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Previous Volume 351:696-705 August 12, 2004 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 49-year-old woman was evaluated at this hospital for the management of obesity. She had been overweight since childhood; at the age of 10 years she weighed 45.4 kg, at the age of 18 she weighed 88.5 kg, and throughout most of her adult life she weighed between 108.9 and 129.3 kg. She was able to lose weight on more than 10 occasions with diet and exercise but always regained it within two to three years. Dexfenfluramine was prescribed for weight loss when she was 40 years old, and she lost 11.3 kg but gained 22.6 kg after she stopped . . . [Full Text of this Article]

Discussion of Management

Medical Evaluation

Nutritional Evaluation

Psychological Evaluation

Weight-Loss Surgery

Pathological Discussion

Discussion of Outcome

Nutritional Outcome

Medical Outcome

Psychological Outcome

Source Information

From the Weight Center (J.S.P., S.C., D.A.V., L.M.K.), and the Departments of Surgery (J.S.P.), Psychiatry (D.A.V.), Pathology (F.G.-C.), and Medicine (Gastrointestinal Unit) (L.M.K.), Massachusetts General Hospital; and the Departments of Surgery (J.S.P.), Psychiatry (D.A.V.), Pathology (F.G.-C.), and Medicine (L.M.K.), Harvard Medical School.

Related Letters:

Case 25-2004: A Woman with Severe Obesity, Diabetes, and Hypertension
Padwal R., Podgorski G. P., Pratt J. S., Kaplan L. M.
Extract | Full Text | PDF  
N Engl J Med 2004; 351:2771-2773, Dec 23, 2004. Correspondence

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