Originally Posted by mrsD

A young person with swelling ankles is not a good sign.

PN doesn't really do this to everyone equally.

There are other medical things that cause swelling ankles.
So those should be looked into.

Kidney, heart, and thyroid are the big culprits for this. As are various circulation problems like autoimmune conditions.

Cutting back on carbs will also reduce fluid retention, as carbs seem to hold water in the tissues for some reason.