People with angiolipomas should be worked up for Cowden’s disease where a mutation in the gene PTEN increases their risk for thyroid and breast cancer. Endocrinologists and primary care providers alike will encounter these conditions and should consider their occurrence during workup for bariatric surgery or hypothyroidism (lipedema) and in those that manifest, or are referred for, dyslipidemia or diabetes (Dercum disease).

In the management of obesity, healthcare providers should be aware of this difficulty and be able to provide appropriate counseling and care of these conditions. The fat in adipofascial disorders is difficult to lose by standard weight loss approaches, including lifestyle (diet, exercise), pharmacologic therapy, and even bariatric surgery, due in part to tissue fibrosis. The adipofascia diseases discussed in this chapter can be localized or generalized and include a common disorder primarily affecting women, lipedema, and four rare diseases, familial multiple lipomatosis, angiolipomatosis, Dercum disease, and multiple symmetric lipomatosis. Note: Bigger file sizes.Subcutaneous adipose tissue diseases involving adipose tissue and its fascia, also known as adipofascial disorders, represent variations in the spectrum of obesity. Visual changes: All sliders (opacity, hue, etc.) available for all makeup.

Technically different: Textures changed to LRLE. Visual changes: My Moony eyes now override all eye swatches, and my Crybaby eyes are finally available as defaults, too. Technically different: Textures have been re-exported and re-imported using the new LRLE format. Note: I don’t think the game will recognize any of them (except maybe Serena) as the same file, so if your sim already uses one of my body presets, it will have to be re-applied. The thumbnails are more clear & generally they just look and work better. Presets that are made with Sculpts can get “stuck” on the sim after you’ve applied it once, but this bug is now gone. Visual changes: You can now change freely between all of my body presets. Presets’ slider values have been adjusted. Thumbnails have been re-made using these beautiful mannequins by WMS. Technically different: Body presets were re-made using Modifiers rather than Sculpts. Visual changes: All my updated skins & skin details look much smoother and higher quality.

Technically different: Before, CAS textures were created as compressed DDS (RLE2), while now the game & Sims4Studio has switched to uncompressed DDS (LRLE). ✿ All CC linked in this post is 100% free and ad-free ✿ Hello! This turned into a bit of a project, but it was worth it! ( ^ヮ^ )۶ In short, I’ve updated skins to be more HQ and makeup to work with the new sliders, as well as made some dependent files standalone & improved all body presets. Updates & improvements ~ Skins, body presets, eyes & makeup sliders

Sims 3 realistic skins celulite