~Preliminary Diet.~--Many physicians find it advisable, as has already been stated, to cut down the food allowance before stopping it entirely. In the Michael Reese Hospital this is done by first giving a practically fat-free diet, followed by one or two days in which three or four eggs, 250 to 300 grams (8 or 10 ounces) of 5% vegetables are given, after which it is found safe to institute the starvation treatment. ~Sample Menus.~--The following menus are given to illustrate the dietetic treatment which it is deemed advisable to institute in cases where the starvation treatment cannot be given at once: After the test diet of forty-eight hours, the following regime is instituted: THIRD DAY =============================+=========+=======+==============+========== |_Protein_| _Fat_ |_Carbohydrate_| | _Gm._ | _Gm._ | _Gm._ |_Calories_ -----------------------------+---------+-------+--------------+---------- Breakfast: | | | | 1/2 grapefruit | | | 5 | 20 1 egg | 5.3 | 4.1 | | 59 1 slice bread 30 gm. | 2.6 | .3 | 15 | 73 Tea or coffee | | | | +---------+-------+--------------+---------- Total for meal | 7.9 | 4.4 | 20 | 152 Dinner: | | | | Broth 180 c.c. | 3.7 | .17 | .34 | 18 Chicken (breast) 90 gm. | 18.2 | 2.1 | | 92 Spinach 100 gm. | 2.0 | | 3.0 | 20 Potato (1 medium) 90 gm. | 1.8 | .09 | 15.6 | 70 Lemon jelly 90 gm. | 4.2 | | 2.7 | 27 +---------+-------+--------------+---------- Total for meal | 29.9 | 2.3 | 21.6 | 227 Supper: | | | | Lamb chop 50 gm. | 9.3 | 14.1 | | 126 Asparagus 100 gm. | 1.5 | | 3 | 18 Bread 20 gm. | 1.6 | .2 | 10 | 48 Tea or coffee | | | | +---------+-------+--------------+---------- Total for meal | 12.4 | 14.3 | 13 | 192 Total for day | 40.2 | 21 | 54.6 | 571 =============================+=========+=======+==============+==========