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January 7, 1961

The Unhappy Fat Man

Author Affiliations

615 Williams Avenue Brooklyn 7, N. Y.

JAMA. 1961;175(1):66. doi:10.1001/jama.1961.03040010068021

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To the Editor:—  In The Journal, Sept. 10, page 199, Dr. M. A. Goldzieher criticizes an editorial on obesity which appeared in The Journal, July 9, page 1141. He states: "It is a commonly ignored fact that not all obese people are hyperphagic; quite a few are euphagic or even hypophagic. Obviously, psychotherapy directed at restricting food intake would be of no benefit to the hypophagic who maintains his excessive weight by economies established in the field of intermediary metabolism (M. A. Goldzieher and J. W. Goldzieher, Amer J Dig Dis19:69, 1952)." Does the author equate euphagics and hypophagics with subjects who are in caloric equilibrium or even in negative caloric balance? An increase in tissue (adipose or protein) would in these cases be a complete contravention of the law of the conservation of energy, which Rubner and Atwater, independently, proved conclusively to be applicable to human energy

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