One person who swore she kept to her 1,000-calorie diet but she didn’t lose a pound. When she was questioned at length, her doctor found she had about ten alcoholic drinks a day.

Someone had told her that alcohol wasn’t fattening! When she followed Dr. Santy’s advice and began counting her alcoholic calories, three things happened: She practically stopped drinking. Her health improved.

She lost weight. She wouldn’t stop drinking entirely and, as she was not an alcoholic, it wasn’t necessary. But, by eating the proper foods, and thinking about what she was trying to do, she decreased her appetite for both food and liquor. Now she has a good figure, is in excellent health, and eats and drinks just the things that are good for her.
You see, the old saw, “You can’t eat your cake and have it,” was never written for the fat person. For, unfortunately, we fat people can eat our cake and have it. That’s the trouble. When we do eat cake, we do have it—forever. This is to advise you that you can’t eat your cake at all. Not the cake you’re accustomed to, anyhow.

What to do ‘til the doctor comes? Keep up your notes on your weight and on your own diet. When you go to your doctor, after you’ve finished reading this, take with you all of your notes. Show him your weight. Show him what you’ve been eating. That will be a better introduction than most of his patients bring him. In fact, usually, he has to ask diet questions. And receive those good old answers, “Why Doctor, I eat hardly anything 1 Less than any of my friends. I eat like a bird!”

Think how pleased your doctor will be when you hand him your notes—a full list of the foods you’ve eaten for weeks, with their caloric values written next to them. You’ll put in the caloric values before too long, now. You’ll have the full diagram of your regulation diet— for your own information. He’ll have it—for his. And he’ll be able to tell, at once, what you are eating that is wrong for you, and how you’ll have to change your diet to suit his rules—and mine. I have an idea they’ll be a lot alike, varied only by your own personal needs. I think he’ll be grateful because you come to him with an intelligent outlook—and intelligent preparation.

How often you’ll have to visit your doctor is up to him, and up to your own physical condition. It may be— and quite possibly will be—that only a very few visits may be necessary. One good physical examination, plus a diet and any necessary medication, plus a check-up to see that you are following instructions, may be all you need. Or you may need a whole lot more. A complete course at a gymnasium or beauty school, or many visits to your doctor.

Here is what you should want—and get—at the first visit to your physician. You’ll find that obesity is no longer a mysterious disease, and that its permanent cure does not consist of clipping diets out of newspapers or magazines or passing along secret advice, but is as scientific as anything can be, these days.

Your examination will depend on your condition, and on your physician. Although it will differ in some respects, it will have certain definite aspects.
First, there will probably be questions about your history, and your family’s history, and questions with regard to such illnesses as hypertension, diabetes and fevers, the weight of other members of your family, and your own weight at birth and during childhood. The doctor will ask you about how long you sleep, if you use tobacco, drugs, alcohol and tea and coffee.

He will then ask you about your eating habits—and be pleased when you produce the full data on how much you’ve eaten during the past weeks, and can tell him exactly about your food habits. He will also ask about fluid intake and how much salt you use.
Next, there will probably be questions about your emotional life. The information you gathered about yourself will be valuable on your visit to your doctor.

There will undoubtedly be questions about menstrual history, if you’re a woman, and questions about your thyroid condition, based on your ability to stand heat and cold, the condition of your hair and nails, and even if your perspiration is normal.
If your doctor gives you a thorough examination—and I hope he will—he will examine your body to see if you have one of the glandular types of obesity.

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