Obesity

Clinical Guidelines for the Diagnosis and Management of Generalized and Partial Lipodystrophies: A Position Statement Endorsed by the Hellenic Endocrine Society

Endocr PractPublished Position statement

Methodological detailstargeted literature review, expert consensus, 2 multidisciplinary panels, Literature search of PubMed, MEDLINE, Scopus and Google Scholar from inception through October 2024, Expert consensus from 2 multidisciplinary panels convened by the Hellenic Endocrine Society in 2024-2025
  • Targeted literature review
  • Expert consensus
  • 2 multidisciplinary panels
  • Literature search of PubMed, MEDLINE, Scopus and Google Scholar from inception through October 2024
  • Expert consensus from 2 multidisciplinary panels convened by the Hellenic Endocrine Society in 2024-2025

Recommendations

As issued by the authors

  1. Early recognition relies on careful assessment of fat distribution, metabolic abnormalities, and selected use of imaging and genetic testing

  2. Multidisciplinary management: lifestyle interventions, pharmacologic treatment of diabetes, dyslipidemia and liver disease, and metreleptin in eligible patients

  3. Adjunctive GLP-1 RA and SGLT2i may offer additional metabolic benefit in selected cases

  4. Psychosocial support is essential due to the high burden of psychological distress and stigma

Original publication

Clinical Guidelines for the Diagnosis and Management of Generalized and Partial Lipodystrophies: A Position Statement Endorsed by the Hellenic Endocrine Society. Endocr Pract. Published 17 February 2026. doi:10.1016/j.eprac.2026.02.014

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