Dr Simeon Protocol

Dr Simeon Protocol

POUNDS & INCHES - A NEW APPROACH TO OBESITY

BY: Dr. A.T.W. SIMEONS
SALVATOR MUNDI INTERNATIONAL HOSPITAL
00152 - ROME VIALE MURA GIANICOLENSI, 77
FOREWORD - introduction by Dr. Simeons
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, in essence, the  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. 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 little  headway 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 then, when 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 16 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. Doctors from all over the world  have come to Italy to study the method, first hand in my clinic in the  Salvator Mutidi 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 customarily 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.
OBESITY A DISORDER
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  who