... consistent with a chronic pain syndrome, and bilateral frozenshoulders. The patient has a strong family history forearly coronary heart disease: her father had a myocardialinfarction (MI) in his early 60s, ... resistance, increased visceralobesity and increased cardiovascular risk, is common in patients with lipodystrophy [2]. Lipodystrophy mutationsmay have a direct impact on pathways of insulin resistanceand ... medications included 120 units of insulin daily,amlodipine, valsartan, hydrochlorothiazide, rosuvastatin,ezetimibe, metformin, enteric coated acetylsalicylic acid(ASA), rabeprazole, amitriptyline,...