JAMA. 1906;XLVII(8):558-560. doi:10.1001/jama.1906.25210080010002a.
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Almost daily, persons consult me whose one great sorrow in life is their condition of leanness or emaciation. They come to me with the request that I make them fat and plump.

A few of these persons are actuated in their request by the knowledge that their bodily strength and resistance have suffered as the result of their abnormal weight reduction. Others again recognize that their leanness is the expression of some digestive or metabolic disorder. With the great majority of persons, however, these matters are left out of consideration, their sole desire in wishing to become fat being to improve their personal appearance. The first writers who ventured on the subject of the treatment of leanness recommended that the individual be liberally fed, and with this advice we are indeed in the fullest accord, but, like almost all writers up to the present time, they have ignored the causes


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