(3) a decrease in the amount of fluid.
(c) Where there is obesity in adults with anemic symptoms in whom not only the amount of protein but also the abnormally increased amount of fat is slowly wasting away, they require:
(1) An increase in the amount of protein taken.
(2) A sufficient amount of fat and carbohydrates or even an increase of same to prevent the falling off of fat.
(3) A diminution in the amount of fluid taken.”
Oertel claims that the simplest method of reducing the fat-forming elements in a diet is to decrease the amount of fat and allow a certain amount of carbohydrates, regulating the diet according to the individual. The following table is given by him as showing the minimum and maximum amount of the different food constituents constituting the obesity diet:
| Protein | Fat | Carbohydrate | Calories | |
| Gm. | Gm. | Gm. | ||
| Minimum | 156 | 25 | 75 | 1180 |
| Maximum | 170 | 45 | 120 | 1608 |
In instituting a treatment for obesity Oertel insists upon a certain amount of exercise daily in the open air, the amount to be regulated by the physician according to the individual case. He suggests that five or six small meals a day be given rather than a few large meals. He eliminates soups, tea, and coffee while the cure is being given.
Ebstein suggests a diet in which the carbohydrates and fluids are reduced but in which the fats are allowed to a considerable extent. The diet consists of meat, eggs, fish, vegetables (green) and fruits. The following menu demonstrates his dietary régime:
Breakfast: Large cup of tea (no milk or sugar); 2 oz. bread with plenty of butter.