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ARTICLE |

Supplemented Fasting as a Large-Scale Outpatient Program FREE

Victor Vertes, MD; Saul M. Genuth, MD; Irene M. Hazelton, MD
[+] Author Affiliations

Reprint requests to Department of Medicine, The Mt Sinai Hospital of Cleveland, University Circle, 1800 E 105 St, Cleveland, OH 44106 (Dr Vertes).


JAMA. 1977;238(20):2151-2153. doi:10.1001/jama.1977.03280210043018
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Although supplemented fasting is now established as an efficient means of achieving substantial weight reduction in massively obese persons, widespread application of this treatment is contingent on its successful adaptation to a large-scale outpatient regimen. Of 519 patients treated as outpatients, 78% lost a minimum of 18.2 kg during the course of treatment. The overall rate of weight loss was 1.5 kg/wk, with females averaging 1.3 kg/wk and males, 2.1 kg/wk. The majority of patients tolerated the regimen well and were able to continue normal daily activities without experiencing any serious side effects.

(JAMA 238:2151-2153, 1977)

REFERENCES

Mann GV:  The influence of obesity on health . N Engl J Med 291:178-185,226-232, 1974;.
Stunkard A, McLaren-Hume M:  The results of treatment for obesity. A review of the literature and report of a series . Arch Intern Med 103:79-85, 1959;.
Drenick EJ, Simmons F, Murphy JF:  Effect on hepatic morphology of treatment of obesity by fasting, reducing diets and small-bowel bypass . N Engl J Med 282:829-834, 1970;.
Drenick EJ, Swendseid ME, Blahd WH, et al:  Prolonged starvation as treatment for severe obesity . JAMA 187:100-105, 1964;.
Lawlor T, Wells DG:  Metabolic hazards of fasting . Am J Clin Nutr 22:1142-1149, 1969;.
Barrett PVD:  Hyperbilirubinemia of fasting . JAMA 217:1349-1353, 1971;.
Murphy R, Shipman KH:  Hyperuricemia during total fasting: Renal factors . Arch Intern Med 112:954-959, 1963;.
Runcie J:  Urinary sodium and potassium excretion in fasting obese subjects . Br Med J 2:22-25, 1971;.
Genuth SM, Castro JH, Vertes V:  Weight reduction in obesity by outpatient semistarvation . JAMA 230:987-991, 1974;.
Blackburn L, Bistrian R, Flatt JP:  Role of a protein sparing fast in a comprehensive weight reduction programme , in Howard A (ed): Recent Advances in Obesity Research: Proceedings of the 1st International Congress on Obesity . London, Newman Publishing Ltd, 1975;, pp 279-281.

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Mann GV:  The influence of obesity on health . N Engl J Med 291:178-185,226-232, 1974;.
Stunkard A, McLaren-Hume M:  The results of treatment for obesity. A review of the literature and report of a series . Arch Intern Med 103:79-85, 1959;.
Drenick EJ, Simmons F, Murphy JF:  Effect on hepatic morphology of treatment of obesity by fasting, reducing diets and small-bowel bypass . N Engl J Med 282:829-834, 1970;.
Drenick EJ, Swendseid ME, Blahd WH, et al:  Prolonged starvation as treatment for severe obesity . JAMA 187:100-105, 1964;.
Lawlor T, Wells DG:  Metabolic hazards of fasting . Am J Clin Nutr 22:1142-1149, 1969;.
Barrett PVD:  Hyperbilirubinemia of fasting . JAMA 217:1349-1353, 1971;.
Murphy R, Shipman KH:  Hyperuricemia during total fasting: Renal factors . Arch Intern Med 112:954-959, 1963;.
Runcie J:  Urinary sodium and potassium excretion in fasting obese subjects . Br Med J 2:22-25, 1971;.
Genuth SM, Castro JH, Vertes V:  Weight reduction in obesity by outpatient semistarvation . JAMA 230:987-991, 1974;.
Blackburn L, Bistrian R, Flatt JP:  Role of a protein sparing fast in a comprehensive weight reduction programme , in Howard A (ed): Recent Advances in Obesity Research: Proceedings of the 1st International Congress on Obesity . London, Newman Publishing Ltd, 1975;, pp 279-281.
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