As I have said before,
and wish to repeat, to gain in fat is, in the feeble, nearly always to
gain in blood; and I hope to point out in these pages some of the means
by which these ends can be attained.
_Note_.--The statements made on page 21 and the following
paragraphs about obesity in England and with us are no longer
exact, but have been allowed to stand in the text as recording
facts true at the time of writing them, in 1877. At the present a
medical observer familiar with both countries must note several
decided changes: more fat people, more people even enormously
stout, are seen with us than formerly, and fewer of the
"inordinately fat middle-aged people" in England than used to be
encountered. With us the over-fat are chiefly to be found among the
women of the well-to-do classes of the cities, and from thirty
years old onward. They persecute the medical men to reduce their
weight, and the vast number of advertisements of quack and
proprietary remedies against obesity indicate how wide-spread the
tendency must be.
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