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The problem of obesity in the practice of medicine has remained a puzzle without adequate solution, in spite of the apparent simplicity found in the production of excess fat in the body from excess eating. The obese patient is usually dismissed with the advice to eat less food and he will lose weight. Endocrine abnormalities - notably thyroid and pituitary malfunctions - are currently recognized as etiologic agents in some cases of obesity, but this is understood to constitute a very small percentage of the total cases of excess body weight. Clarity concerning this problem does not come readily from the Cayce readings, perhaps because of the fact that few readings were given only for the problem of obesity. Usually obesity was concomitant with other conditions and thus treatment and etiology were intermixed. It would probably be an accurate observation to state that the readings saw obesity as a side-product of other body changes that were in the process of causing what we know as disease. In the cases reviewed in this Circulating File there are four major factors of a physiological nature which contribute in the greatest degree to the obesity for which corrective suggestions were offered. The first and probably most important etiologic factor is what Cayce calls an "excess of starches in the diet," which we probably relate to the general problem of overeating. When these starches are in excess quantity they create drosses in the system, and these "make for a hardening upon the activity of the glandular system as related to the glands of the body." (1268-2) Apparently these changes in the glandular activity are not just in the endocrine glands of the body but also in those tissues in the small intestinal wall - probably Peyer's patches and other tissues which are active in the assimilatory process. Each of these has glandular tissue as part of its structure which directs and controls the reproduction and continuity of cellular structure unique to that tissue. Thus changes in the glands themselves might well alter the structure and nature of those cells which absorb and metabolize carbohydrates. Then we might find that "there has been produced in the glands - where the changes take place in the digestive system, just below the duodenum, that condition wherein most things turn to sugars, and these increase the avoirdupois of the system, especially about these portions of the body - the torso proper." (56031) We might say, then, that overeating starches is a prime cause of obesity and might create an abnormality in the assimilatory cells of the intestinal tract. Improper or inadequate eliminations are the second cause of obesity. In [2455]'s case, lack and imbalance of eliminations were probably one of the prime causes of the woman's psoriasis as well as her obesity. In order to correct either, the eliminations had to be improved and the balance among the liver, kidneys, lung, and skin had to be restored. Glandular imbalance was mentioned several times in those cases reviewed, and thus appears as a third major causative factor. The adrenals and the pineal particularly were mentioned as being first in performance, but we also see the production of obesity in an individual after [5240] had a thyroidectomy; almost immediately after [4030] had her tonsils out (obesity which existed 11 years after a reading was obtained); and almost immediately after [3386] had her uterus surgically removed. All of these are glandular tissues although the tonsils are not included among major glandular structures. In any event, glandular function or malfunction must be given its proper place in the etiology of obesity. Incoordination between the cerebrospinal and the autonomic nervous systems apparently plays a fairly important role in creating conditions conducive to the production of excess body weight. As a fourth etiologic factor, these incoordinations arise from other causes and are not primary in themselves, but are found frequently enough to be considered as a physiological malfunction in understanding the process of obesity. It is important to be aware that obesity accompanies the development of other diseases and thus we must question the theory that obesity causes other diseases. Perhaps it may be only that the changes in the physical body which occasion that which we call obesity might also bring about other disease processes as a matter of natural activity in a body that had adjusted itself to improper function. II. Rationale of Therapy In approaching therapy, we should remember that the body has a capability of normal function: Thus, we would administer those activities which would bring a normal reaction through these portions, stimulating them to an activity from the body itself, rather than the body becoming dependent
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