The question of how much or at what rate weight may be removed safely is a moot one. From 395 1/2 pounds (180 Kg.), the patient whose case is reported here reached a low weight of 156 1/2 pounds (71 Kg.) in twenty months, with progressive improvement in health throughout the period and subsequently.
REPORT OF CASE
L. G., a woman aged 32, Russian, a housewife, applied to the Obesity Clinic for weight reduction on March 22, 1935. She had always been overweight. At 17, when she was married, she weighed 260 pounds (118 Kg.). There had been no change in her mode of living. She considered that her optimum weight subjectively had been 195 pounds (88.5 Kg.); her maximum weight had been 402 pounds (182.3 Kg.). She slept from eight to ten hours a night, used little tobacco and no alcohol, and had a very good appetite. There were no gastrointestinal
Short JJ. EXTREME OBESITY FOLLOWED BY THERAPEUTIC REDUCTION OF TWO HUNDRED AND THIRTY-NINE POUNDS. JAMA. 1938;111(24):2196-2197. doi:10.1001/jama.1938.72790500001008