lieve this condition the carbohydrates in the diet
must be at once reduced.

~Dietetic Treatment~ is most important. It constitutes the only
rational method of ridding the body of its surplus fat. To do this it
is necessary to regulate the diet both as to quantity and type.
Fat-forming foods are those which the body utilizes most easily for
the production and storage of fat. Any food, no matter whether it is
fat-forming or not, if taken greatly in excess of the needs of the
body, will be stored as adipose tissue.

~Chief Points~ to be remembered in formulating a diet and instituting
an obesity treatment are the necessity for _small meals_ and _dry
meals_, no fluid given at all during the meal except perhaps one or
two small cups of coffee per day, without sugar or cream, the
avoidance of fat-forming foods, sugars and starches in all forms,
milk, cream, butter and oil, potatoes, bananas, fat meats of all
descriptions, especially pork, soups of every description and
alcoholic or malted beverages. It is necessary to limit the amount of
sleep, prohibiting naps during the day, and to increase the amount of
outdoor exercise.

~Massage~ is advisable, especially in those patients who are unable,
on account of their excessive weight or heart symptoms, to take the
requisite amount of exercise necessary for their future welfare.
Massage likewise makes the muscles firmer, often preventing the
disfiguring sagging of the skin caused by depriving it of its padding
of fat.

EMACIATION

~Causes.~--Errors in diet, overwork, over-exercise, heredity,
nervousness, worry, malformation of the mouth, throat, or stomach,
heredity and certain pathological conditions, such as typhoid fever,
tuberculosis, anemia, dysentery, etc., in which the breaking down of
the tissues occurs more rapidly than they can be rebuilt.

~Children~ are often emaciated on account of their unbalanced diet.
They receive an insufficient amount of building food to cover their
growth and development requirements. Parents are often to blame for
allowing the child to overeat of some of the food constituents at the
expense of others. Sugar, for example, is very necessary in the diet
of a growing active child, but all sugar and very little milk and
eggs will lead to an unbalanced diet which may bring about a
condition of extreme thinness later on.

In ~Adults~ the constant eating of the wrong foods, overworking and
persistent worrying, all contribute to the breaking