![]() SIMEONS M. D. This is a complete rendering of the original document, with slight formatting changes to make the paragraphs look nice. You can download a PDF version of the document here. A summary of the 5. Search the site and manuscript using the search menu above, or to answer some of the most common questions, view our FAQ. This book discusses a new interpretation of the nature of obesity, and while it does not advocate yet another fancy slimming diet it does describe a method of treatment which has grown out of theoretical considerations based on clinical observation. What I have to say is an essence of views distilled out of forty years of grappling with the fundamental problems of obesity, its causes, its symptoms, and its very nature. In these many years of specialized work thousands of cases have passed through my hands and were carefully studied. Every new theory, every new method, every promising lead was considered, experimentally screened and critically evaluated as soon as it became known. But invariably the results were disappointing and lacking in uniformity. Figure 1 Relationships between Changes in Food and Beverage Consumption and Weight Changes Every 4 Years, According to Study Cohort. Study participants included. FAQ: Realistic Liposuction Expectations 1. Does liposuction produce permanent results? After liposuction, the new body Apparently, where there I felt that we were merely nibbling at the fringe of a great problem, as, indeed, do most serious students of overweight. We have grown pretty sure that the tendency to accumulate abnormal fat is a very definite metabolic disorder, much as is, for instance, diabetes. Yet the localization and the nature of this disorder remained a mystery. Every new approach seemed to lead into a blind alley, and though patients were told that they are fat because they eat too much, we believed that this is neither the whole truth nor the last word in the matter. Refusing to be side- tracked by an all too facile interpretation of obesity, I have always held that overeating is the result of the disorder, not its cause, and that we can make littleheadway until we can build for ourselves some sort of theoretical structure with which to explain the condition. Whether such a structure represents the truth is not important at this moment. What it must do is to give us an intellectually satisfying interpretation of what is happening in the obese body. It must also be able to withstand the onslaught of all hitherto known clinical facts and furnish a hard background against which the results of treatment can be accurately assessed. To me this requirement seems basic, and it has always been the center of my interest. In dealing with obese patients it became a habit to register and order every clinical experience as if it were an odd looking piece of a jig- saw puzzle. And then, as in a jig saw puzzle, little clusters of fragments began to form, though they seemed to fit in nowhere. ![]() ![]() As the years passed these clusters grew bigger and started to amalgamate until, about sixteen years ago, a complete picture became dimly discernible. This picture was, and still is, dotted with gaps for which I cannot find the pieces, but I do now feel that a theoretical structure is visible as a whole. With mounting experience, more and more facts seemed to fit snugly into the new framework, and when then a treatment based on such speculations showed consistently satisfactory results, I was sure that some practical advance had been made, regardless of whether the theoretical interpretation of these results is correct or not. The clinical results of the new treatment have been published in scientific journal and these reports have been generally well received by the profession, but the very nature of a scientific article does not permit the full presentation of new theoretical concepts nor is there room to discuss the finer points of technique and the reasons for observing them. During the 1. 6 years that have elapsed since I first published my findings, I have had many hundreds of inquiries from research institutes, doctors and patients. Hitherto I could only refer those interested to my scientific papers, though I realized that these did not contain sufficient information to enable doctors to conduct the new treatment satisfactorily. Those who tried were obliged to gain their own experience through the many trials and errors which I have long since overcome. ![]() Bridesmaids star Rebel Wilson reveals 33lb weight loss after tipping the scales at 234lbs. By Daily Mail Reporter. Published: 14:17 EDT, 16 August 2012 04/05/2017; Trackwrestling's Andy Hamilton and David Mirikitani discuss the recent changes in the coaching landscape and analyze some of the statistics from the NCAA. Pink Shares Gym Selfie, Says She's 'Obese' by 'Regular Standards': 'Stay Off That Scale, Ladies!'. PicoTrace is a spin-off company, founded by members of the Faculty of Geosciences of the University of Göttingen, Germany. Our University has a well known tradition. Doctors from all over the world have come to Italy to study the method, first hand in my clinic in the Salvator Mundi International Hospital in Rome. For some of them the time they could spare has been too short to get a full grasp of the technique, and in any case the number of those whom I have been able to meet personally is small compared with the many requests for further detailed information which keep coming in. I have tried to keep up with these demands by correspondence, but the volume of this work has become unmanageable and that is one excuse for writing this book. In dealing with a disorder in which the patient must take an active part in the treatment, it is, I believe, essential that he or she have an understanding of what is being done and why. Only then can there be intelligent cooperation between physician and patient. In order to avoid writing two books, one for the physician and another for the patient – a prospect which would probably have resulted in no book at all – I have tried to meet the requirements of both in a single book. This is a rather difficult enterprise in which I may not have succeeded. The expert will grumble about long- windedness while the lay- reader may occasionally have to look up an unfamiliar word in the glossary provided for him. To make the text more readable I shall be unashamedly authoritative and avoid all the hedging and tentativeness with which it is customary to express new scientific concepts grown out of clinical experience and not as yet confirmed by clear- cut laboratory experiments. Thus, when I make what reads like a factual statement, the professional reader may have to translate into: clinical experience seems to suggest that such and such an observation might be tentatively explained by such and such a working hypothesis, requiring a vast amount of further research before the hypothesis can be considered a valid theory. If we can from the outset establish this as a mutually accepted convention, I hope to avoid being accused of speculative exuberance. As a basis for our discussion we postulate that obesity in all its many forms is due to an abnormal functioning of some part of the body and that every ounce of abnormally accumulated fat is always the result of the same disorder of certain regulatory mechanisms. Persons suffering from this particular disorder will get fat regardless of whether they eat excessively, normally or less than normal. A person who is free of the disorder will never get fat, even if he frequently overeats. Those in whom the disorder is severe will accumulate fat very rapidly, those in whom it is moderate will gradually increase in weight and those in whom it is mild may be able to keep their excess weight stationary for long periods. In all these cases a loss of weight brought about by dieting, treatments with thyroid, appetite- reducing drugs, laxatives, violent exercise, massage, baths, etc., is only temporary and will be rapidly regained as soon as the reducing regimen is relaxed. The reason is simply that none of these measures corrects the basic disorder. While there are great variations in the severity of obesity, we shall consider all the different forms in both sexes and at all ages as always being due to the same disorder. ![]() Variations in form would then be partly a matter of degree, partly an inherited bodily constitution and partly the result of a secondary involvement of endocrine glands such as the pituitary, the thyroid, the adrenals or the sex glands. On the other hand, we postulate that no deficiency of any of these glands can ever directly produce the common disorder known as obesity. If this reasoning is correct, it follows that a treatment aimed at curing the disorder must be equally effective in both sexes, at all ages and in all forms of obesity. Unless this is so, we are entitled to harbor grave doubts as to whether a given treatment corrects the underlying disorder. Moreover, any claim that the disorder has been corrected must be substantiated by the ability of the patient to eat normally of any food he pleases without regaining abnormal fat after treatment. Only if these conditions are fulfilled can we legitimately speak of curing obesity rather than of reducing weight. Our problem thus presents itself as an enquiry into the localization and the nature of the disorder which leads to obesity. The history of this enquiry is a long series of high hopes and bitter disappointments. There was a time, not so long ago, when obesity was considered a sign of health and prosperity in man and of beauty, amorousness and fecundity in women. This attitude probably dates back to Neolithic times, about 8. Before that, with the possible exception of some races such as the Hottentots, obesity was almost non- existent, as it still is in all wild animals and most primitive races. Today obesity is extremely common among all civilized races, because a disposition to the disorder can be inherited. Wherever abnormal fat was regarded as an asset, sexual selection tended to propagate the trait. It is only in very recent times that manifest obesity has lost some of its allure, though the cult of the outsize bust – always a sign of latent obesity – shows that the trend still lingers on. In the early Neolithic times another change took place which may well account for the fact that today nearly all inherited dispositions sooner or later develop into manifest obesity. This change was the institution of regular meals. In pre- Neolithic times, man ate only when he was hungry and on. Moreover, much of his food was raw and all of it was unrefined. He roasted his meat, but he did not boil it, as he had no pots, and what little he may have grubbed from the Earth and picked from the trees, he ate as he went along. Weight Loss Surgery Resources for Vertical Sleeve Gastrectomy, RNY, Duodenal Switch, LAP- BAND and more. Obesity. Help. Fire. Fighters. Wife. Been so long again, I keep venturing back here. For most, in the begining of all this, it consumes daily life, thinking, talking, researching, planning, details details! Bridesmaids star Rebel Wilson reveals 3. By. Daily Mail Reporter. Published. 1. 9: 1. BST, 1. 6 August 2. But Australian actress Rebel Wilson is starting to shed the plus size look that helped to make her famous. The 2. 6- year- old, who played Kristen Wiig's roommate in the hit wedding comedy, looked decidedly slimmer as she made an appearance on Jimmy Kimmel Live last night. Pretty in pink: Bridesmaids star Rebel Wilson appeared on Jimmy Kimmel Live last night. Big star: The comedian played Kristen Wiig's roommate in Bridesmaids. The blonde was on the programme to. Bachelorette, which also stars Kirsten Dunst and. Tadashi Shoji dress for the interview. She has been steadily losing weight after signing on as the Australia face of Jenny Craig last year. She tipped the scales at 2. She wants to lose another 2. Rebel had to put her dieting on hold. Pitch Perfect. The. Still got a sweet tooth: The Australian actress presented the host with a bar of chocolate, but had already opened it to steal a nibble'Also, the other day, I bought a couple of pairs of . Last night she presented Kimmel a bar off chocolate as a gift but admitted she'd already opened it to steal a nibble. Loving the Hollywood life: The blonde bumped into Joseph Gordon- Levitt backstage and took a snap to post on Twitter.
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