooled down, I get in.  At the beach, I wear an old pair of compression in the sand. If I get in the water, I take them off and put on quality water shoes to avoid cuts from seashells or potential glass.  You never know.
  • I avoid long road trips.  If I have to take them, I stop to exercise my legs, or I exercise while seated by doing ankle rolls, etc.  For air travel, I wear extra compression on the flight.  I actually wear my nighttime compression garment.  I don’t care about the stares, and I even request medical pre-boarding to boot!
  • I try not to stress.  Stress has been reduced in my life big time.  If I get worked up over something, it will only cause swelling.  Stress releases cortisol in your body which can cause inflammation. I make a point to read, pray, meditate, talk with a friend, pray with a friend, vent, watch a funny movie, or just walk away. It’s just not worth it.
  • I don’t sit very long.  I setup alarms on my phone to remind me to get up and walk around to avoid sitting too long.  If I am attending a work conference, I get up to stand in the back. Most people assume it’s back problems. I don’t offer information.  I use a headset for conference calls to walk around while I’m talking.
  • I avoid alcohol and second-hand smoking environments.  I don’t personally smoke cigarettes.


September 28, 2015

September 28, 2015

See before picture here.  My legs were swollen up to both knees on both legs at that point. Now I can see my bones and even some shin muscles.

Only Human

All this being said, that is my general LE routine. Yes, I do have the occasional beer or cocktail. I love Mexican food.  Yes, I may say screw gluten-free pizza and give me a slice of the real stuff.  I might go to a wedding, graduation, or birthday party and have cake and Texas BBQ and enjoy myself.  These things are done very seldom.  However, I know I will pay dearly the next day.  While it may not be noticeable to others, I will feel the skin tightening and the paresthesia (tingling pins and needles feeling) up and down my legs.  Sometimes it’s a shooting pain.  I might feel completely drained.  Then I’m stuck on the leg elevator pillow, which is time out for being bad.


In conclusion, it is my sincere hope that you have found at least some of this information useful.  Remember, this is not medical advice. It is not a cure. I am not cured and manage every single day. The key to your individual maintenance success is up to you, the individual. Your body is yours, and only you can say with 100% certainty what works and what does not work for you personally in terms of Lymphedema management.  Gather information and research from as many sources as possible and make your own decisions.

Before I close, I would like to thank my husband and my son for putting up with all of the LE Do’s and Don’ts that I have personally crafted for myself.  It affects them too, and I’m sincerely appreciative for all of their love and support.

I will be touching base with my Dad in the next few weeks, and I am hoping to interview him via video. This way we can have a male perspective, and obviously he’s had LE twice as long as me.  He may take me to school on a few things.  Ha!

Stay tuned and Stay Lymphie Strong!


Making Peace with Lymphedema

Stay Lymphie Strong Thoughts


Really, I think Lymphedema is like dealing with any devastating news, especially a degenerative illness.

You go through the 7 stages of grief:

  1. shock and denial
  2. pain and guilt
  3. anger and bargaining
  4. depression
  5. the turn around
  6. reconstruction
  7. acceptance

Make peace with it and strive for the acceptance phase.

Lymphedema is as damaging psychologically as it is physically.  Or it can be.  Sooner of later you realize you either let it take you or you fight back with all your prayers, faith, power, and might.



Let’s talk about coping with Lymphedema.  Whether you are primary or secondary, the one thing that goes through everyone’s mind is “How am I going to live with this for the rest of my life?”  You just did an internet search and are horrified.

What do you mean it’s incurable?

Why didn’t anybody tell me?

If you have had it for awhile, you think about the stares and the comments.

Common comments I have heard:

“Oh, you’re just lazy.”  “You look normal to me.”  “You’re faking it.”  “You just need to lose weight.”  “It’s all in your head.”  “It’s just a little swelling, no big deal.” “Why are you wearing that stocking or sleeve in this heat?”  “Does it hurt?” “Did you know your legs are swollen?”  “God is punishing you for something.”  “Why don’t you amputate your legs?”

Hmmm.. Really?  I mean, seriously, really?  This is just the tip of the iceberg.  Opinions are like you know what, and everybody has one on how to solve your Lymphedema.  You might lose friends and family over these comments.  I say, “Good Riddance!”

I think it was partly due to these comments that I spent a lot of time dwelling in stages 1-4 of my grief process.  Grief over what I was told I could no longer do.  Grief over feeling disfigured.  Losing things that I loved to do like travel and dance.  Who wants to live with constraints?  Nobody!

Toxicity has no place in your life.  It is already pooling in your lymphatic system physically.  Fatigue is a symptom of Lymphedema because our immune systems are constantly turned on and fighting the swelling.  Why allow psychological toxicity in your life? It’s easier said than done, but hold your head high.  You are part of a community that is 10 million people strong.  They understand what you are going through, even if your neighbor doesn’t.  Check that, even if your own family doesn’t.

The best advice I can give anyone newly diagnosed with Lymphedema is to make peace with it as soon as you can.  Strive for the acceptance phase in the grief process.  Sooner or later you realize you can either let it take you or you fight back with all your prayers, faith, power, and might.

Stay Lymphie Strong!


Lymphedema Management Starter Pack

Hello there.  It’s me, Veronica.  If you are new to Lymphedema and need some advice on how to get started with treatment and the goal to reduce, this article is for you.  I have promised some of you that I would create an idea that I had for a starter pack.

Well, here’s my take on it.


If you have come to this page, you are probably thinking to yourself, “I’m in pain. I feel like my skin is going to pop. I feel tired and achy, and I just want this all to go away.  I want life the way it was before this all happened.”  Yes, me too.  Don’t we all.  It’s true. That’s exactly how it feels.  The most common question I see is “Now what do I do?  Please someone help me.”

This is where the Lymphedema Starter Pack comes into play to help you Stay Lymphie Strong.  The following tips are what you need to know to jumpstart your reduction.

LE Transformation

Let’s talk alphabet soup.  CDT, MLD, CLT – what does this all mean???  Think of it as the Lymphie lingo or code for REDUCTION and successful management so you can get on with your life and do the things you need to get done.

  • CDT (Complete Decongestive Therapy) with a certified Lymphedema therapist (CLT) needs to start ASAP.
    • Ask your doctor to make a referral to either a standalone clinic or hospital.  You local cancer hospital will more than likely have staff dedicated to Lymphedema treatment.  Do not delay. Do not take no for an answer.
    • Appointments get  booked up fast.  Ask them what their specific requirements are for a referral. Sometimes the wording has to be correct.
    • What is CDT? Complete Decongestive Therapy is a treatment performed by a highly trained certified therapist using short stretch bandages on the affected Lymphedema limb.  There are many layers involved. You typically have a sock layer, a foam layer, and bandage layers.  These bandages exert what is known as working pressure against your body to push fluid up and out of your body.
    • Exercise in bandages during CDT. No matter how slow you go. If you can’t do a 20 minute walk, make a goal to walk to the bathroom 5x a day. Setup an alarm on your computer to remind you to get up and walk down the hallway and back.
    • CDT lasts anywhere from 6-8 weeks depending on your LE stage. Yes, don’t be shocked.
    • While you are wearing bandages you can do specific exercises.  Here’s a cute video.
    • Bandages will get loose and fall down.  This is normal, and it means that the process is working. Don’t freak out! It happens to all of us.


  • Learning self MLD (manual lymphatic drainage)
    • Manual Lymphatic Drainage is a series of light strokes used against the skin to stimulate the lymph nodes to help transport fluid.  It must be done in a specific order in order to avoid one part from being overloaded. Think of LE as a traffic jam in your body. Your therapist should educate you on this process.  This is the best thing you can learn in managing your Lymphedema for the rest of your life!  Do not get discharged without feeling confident on how to do this on your own or have a caregiver do it for you.
    • Ask questions or request to video the sessions so that you can commit the sequence to long term memory.
  • Compression Compliance
    • Once you complete CDT Phase 1, your therapist will talk to you about your compression options for Phase 2.
    • Options may include the following:
    • Your compression options are totally up to you. There is no right or wrong way.  It may depend on your budget and what your insurance approves. Doesn’t matter which one you pick, just stick with it!!
    • Yes, it will be horrible in the summer.  Too bad.  Heat affects Lymphedema, and you will swell more without them.
    • Don’t buy compression before your CDT is completed. If you buy them too soon, they’ll just fall down. Waste of money.
  • Diet by eliminating foods that cause inflammation/food sensitivity
    • The cheapest way to do this is to create an account My Fitness Pal and start journaling every single thing you eat. Make notes on whether they help your swelling or hurt your swelling.  If it hurts your swelling, put them on the “Foods to Avoid” list.  EVERYONE IS DIFFERENT! Our food sensitivities are as unique as our DNA. Some people can have bread and others pay the price for that bread basket at their favorite restaurant.
  • Exercise every day at least 30 minutes (water is best)
    • You don’t have to have a gym membership. Walk up and down your hallway.  Pick up a can of soup and do bicep and triceps exercises. Find an exercise DVD that you like.
    • If you have a gym membership, GREAT! Use it.
    • If they have a pool, jump in there and start walking. Don’t worry about the stares or comments. I grabbed a swimming lane when I first started. All I did was walk back and forth.
    • Start out slow and build as you get stronger.  Remember to stretch before and after.
  • Wearing compression during exercise except in water
    • If you exercise without compression, the good lymph vessels in your body will take on the load of the bad or missing vessels. Over time they will fail too like a bad chain reaction.  Do not do this disservice to yourself!!  Speaking from personal experience here.
  • Proper 7-8 hours sleep
    • Sleeping 7 or more hours a day allows your body to release hormones that repair damage and inflammation. Take advantage of your body’s own natural defense mechanism and get a good night’s sleep.
  • Proper hydration
    • Our entire body is made up of water. Every single cell uses water.  That lymph fluid has to go somewhere and that is usually out through your kidneys. The general rule of thumb is to drink 1/2 your body weight in ounces. (100 lbs = 50 oz)
    • Check with your doctor if you have concerns about the correct amount.
  • Strive towards or maintain ideal weight
    • I know. I know. Like you need yet another person telling you to drop weight. Don’t shoot the messenger, but it’s true.  Try your best to drop the weight. I am personally struggling due to an endocrine issue I have. However, this is really important. The food diary and water consumption plus exercise should help in this area.

You might say all of this is fine and dandy, but I don’t have insurance or my appointment is next month. I can’t wait that long!!

I hear you loud and clear.

Lymphedema Management Mini Starter Pack

Start with the basics and do this until you get to a therapist.  The good news is you will be somewhat ahead of the education process, which is great. 

  • Self MLD am and pm using your hands or a dry boar bristle brush (available at any drugstore). 
    • There are tons of MLD videos online.  My personal favorite are the ones on You Tube by Massage by Heather. Again, personal preference. I do this in addition to the mld my therapist taught me. It helps break up the monotony of doing it.
    • This video is the best explanation of how dry brushing can help as a tool in your arsenal against Lymphedema, in my humble opinion. 
  • After doing MLD, meditate for 5 minutes. Listen to soft music, pray, or do whatever it is that calms you. Light a scented candle or just relax.
  • Keep a food diary by creating an account on and start tracking everything you eat. In the notes section of the diary, comment on how it made your swelling go up or down. If it went up, put it on your Foods To Avoid list.
  • Drink water and record you water intake on the My Fitness Pal account too.
    • You can add cucumbers, strawberries, and fresh mint to a pitcher of it. Other great pairings are pineapple slices with blueberries, even lemon slices and grapefruit. Search Pinterest for infused water ideas.
  • Eliminate processed foods – no donuts, bread, desserts, cookies, chips, etc. and avoid alcohol, avoid fast food drive-thrus
  • Call a local cancer hospital. Ask for the patient care coordinator or liaison in the Administration dept. Setup an appointment to discuss how to apply for sessions with a certified LE therapist based on need.
    Take documents that show why you need it. They might not be able to help, but it’s worth trying.
  • Reduce stress in your life – Stress naturally releases cortisol in your body, which causes more inflammation if unused. Don’t let go of hobbies or activities that make you happy.
  • Get some sleep – The human body needs 7-8 hours to restore and heal overnight. Hormones are released during sleep that repair inflammation.

I am just a patient trying to Stay Lymphie Strong just like everybody else, and while I have reduced I do have to maintain every single day.  I hope you have found this information to be helpful as a cheat sheet for what you need to get going.  I wish I had had it when I first got started.

Please discuss all treatment plans and strategies with your healthcare professional.

Remember, Stay Lymphie Strong!