Questions which frequently present themselves to the practitioner confronted with the problem of reducing an overweight patient are: Can the weight be successfully reduced? If so, to what degree and how rapidly with safety? Despite repeated reports to the contrary, the impression lingers in the minds of many physicians that certain types of obesity are irreducible or so resistant to attempts at reduction that only a small amount of the excess weight can be removed.
There is probably no type of obesity, regardless of its cause, which will not respond by loss of weight to a submaintenance diet. Such a diet is one with a caloric value less than the daily expenditure by the subject. If a deficit can be thus successfully maintained, the body is compelled to draw on its own stores of fat for heat and energy. The problem, therefore, is to maintain a continued caloric
SHORT JJ. RAPID WEIGHT REDUCTION: LOSS OF THREE HUNDRED POUNDS IN EIGHTEEN MONTHS: REPORT OF A CASE. JAMA. 1941;117(7):506–510. doi:10.1001/jama.1941.02820330010004
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