Jacqui Beutel Asks Margaret Diefenbach, EP: When Movement Feels Impossible

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Struggling with pain, fatigue, or the thought of squeezing into gym gear? Learn how an exercise physiologist supports women with lipoedema to move safely—without shame, pressure, or unrealistic goals.

"I don’t even know what to wear to the gym—let alone how to move without pain."
If you’ve ever felt embarrassed, frustrated, or defeated by traditional fitness spaces… this episode is for you.

In this honest conversation, I ask Exercise Physiologist Margaret Diefenbach what it really takes to help women with lipoedema start moving again—safely, gently, and with support.

We talk about:

• Why fitness culture often fails women with chronic conditions
• How EPs differ from PTs or physios in complex care
• Adapting movement for pain, fatigue, or uneven weight
• The emotional barriers—like shame, body image, or fear—that keep so many from starting

You deserve to move in a way that supports—not punishes—your body.
Tune in now and feel seen, supported, and empowered to take the first step.

1. What does an exercise physiologist do differently compared to a personal trainer or physio — especially for chronic conditions like lipoedema?
2. Can you walk us through what an initial session might look like for someone with lipoedema who hasn’t moved in a long time?
3. How do you tailor exercise for someone with chronic pain, fatigue, or uneven weight distribution?
4. Can you explain why traditional gym workouts might actually be harmful — or demotivating — for someone with lipoedema?
5. Many people with lipoedema feel like their body is working against them. What do you say to someone who feels defeated or ashamed to move?
6. How can movement actually help manage pain, swelling, or inflammation in these conditions?