Painful obesity disease mainly manifests as painful nodules or fat masses on top of obesity. Painful obesity is a rare autonomic nervous system disorder of unknown etiology, manifesting as an abnormal accumulation of subcutaneous fat in certain areas of the trunk and accompanied by spontaneous pain in that area. The disease was first described by Dercum (1892) and is therefore also known as Dercum’s disease. What are the dietary considerations for obesity with painful nodules or fat masses? Patients should eat more foods containing lutein-like pigments; more foods rich in vitamin C; more foods rich in selenium; more tea, mainly green tea; more foods containing more zinc; no spicy and stimulating foods; no fried foods; no alcohol; no greasy foods. Desirable food Carrot puree: rich in carotene, which is good for both eye diseases. Eating it raw or cooked will not destroy its nutrients. Spinach: contains lutein-like pigments that are good for delaying cataracts. Just once a week, it is not recommended to eat more to avoid stones and other conditions. Pepper: rich in vitamin C, if the body does not have other problems such as stomach or can be eaten. You can eat it according to your own hobby, but if there is a dry stool fire and other conditions prohibited to eat. Cold food: rich in vitamin C can effectively fight free radicals, which is very good for disease recovery. It needs to be heated to produce lycopene, raw food has no effect. The most nutritious value is scrambled eggs with tomatoes. Avoid food small pepper: prone to hyperlipidemia leading to atherosclerosis aggravation. Not recommended to eat. Wine: alcohol is more harmful to the eyes, but also affect the optic nerve and cause atherosclerosis. Not recommended to drink, if you drink available red wine not more than 20 ml per day.