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AUTUMN / WINTER 2013

RACHEL LEVIN TROXELL

1970-2008

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The story of LympheDIVAs began in Philadelphia when two young breast cancer

survivors, Rachel Troxell and Robin Miller, developed lymphedema, a side effect

of breast cancer treatment that can cause permanent swelling in the arms. Their

physicians and lymphedema therapists recommended a compression sleeve as the

most effective way of controlling the swelling. When they researched the options

for the sleeve they found that the only ones available were rough textured, heavy,

hot, beige, and bandage-like. Frustrated and dismayed over the lack of options

they had for compression sleeves, Robin and Rachel met with Kristin Dudley, a

fashion designer, to discuss their idea of creating a more elegant and comfortable

compression sleeve.

In late 2007, Robin left the company. Soon after, Rachel discovered her breast cancer

had returned. While she was being treated, she continued building LympheDIVAs,

which brought her much joy during a difficult time in her life. Rachel died January

22, 2008, at the age of 37. Her determination and compassion to improve the lives of

breast cancer survivors is very much ingrained in the spirit of LympheDIVAs.

Today, LympheDIVAs’ products can be found in retail locations nationwide and

internationally. At Rachel’s request, her father Dr. Howard Levin and her mother,

Judy Levin took over the responsibility of running the company which their daughter

helped found. In August of 2010, Rachel’s little brother, Josh Levin, joined the

company and is now running it with his parents. They all hope that LympheDIVAs’

compression apparel will continue to inspire breast cancer survivors everywhere to

feel as beautiful, strong and confident as Rachel was.

OUR STORY

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STUNNING INNOVATIONS

MOISTURE-WICKING

Our products include moisture-wicking

technology, which pulls sweat away

from the body, cools the arm and is

fast drying!

ALOE VERA

A fabric finishing process which adds

unscented aloe vera moisturizing

micro-capsules for added softness

and skin protection.

FINE KNIT

A fine knit construction producing

a smooth surface, lightweight, and

replicating a ‘second skin.’

GRADUATED COMPRESSION

All garments are available in

Class 1 (20-30mmHg) and Class 2

(30-40mmHg) compression.

We set out not to just make a

pretty sleeve but also one that is

more comfortable and improves the

managment of lymphedema.

360° STRETCH

All of our garments are knit with 360°

stretch, which allows our garments to

stretch as your arm bends and flexes.

Prevents binding at the elbow.

We are dedicated to creating medically

correct compression apparel for the

savvy breast cancer survivor with

lymphedema that will inspire her to

feel beautiful, strong and confident.

The medical requirements are obvious,

but the emotional aspect of healing is

important and often ignored. A positive

mindset can often lead to a much

better physical response.

OUR PHILOSOPHY

A FASHION STATEMENTWe believe that getting the hottest

and latest patterns to our customers

is important. Our team studies the

newest trends in patterns and colors

by scouring the runways, attending

trendspotting trade shows and

sourcing fashion publications. Just like

the fashion power-houses in New York,

London, Milan, Paris and Tokyo, we

introduce new patterns biannually

in the Spring and Autumn.

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FUCHSIA Sleeve and Gauntlet

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LympheDIVAs works with physicians, physical therapists, nurses, nurse

practitioners and physician assistants to assure our customers that the products

we design are medically correct. Our medical advisory team oversees the

development of our products and helps us monitor product testing.

ANDREA L. CHEVILLE, M.D.

Medical School: Harvard Medical School

Fellowship: Memorial Sloan Kettering Cancer Center

Dr. Cheville currently is Senior Associate Consultant

at the Mayo Clinic in Rochester, MN, specializing in

cancer rehabilitation, lymphedema, and survivorship.

Until August 2006, Dr. Cheville directed the Cancer

Rehabilitation and Lymphedema Programs at

the Hospital of the University of Pennsylvania in

Philadelphia, PA. A leader in the field of cancer

rehabilitation, pain control and symptom management,

Dr. Cheville has published papers on cancer rehabilitation and is a nationally

recognized expert in this field. Lymphedema is a primary focus of Dr. Cheville’s

research, and she serves on the Medical Advisory Committee of the National

Lymphedema Network and is a board member of the Lymphology Association of

North America. Dr. Cheville has been recognized in Philadelphia Magazine’s May

2002, 2005, 2006 Top Docs issue, and has been recognized by Best Doctors in

America 2005-2006.

HOWARD A. LEVIN, M.D.

Medical School: New York University, 1966

Dr. Levin is the father of the founder of LympheDIVAs,

LLC, Rachel Levin Troxell. Following graduation from

Medical School, he was trained in Internal Medicine in

the Harvard training program at Beth Israel Hospital,

Boston, Mass. He spent the next four years as a post

doctoral fellow in Immunology and Rheumatology at

Harvard University and a year at the Weizmann Institute

of Science in Israel as a Fullbright Scholar. In 1972 he

then received an appointment as Senior Staff Fellow in

the Immunology Department of the National Cancer Institute in Bethesda, Maryland.

From 1976-1988 he practiced Internal Medicine and Rheumatology and served as

Medical Director of the 70 physician San Jose Medical Group in San Jose, California.

MEDICAL ADVISORS

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JEANNETTE ZUCKER

Graduate School: New York University, 2002

Jeannette Zucker holds a clinical Doctorate in Physical

Therapy from New York University. She received

her lymphedema certification from Klose Norton

School of Lymphatic Therapy in 2002 and started her

career at Memorial Sloan-Kettering Cancer Center

(MSKCC) in 2003. In 2004, Jeannette assisted with the

establishment of the lymphedema therapy program

at the main campus and as the Lymphedema Clinical

Specialist she continues to work on further developing

the service to promote the awareness, early diagnosis and risk minimization of

lymphedema. She leads the support groups for patients who have, and are at

risk, for lymphedema through the Post-Treatment Resource Program. Jeannette

received her LANA certification in 2005 and was awarded the Susan G. Komen

Conference scholarship by the National Lymphedema Network (NLN) in 2006. In

2007, she helped to develop the Lower Extremity Lymphedema Prevention Program

for MSKCC and joined the Scientific Committee of the NLN. She continues to

serve on the committee and provide lectures at the biennial NLN Conferences. In

2009, Jeannette joined the faculty of the Norton School of Lymphatic Therapy. In

2010 she joined the editorial board of the NLN’s electronic newsletter E-Channel.

Her current focus on treatment intervention is edema management regardless of

etiology, scar management, and improving facial mobility and skin mobility through

manual lymphatic drainage, myofascial release, compression therapy, kinesiotaping

and laser therapy.

After several years as a medical director for an insurance company he spent 10

years as a management consultant and partner with Milliman, USA, an Actuarial

and Management Consulting Company. Dr. Levin is currently vice president and

chief medical officer for LympheDIVAs.

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ABOUT LYMPHEDEMAWHAT IS THE LYMPHATIC SYSTEM AND LYMPHEDEMA?The lymphatic system is structured like a web, occasionally draining into small

lumps or nodes that filter the lymphatic fluid. The system works through the

pumping power of the body’s muscles. The muscles contract, increasing pressure

within the lymph vessels, which causes the fluid to move. A series of one-way valves

ensure that the fluid moves in the right direction. Lymphedema, the build up of

protein rich fluid in the subcutaneous interstitial compartment occurs when either

lymph fluid is impeded from flowing through the lymph vessels and lymphatic

system or there is an excess of fluid that exceeds the carrying capacity of the lymph

system. It collects in the subcutaneous and deep tissues causing swelling of the

affected area and predisposes to chronic inflammation.

WHAT HAPPENS WHEN LYMPHEDEMA OCCURS IN PEOPLE AFTER BREAST CANCER TREATMENT?When a sentinel node is removed, a number of nodes are removed, or if the nodes

receive radiation therapy, the body is at risk for lymphedema. The loss of lymph

nodes and vessels can result in lymphedema in the arm or other parts of the body.

The amount of fluid collection is variable and at this time, unpredictable because of

the variability of the insults and the lymphatic system itself.

WHY IS IT IMPORTANT TO BE AWARE OF THIS?Any event which stimulates the formation of increased protein fluid and floating

cells between the cells in the arm (such as infection, trauma and sun burn) or slows

the flow of lymph fluid out of the arm (such as have blood pressure taken with

a cuff) can increase the chance of fluid accumulating in the arm. Since no truly

curative therapies exist, medical intervention is focused on preventing occurrences

and recurrences and is most often dependent on patient self management and

adherence. Prolonged or severe fluid build up can result in a more severe and

permanent lymphedema.

AN ENHANCED MEDICAL DEVICELymphedema is managed and treated through a variety of therapies. Compression

armsleeves and gauntlets are one such therapy. LympheDIVAs armsleeves and

gauntlets are Class 1 (20-30mmHg) and Class 2 (30-40mmHg) medical devices.

Like other armsleeves they utilize graduated compression, the highest pressure is at

the wrist and hand that acts as a pump to encourage the lymph vessels to push the

lymph fluid toward the body. LympheDIVAs garments are regularly tested. Patient

compliance may also be improved through the increased comfort

and style of LympheDIVAs garments.

A FASHION STATEMENTAt LympheDIVAs we believe that a majority of sleeves that were prescribed

and purchased were worn a few times and then hidden in a drawer because of

distaste and discomfort. Knowing that the compression sleeve cannot reduce the

chance of occurrence or swelling by remaining in the drawer, LympheDIVAs has

made lymphedema management easier by adding a dose of fashion and having

superior comfort. A LympheDIVA enjoys wearing her sleeve because it is stylish,

fashionable and fun. Women are more likely to derive the benefits of the garments

simply because they are more likely to wear them and less likely to suffer from

complications!

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WHO SHOULD WEAR A LYMPHEDIVAS SLEEVE?LympheDIVAs sleeves are appropriate for those with mild to moderate lymphedema,

or for those at risk. Our Class 1 sleeves are not recommended for severe swelling.

WHEN SHOULD A SLEEVE BE WORN?We recommend consulting with a doctor or lymphedema therapist in order to find

the most appropriate therapy for each individual. All women who are at risk for

lymphedema or who have mild to moderate lymphedema should, at a minimum,

wear their sleeve and gauntlet during air travel and while exercising.

GUIDELINES FOR REDUCING THE RISK OF LYMPHEDEMA FOR THOSE WHO HAVE HAD LYMPH NODE REMOVAL AND/OR RADIATION

DO TRY TO AVOID INFECTIONHave blood drawn and shots given on the unaffected arm. Keep the skin

clean and protect it from cuts and scratches. Always carry band-aids!

DO TRY TO AVOID BURNSProtect your arm from sunburn. Use oven mitts when cooking and avoid

splash burns from steaming foods. Do not use hot tubs or saunas.

DO KEEP SKIN PROTECTEDUse moisturizing lotion and soaps that are pH balanced. Protect hands

with gloves when cleaning.

DO AVOID USING SHOULDER STRAPSCarry briefcases and/or purses on the opposite arm.

DO AVOID RESTRICTIVE CLOTHINGWearing tight jewelry on the affected arm or hand will create a tourniquet

effect you do not want. Blood pressure should be taken on the unaffected

arm or thigh when both arms are affected.

DO TRY TO AVOID MUSCLE STRAINIt is okay to do normal activities and exercise with the affected arm, but do

not overdo it! Everyone should consult with their doctor about the level of

activity that is right for them.

DO KEEP A HEALTHY DIETMaintaining a healthy weight lowers the risk for developing lymphedema.

Lower sodium intake.

DO WATCH FOR » A full feeling in your arm.

» A difference in size between the affected and non-affected arm.

» Weakness in your arm or not being able to move it as far.

» When pressing on the affected arm for twenty seconds, the impression

of the finger remains.

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SIZING CHART

HOW TO MEASUREIf possible, have a friend help you to get the most accurate measurements. Begin by

relaxing your arm and resting it on a table, bending it slightly to create a small bend

in the elbow. Your arm should not be completely straight, nor fully bent.

A. PALM For the gauntlet, you should let your fingers relax, and bring the

measuring tape so it’s just under your knuckles. Pull gently so the tape has no slack.

Record the measurement.

B. WRIST Hold measuring tape around your wrist, going over the little bone

on the outside. Pull tape to the point of gentle tension; there should be no slack,

but you should not be pulling so hard that the tape creates an indentation. Write

down this measurement in inches or centimeters.

C. MID LOWER Next, move the measuring tape up your arm so that it goes around

the thick part of your forearm. Use the same amount of gentle tension and record

the measurements.

D. MID UPPER Finally, bring the measuring tape to the upper part of your arm,

halfway between your elbow and your armpit. If you have any extra skin here,

gather it together as much as possible. You should hold the tape a bit tighter here

so that all your skin is encircled evenly.

If you are in between sizes, please consult a medical professional, professional fitter

or LympheDIVAs to ensure proper fit.

BWRIST

CMID

LOWER

DMID

UPPER

APALM

SMALL MEDIUM LARGE

A. PALM 15 – 18.7 cm 19 – 21.9 cm 22 – 26 cm

B. WRIST 14.6 – 19 cm 16.5 – 21.6 cm 19 – 23.5 cm

C. MID LOWER 17.8 – 23.2 cm 23.5 – 28.7 cm 28.9 – 34.3 cm

D. MID UPPER 21.6 – 39.4 cm 27 – 45 cm 32.4 – 50.5 cm

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GARMENT CARECaring for your garment is as easy as 1-2-3! Following the care instructions will ensure

that your garment lasts the full four to six months while retaining compression.

SLEEVE & GAUNTLET DONNING

Turn down the top of the sleeve so it’s folded over itself.

Pull the sleeve over your hand until the end of the sleeve is at

the pictured position on the wrist.

Gently pull the rest of the sleeve evenly up over the arm to the

armpit. Make sure the sleeve is equally spread over the whole

arm and that there are no constrictions or wrinkles.

TO REMOVE SLEEVE, hold the top of the cuff and pull down until it slips off

your hand.

1Place the garment

in a lingerie bag to

prevent snagging.

2Machine wash in

warm water using

a gentle detergent.

3Machine dry at

medium heat.

DO NOT DO ANY OF THE FOLLOWING

Doing any of these can potentially ruin the garment and compromise the compression.

hand wash • wring dry • line dry • dry clean

use any chemical solvent, fabric softener, bleach or any other laundry additive

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SO

LID

CO

LO

RS BEI CHIC

FUCHSIA

MOCHA

ONYX

WHITE

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CRYSTAL SWIRL &CRYSTAL RIBBONAVAILABLE ON BEI CHIC, FUCHSIA, MOCHA, ONYX AND WHITE

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S PRIMROSE

SAPPHIRE

SOUTH PACIFIC

SPICE

ZAHARA

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LEO LEOPARD Sleeve

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PA

ISL

EY

PA

TT

ER

NS BLUE BANDIT

PURPLE PAISLEY

MARAKESH

NAMASTE

VERCACHE

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WHITE VERCACHESleeve and Gauntlet

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WIL

D S

TY

LE

PA

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VIVA VIDA

LEO LEOPARD

LOTUS DRAGON TATTOO

SERPENTINE

BODHI - Beige

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FEATHERIESleeve and Gauntlet

BODHI - Mocha

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SHADOW

DARLING - Tan

LA

CE

PA

TT

ER

NS DARLING - Fair

DARLING - Dark

LOVELY LACE

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MIDNIGHT LACE

Sleeve and Gauntlet

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PA

TT

ER

NS

TH

AT

GIV

E B

AC

K C4YW PINK

GRAND KREWE

LIZ LANGE

VERSAILLES

SALES CONTRIBUTE TO THESE WONDERFUL ORGANIZATIONS

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C4YW BEIGESleeve and Gauntlet

LympheDIVAs continues to give

back to organizations that my

sister Rachel, our founder, loved

like Living Beyond Breast Cancer

and the Young Survival Coalition’s

Conference for Young Women

(C4YW). We have also partnered

with Crickett’s Answer for Cancer to

help provide compression garments

for those that can’t afford them.

JOSH LEVINPresident, LympheDIVAs

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MOONLIGHT

FL

OR

AL

PA

TT

ER

NS

CHLOE

BLOOMIN’ BETTY LIGHT

NIRVANA

NOUVEAU

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BLOOMIN’ BETTY DARKSleeve and Gauntlet

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TATTOO BLOSSOM

SWEET PEA

FL

OR

AL

PA

TT

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NS ROMANTIC ROSE

SCARLET

TRANQUILITY

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BALI SUNSET

BALI NIGHTSleeve and Gauntlet

BALI SAND

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PA

TT

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NS

TO

MIX

AN

D M

AT

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DENIM DIVA

STELLA - Charcoal

STELLA - Navy

CAMOUFLAGE - Pink

CAMOUFLAGE

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ANNASleeve and Gauntlet

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DE

CO

RA

TIV

E P

AT

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RN

S DIVA DOTS

WARRIOR - Blue

WARRIOR - Purple WARRIOR - Seafoam Green

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FIREFLY - Purple

FIREFLY - Blue FIREFLY - Gray & Yellow

FIREFLY - Seafoam Green

DAMASKSleeve and Gauntlet

DAMASK - Fuchsia

DAMASK - Bei Chic

DAMASK - Mocha

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FIREFLY - Gray & Yellow

FU

N P

AT

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RN

S BUTTERFLY MEADOW

LUNA

SUNBURST

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NEON GLOWSleeve and Gauntlet

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IND

EX

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DESIGN NAME PAGE #

Anna 29

Bali Night 27

Bali Sand 27

Bali Sunset 27

Bei Chic 12

Bloomin’ Betty Dark 25

Bloomin’ Betty Light 24

Blue Bandit 16

Bodhi - Beige 18

Bodhi - Mocha 18

Butterfly Meadow 32

C4YW Beige 23

C4YW Pink 22

Camouflage 28

Camouflage - Pink 28

Chloe 24

Crystal Ribbon 13

Crystal Swirl 13

Damask 31

Damask - Bei Chic 31

Damask - Fuchsia 31

Damask - Mocha 31

Darling - Dark 20

Darling - Fair 20

Darling - Tan 20

Denim Diva 28

Diva Dots 30

Featherie 19

Firefly - Blue 30

Firefly - Gray and Yellow 30

Firefly - Purple 30

Firefly - Seafoam Green 30

Fuchsia 5, 12

Grand Krewe 22

Leo Leopard 15, 18

Liz Lange 22

Lotus Dragon Tattoo 18, 35

Lovely Lace 20

Luna 32

Marakesh 16

Midnight Lace 20

Moonlight 24

Namaste 16

DESIGN NAME PAGE #

Neon Glow 33

Nirvana 24

Nouveau 24

Primrose 14

Purple Paisley 16

Romantic Rose 26

Sapphire 14

Scarlet 26

Serpentine 18

Shadow 20

South Pacific 14

Spice 14

Stella - Charcoal 28

Stella - Navy 28

Sunburst 32

Sweet Pea 26

Tattoo Blossom 26

Tranquility 26

Vercache 16

Viva Vida 18

Warrior - Blue 30

Warrior - Purple 30

Warrior - Seafoam Green 30

White Vercache 17

Zahara 14

TOPIC PAGE #

About Lymphedema 8-9

Donning and Doffing 11

Garment Care 11

Medical Advisors 6-7

Our Philosophy 4

Our Story 2-3

Sizing Chart 10

Stunning Innovations 4

LOTUS DRAGON TATTOOSleeve and Gauntlet

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