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October 13, 1956


JAMA. 1956;162(7):685. doi:10.1001/jama.1956.02970240067021

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To the Editor:—  May I commend The Journal for its excellent coverage, especially in the Aug. 25, 1956, issue, of the lowprotein obesity diets publicized recently in lay magazines. Notable was the scholarly, thorough, and readable review by Dr. Jolliffe (page 1633). One factor perhaps deserves special emphasis—the influence of appetite, or lack of it. While anorexia is prevalent in malnutrition, the opposite is true in obesity, and therefore anything that decreases appetite is of obvious importance in the treatment of obesity. Dr. Jolliffe quoted Streick, who found that, when the protein intake was reduced from 28 gm. per day (the minimum for nitrogen balance) to 23, the subject "developed loss of appetite," and Dole and his co-workers, who showed in their obese subjects that an intake of 30 to 40 gm. of protein per day resulted in a loss of appetite. This certainly has been my own observation in

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