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Cilexetil, Atacand (Candesartan)

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IS OBESITY A DISEASE?
According to Webster, disease is an alteration interrupting or disturbing the body’s vital function; so obesity is a disease. Yet from time immemorial it has been treated as a joke to be fat. That attitude has changed. Try to take out life insurance and see the adverse attitude of those very practical businesses towards overweight. If your stomach girth measures more than your expanded chest, life insurance will cost you more, if allowed. The one situation where superfluous fat seems to be a decided advantage is in cold water swimming. Seals and whales take practical advantage of its great insulating quality.
A few years ago the New England Journal of Medicine published a symposium on obesity. With us doctors, a symposium means a collection of papers on one subject; the Greeks meant by it a drinking party. In this era of overuse of soft sweet drinks the Journal chose an excellent title. Dr. David P. Barr, professor of medicine at Cornell Medical School, let himself go when he discussed health and obesity. I will give you an extract, hoping that it does not drive you into self-enforced starvation.
Obesity predisposes to diabetes, increases the tendency to hypertension, favors the development of atherosclerosis and contributes to heart failure. It increases the incidence of gall stones. It causes shortness of breath on exertion, intolerance to heat and excessive sweating. It leads to maceration, intertrigo, eczema and furunculosis. It fosters the development of postural emphysema, flat feet, hernia and osteoarthritis of the hips and knees.
If there are any words there which you do not understand, just take it for granted that they are undesirable bodily conditions. Dr. Barr said more, but it is just too tough for pleasant reading.
The mere carrying about of extra weight puts a decided handicap on the heart, causing inefficient mechanical functioning. It adds a burden to all the other muscles, the circulation, and respiration. The strain on ligaments and joints frequently results in chronic aches and pains, especially in the lower back and arches of the feet. The overweight, flat-footed policeman has been a byword for years. We do not see so many like him now.
Dr. Elliott P. Joslin, of Boston, long ago noted the relationship between diabetes and obesity and he has continued to stress it. Apparently overweight definitely predisposes to diabetes and when the disease is established, fatness complicates it, making the conduct of the case more difficult. One of the great dangers of the diabetic is acidosis. It used to be said that in the body the fat is burned in the flame of the carbohydrates. While this is not quite a true statement, yet the great trouble of the diabetic is the handling of carbohydrates (that is, sugar and starches). Burning the fat alone produces much partly burned, or oxidized, material that may cause diabetic coma, the most dreaded of complications.
Surgeons find their work complicated in fat people. A two-or three-inch incision is usually ample for an appendectomy and yet in a tremendously fat person a cut over a foot long has been known to be necessary.
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