Dr Simeon Protocol

 

Pounds and Inches 

A NEW APPROACH TO OBESITY 

BY: A.T.W. SIMEONS, M.D.

SALVATOR MUNDI INTERNATIONAL HOSPITAL 

00152 - ROME 

VIALE MURA GIANICOLENSI, 77 

FOREWORD

This book discusses a new interpretation of the na

ture 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 ba

sed on clinical observation. 

What I have to say is, in essen

ce, the views distilled out of fo

rty 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 met

hod, every promising lead was considered, 

experimentally screened and cri

tically 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 tende

ncy 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 in

terpretation 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 theoreti

cal 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 sa

tisfying interpretation of what 

is happening in the obese body. It 

must also be able to withstand 

the onslaught of all h

itherto 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 al

ways 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 th

e 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 theore

tical 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 specula

tions 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 na

ture of a scientific 

article does not permit the full presentation of ne

w 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, do

ctors and patients. Hitherto I could only refer 

those interested to my scientific papers, though 

I realized that these di

d 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 Ital

y 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 tec

hnique, and in any case the 

number of those whom 

I have been able to meet personally is small co

mpared 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 unmanag

eable and that is one excuse 

for writing this book. 

In dealing with a disorder in which the patient mu

st 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 physicia

n and patient. In order to avoid writing two 

books, one for the physician and another for the pa

tient - 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 occasi

onally have to look up an unfamiliar word in 

the glossary provided for him. 

To make the text more readable I shall be una

shamedly 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 s

uggest that such and such an ob

servation 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 theo

ry. If we can from the outset establish this as 

a mutually accepted convention, I hope to a

void being accused of speculative exuberance.



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