Karen L. Herbst, Ph.D., M.D.

Dr. Karen L. Herbst


Dr. Herbst was voted as one of San Diego’s top doctors in 2009



Although an Endocrinologist by training, I have always been interested in fat  - why do daughters have fat just where their mothers do, and why do men develop large abdomens and skinny arms and legs as they age. While training in the lipid clinic at the University of Washington in Seattle, I was introduced to patients with familial partial lipodystrophy and Madelung’s disease (multiple symmetric lipomatosis; MSL). I was fortunate to work with one patient with MSL in Los Angeles and have come to know more as I continue working in San Diego. While conversing with the owner of the “About Madelung’s Disease” website, she told me to look into Dercum’s disease (adiposis dolorosa; AD). Since that time, I have seen many people with AD, familial multiple lipomatosis (FML) and Madelung’s disease from all over the world.  While much research remains unpublished, I want to share my understanding of these disorders and provide suggestions for treatment so that you and your healthcare provider can help you live a better life.

If you would like to see Dr. Herbst in her clinic at UCSD South Clinic on Front street please call 619-543-6303 (practice accepts insurance).  If you would like to see Dr. Herbst at the Center for Advanced Medicine, 4403 Manchester Avenue  in Encinitas, California (cash pay only; super-bill provided for your insurance), please call (760) 632-9042 . If you are a Veteran, please contact Dr. Herbst directly at 858-552-8585 x7384. If you are unable to journey to San Diego and would like to consult by phone with Dr. Herbst, please call 858-484-2543 and leave a message or e-mail Dr. Herbst at kaherbst@gmail.com. Once you have established a time and fee schedule, please pay using the PayPal button. Standard fees apply for consultation services.

I wish you health and pain-free days.

Sincerely, Karen Herbst

UCSD Clinic—Hillcrest Medical Offices South:

4168 Front Street, San Diego, CA, 92103

Research Office—VASDHS:

3350 La Jolla Village Drive (111G)San Diego, CA, 92161

To contact us:

Phone: 858-552-8585 x7384

Fax: 858-642-6242

E-mail: karen.herbst@va.gov

Payment for Services