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To the Editor:—
"Sippy management" of peptic ulcer, when properly conducted, does not require an excessive fat intake over a significant time period. Numerous recent articles alleging that this regimen results in dangerous elevation of serum lipids are based on misunderstanding of the treatment which they criticize. One example, "Serum Lipid and Fat Tolerance Determinations in Patients Receiving Sippy Diets," was published in the July 21 issue of The Journal (181:260). To be sure, the Sippy program gives an underweight patient 3 oz. of milk-cream mixture hourly each day, but for 3 weeks only. Patients of average weight receive plain whole milk, obese patients receive skim milk. After this initial 3-week period, the required daily milk intake is only 18 oz. (hardly more than one pint each day) continuing through the remainder of the one year of treatment. If aware of this, the most zealous antagonist of cholesterol in
Sippy HI. Sippy Management of Peptic Ulcer. JAMA. 1962;182(1):96. doi:10.1001/jama.1962.03050400098027
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