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I've already offered my congratulations to Mary Ellen Pinkham - the new Mary Ellen Pinkham, nearly eighty pounds leaner and more fit than when I first met her. Now I congratulate you for starting this book. I am sure you'll find it a treat to read, and I think it contains more than a few surprises. This book can change your life, if you let it.ViTien Mary Ellen came to us, she was complaining of flu: she was tired, worn out, and feverish. But even before she'd become ill, she hadn't felt well. She was significantly overweight and tired of constant dieting without much result.She told me that she'd been on one diet or another for as long as she could remember - all failures. She didn't realize, until I told her, that that was the key to her problem. She was a victim of dieting. Fad dieting had changed her metabolism so that she could never hope to lose weight and keep it off.My practice is not oriented towards the treatment of obesity, but as an internist I estimate that nearly half of my patients are concerned about being too overweight. Rarely does a day go by without a patient asking my advice about diets or dieting. And, often, the stories I hear are similar to Mary Ellen's. The patient has lost weight on diet after diet, then regained it all and often a few extra pounds.It seemed to me that there were certain basic, scientific principles that most dieters were failing to take into account. It further seemed possible to devise a programme that incorporated these principles.When I got to know Mary Ellen a little better and we discussed the extent of her problem, she was very excited by the information I shared with her. She said she felt that was11