> The B(ctive of the Boko Berry r (Jat "From Five to Twenty Bounds per F/Lonth ...BIbsolutelu 3(armless... Is it Healthy to be Too Tat or Too Thin? HOW TO ELIMINATE FATTY TISSUE CELEBRATED writer asserts that “Health depends {© /\ # largely upon the maintenance of an equilibrium be- jf*■ tween absorption and elimination.” The truth of this is well known to all thinking medical minds, and the force of his arguments stand out to a marked degree in certain forms of disease, especially so in obesity. This disease, which is sometimes designated as polvsarcia, is char- acterized by an excessive development of bodily fat, and is due in a great measure to a disturbance of the ratio between assimilation and elimination of nutrition together with defect- ive oxidizing powers of the lungs and kidneys. It is a well- known physiological fact that toxins and ptomaines and other metabolic errors are constantly occurring in the human organ- ism, and if the balance is disturbed in any way, disaster re- sults to a greater or less degree. Nature’s laws are cruel as well as just. The sins which man unknowingly commits against her mandates are punished promptly and impressively. The pathology of obesity is varied, as it naturally is expected to be, considering the teach- ings of the various investigators high in authority in medical science. Space forbids detailing, and it is deemed unneces- sary to more than mention a few opinions held bv the fore- most investigators. All are seeminolv agreed that liereditv is an influence in the causation of corpulency, as is evidenced bv the prevalence of obesity in some families for generations. These people proclaim at all times that it is “their nature to be fat.” Perhaps they are right. Race, climate, environ- ment, temperament, occupation and sex are mentioned in the etiology as predisposing causes. Among the direct causes tending to produce obesity we find mention made of over- eating and drinking, not necessarily alcoholic, but other fluids. Deficient muscular exercise and too much sleep both tend towards diminishing oxidation of tissues and favor accu- mulation of fat. It is quite common to notice the accumula- tion of fat after convalescence from fevers, because these persons indulge, or rather over-indulge, their appetite, and the reduced oxidation is favored by impoverished blood and an over-amount of rest. Thus is the ratio between absorp- tion and elimination disturbed. The symptomatology is too well known to be enumerated here. As is only natural with a disease common in all parts of the world, a vast amount of literature exists appertaining to treatment; likewise is there an abundance of erroneous matter extant relative to it. Many fads and fallacies have their inception in the fertile minds of overzealous physicians, who advocated this, that or some other pet theory, which practical experience soon exploded and pronounced worthless. Many so-called systems were advanced and lauded, only to die shortly after having seen the light of clinical experience. Dietetics, carried to extreme, mountain climbing, hydrotherapy, and a host of other falla- cies fell before the common-sense application of therapeutic measures of the more conservative and practical school. To solve the problem in the treatment of corpulency, we must adopt a method which is efficient vet so mild as not to punish the patient beyond his powers of endurance. If the physician calls upon the patient to deny himself to any great extent, or