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It could be due to dependent edema of the limbs.If the pitting lasts for only a few seconds , you need not be concerned,keep the feet elevate while lying down.If it's long standing,do a CBC, renal,lft , urine analysis and consult a physician in your area.

Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

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It's dependent edema, you sit with leg on chair not hanging. At night use three pillows under leg. Other Thyroid Anemia Hypo protein Bp Nothing serious in your case.

Hi there There are various reasons for pitting /pedal edema . sometimes it may be physiological In case of Pregnancy ,high BMI individual, too much sitting or standing in same position.pathological reasons include different etiologies like renal , cardiac, thyroid , drug induced, low protein etc .Few investigations are to be done . B/f- CBC , Thyroid profile, Urea-creatinine, uric acid ,LFT, urine RE/ME (If done within the last 3 months , you can share ) Some other information might be helpful 1-Time your skin  takes to recoil back . 2. Is there any pain or not ? 3. Are you taking any medicine as of lately? . 4.Does your work/exercise includes lots of standing/sitting in same position ? 5. Did it happen suddenly or over the time ?. 6. Your vitals , BP, pulse

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Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Do connect and consult

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Get thyroid profile done and have a follow up.

**Response:**  **Answer:**  The **localized pitting** near your shin bone (without visible edema) could arise from:  1. **Mild fluid retention** due to prolonged sitting or pressure.  2. **Early venous insufficiency** (though uncommon without swelling).  3. **Localized trauma** from weight training (muscle compression).  Given your **BMI 32**, **fatty liver history**, and **HbA1c improvement (5.1%)**, metabolic factors are unlikely culprits.  **Next Steps:**  - **Monitor for progression**: Check if pitting spreads to other areas or worsens with time.  - **Leg elevation + compression socks** (if sedentary for long hours).  - **Hydration + electrolyte balance**: Excessive sweating during workouts may need adjustment.  **When to Worry?**  ❗ If pitting becomes widespread, painful, or is accompanied by:  - Swelling in ankles/feet.  - Skin discoloration/heaviness in legs.  **Consultation:**  For a **detailed vascular or metabolic assessment**, connect with me on **WhatsApp at eight zero zero nine eight two one three three two**. Let’s rule out subtle circulatory issues early

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You should visit a physician for proper physical examination and treatment

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