Abstract

An unusual method of treating obesity was described in 1929 by Dr. Evans and Dr. Strang of Pittsburgh. 1 Their further reports 2 stimulated my interest. From December, 1931, to March, 1933, fifty overweight patients came under my supervision in private practice and were given a modification of the high protein diet. These patients were chosen because they presented the typical distribution of fat pads, commonly ascribed to hypopituitarism—girdle weight, pads on the upper arms, fat folds across the middle of the back, over the iliac crests, in the supratrochanteric regions and above the knee on the inner side of the thigh. The fat on the abdomen varied from the single or double roll of fat to the overhanging apron. There were ten patients with the very thick lower leg, of the piano leg type. All but six children had dieted previously but had regained their weight in the same

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