BY: DR. A.T.W. SIMEONS
Foreword The tendency to accumulate abnormal fat is a definite metabolic disorder. Yet most approaches seemed to lead into a blind alley. Patients are 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 – and now we have an answer!Since the patient must take an active part in the treatment, I believe it is 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.
Obesity in all its many forms is due to abnormal functioning of some part of the body. Abnormally accumulated fat is always the result of the disorder of regulatory mechanisms. Persons suffering from this disorder will get fat regardless of whether they eat excessively, normally or less than normal. A person who is free of the disorder doesn’t 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. Those in whom it is mild may be able to keep their excess weight stationary for long periods. In all these cases, a loss of weight brought about by dieting, treatments with thyroid, appetite-reducing drugs, laxatives, violent exercise, massage, baths, etc., is only temporary! It will be rapidly regained as soon as the reducing regimen is relaxed. The reason is simply that none of these measures corrects the basic disorder.
The Significance of Regular Meals
In the early Neolithic times, a change took place. This change was the institution of regular meals. Before then, man ate only when he was hungry. Even then, it was only as much as he required to still the pangs of hunger. Moreover, much of his food was raw and all of it was unrefined. What little he may have grubbed from the Earth and picked from the trees, he ate as he went along.
The whole structure of man’s omnivorous digestive tract was adjusted to the continual nibbling of tidbits. It is not suited to occasional gorging as is the intestine of the carnivorous cat family. Thus the institution of regular meals, particularly of food rendered rapidly absorbable! It placed a great burden on modern man’s ability to cope with large quantities of food suddenly pouring into his system from the intestinal tract.
The institution of regular meals also meant that man had to eat more than his body required when eating. It had to tide him over until the next meal. This easily digestible food suddenly flooded his body with nourishment. He had no need of much of this nourishment at the moment. Somehow, it had to be stored!
The Thyroid Gland – No! Thyroid medication merely forces the body to consume its normal fat reserves.
The Adrenals – No! All the evidence suggest that, in obesity, there is any excess of adrenocortical activity.
The Pituitary Gland – Probably No. It is still too early to say whether this factor is destined to play a role in the treatment of obesity.
The Diencephalon (Hypothalamus) – Yes! The hypothalamus is the gland that controls breathing, the heart beat, digestion, sleep, sex, the urinary system and the autonomous or vegetative nervous system. Through the pituitary, it controls the whole interplay of the endocrine glands and the storing and issuing fuel to the body.
When the body assimilates more fuel than it needs from the intestinal tract, the surplus is deposited in the normal reserves of a fat bank. Out of this reserve, it can always be withdrawn as required. When too much food is eaten, a point is reached where the reserves can’t handle any more. Then the excess is placed in abnormal fixed-fat deposits and is taken out of normal circulation.
The normal fat-center is suddenly called upon to deal with an enormous influx of food far in excess of immediate requirements.
This can come from:
1. Excess or highly refined foods, such as sugar, white flour, butter and oil, are rapidly digested and assimilated. The rush of incoming fuel, which occurs at every meal, may eventually overpower the diecenphalic gland and lead to obesity.
2. Consumption of fuel which is suddenly decreased while the amount of food eaten remains the same.
Most obese patients do not suffer from compulsive eating. They suffer genuine hunger – real, gnawing hunger – which has nothing whatever to do with compulsive eating. Patients suffering from real compulsive eating are comparatively rare. In my practice they constitute about 1-2%.
The Treatment of Obesity
Correcting the hypothalamus deficiency is the only way to cure it is to correct this problem. Dr Simeon has found that small daily doses of HCG helps people to lose their ravenous appetite! As long as such patients were given small daily doses of HCG, they could comfortably go about their usual occupations on a diet of only 500 Calories daily and lose an average of about one pound per day! Most patients complained that the two meals of 250 Calories each were more than they could manage. They continually had a feeling of just having had a large meal.
It also helps them change their shape! He also found that it was evident that only abnormal fat was being consumed. This tends to reduce the fat in the hard to reduce areas that helps the body shape look more natural.
Pregnancy Provides a Clue
It is interesting that ideal nutritional conditions for the fetus can only be achieved when the mother’s blood is continually saturated with food. Regardless of whether she eats or not, a period of starvation will hamper the steady growth of the embryo. It seems that HCG brings about this continual saturation of the blood! (This is also one reason why obese patients under treatment with HCG never feel hungry in spite of their drastically reduced food intake.)
HCG mimics pregnancy’s metabolism but not the other sex-hormone effects. This can work for you since HCG’s action is identical in men, women, and children. An injection of only 125 units per day is ample to reduce weight at the rate of roughly one pound per day when associated with a 500 Calorie diet – without the intense hunger.
Follow Through is Important!
The hypothalamus’ functional equilibrium is delicately poised, so that whatever happens in one part has repercussions in others. This balance is out of kilter and can only be restored if the technique is followed implicitly! For instance, if the diet is increased from 500 calories to 600-700 calories, the loss of weight is quite unsatisfactory.
Even seemingly insignificant deviations are very liable
to produce disappointing results
and even annul the effect completely!
We try to establish the highest weight the patient has ever had in his life (excluding pregnancy). When this was, and what measures have been taken in an effort to reduce. We ask several questions to find how the Procedure will work best for you.
The patient is weighed and measured. The normal weight for their height, age, skeletal and muscular build is established. The degree of overweight is then calculated, and from this the duration of treatment can be roughly assessed. This may be an average loss of weight of a little less than a pound per day.
The Duration of Treatment
We never give a treatment lasting less than 26 days, even in patients needing to lose only 5 pounds. The hypothalamus requires about three weeks rest from the maximal exertion to which it has been previously subjected. This is in order to regain fully its normal fat-banking capacity.
In smaller weight loss goals, when such patients have lost all their abnormal superfluous fat, they at once begin to feel ravenously hungry in spite of continued injections. This is because HCG only puts abnormal fat into circulation. In the doses used, it does not liberate normal fat deposits.
The maximum we give in a single course is 40 injections. Nor do we as a rule allow patients to lose more than 34 lbs. (15 Kg.) at a time. The treatment is stopped when either 34 lbs. have been lost or 40 injections have been given.
The reason for limiting a course to 40 injections is that by then some patients may begin to show signs of HCG immunity. Patients requiring the loss of more than 34 lbs. must have a second course. A second course can be started after an interval of not less than six weeks, though the pause can be more than six weeks.
During the course of treatment, he must attend the clinic a few times to be weighed, injected and generally checked. As mentioned before, you will have to follow the prescribed dietto the letter. After the first three days this will cost you little effort. You will feel no hunger and may even have difficulty in getting down the 500 Calories which you will be given.
Gain before Loss
Some patients may actually have low general fat reserves. This is usually from excessive previous dieting. They must actually eat to capacity for about one week before starting treatment. The weight gain is for a reason. It is hard to keep a patient comfortably on 500 Calories unless his normal fat reserves are reasonably well stocked. This is why we ask everyone to eat to capacity of the most fattening food they can get down until they have had thethird injection. This re-stocks the depleted normal reserves. The subsequent loss is from theabnormal deposits only.
The 500 Calorie diet is explained to those patients who will be preparing their own food. Every item in the list is gone over carefully, continually stressing the point that no variations other than those listed may be introduced. All things not listed are forbidden, and the patient is assured that nothing permissible has been left out.
Sooner or later most patients express a fear that they may be running out of vitamins or that the restricted diet may make them anemic. However, every time they lose a pound of fatty tissue (which they do almost daily) only the actual fat is burned up. All the vitamins, the proteins, the blood, and the minerals which this tissue contains in abundance are fed back into the body.
The First Days of Treatment
On the day of the third injection it is common to hear two remarks.
One is: “You know, Doctor, I’m sure it’s only psychological, but I already feel quite different”.
The other typical remark is: “Now that I have been allowed to eat anything I want, I can’t get it down. Food just doesn’t seem to interest me anymore.
On the day of the fourth injection most patients declare that they are feeling fine. They have usually lost two pounds or more. Some say they feel a bit empty but hasten to explain that this does not amount to hunger. A few complain of a mild headache, and for which they have been given permission to take aspirin.
During the second and third day of dieting – that is, the fifth and sixth injection-these minor complaints improve while the weight continues to drop at about double the usually overall average of almost one pound per day, so that a moderately severe case may by the fourth day of dieting have lost as much as 8- 10 lbs.
At this point, those who have literally eaten to capacity during the first two days of treatment feel remarkably well. They have no hunger, nor do they feel tempted when others eat normally at the same table. They feel lighter, more clear-headed and notice a desire to move quite contrary to their previous lethargy.
After the fourth or fifth day of dieting the daily loss of weight begins to decrease to one pound or somewhat less per day, and there is a smaller urinary output. Men often continue to lose regularly at that rate, but women are more irregular in spite of faultless dieting. There may be no drop at all for two or three days and then a sudden loss which reestablishes the normal average. These fluctuations are entirely due to variations in the retention and elimination of water, which are more marked in women than in men.
The HCG + diet method can bring relief to every case of obesity, but the method is not simple. It is very time consuming and requires perfect cooperation between physician and patient. Each case must be handled individually. The method involves a highly complex bodily mechanism. I must beg those trying the method for the first time to adhere very strictly to the technique and the interpretations outlined here. Refrain from introducing innovations, however thrilling they may seem.
The problems of obesity may not be as dramatic as the problems of cancer, or polio, but they often cause life long suffering. How many promising careers have been ruined by excessive fat, how many lives have been shortened? If some way -however cumbersome – can be found to cope effectively with this universal problem of modern civilized man, our world will be a happier place for countless fellow men and women.
I believe this method will help!