The evidence showed definitel}' that the internal
secretion of the gonads caused Slimfast Shaker the appearance of
the secondary sexual characteristics. The term
originated with John Hunter. Those secondary
changes were the changes occurring at puberty. Cer-
tain experiments, especially those of Steinach,
showed the great importance of the internal secre-
tion of the testicles and ovaries. Steinach laid so Cheap Slimfast Products
much importance on this interstitial tissue that he
named it the puberty gland, indicating that puberty
depended entirely upon its action. By experiments
on animals he showed that these secondary sexual
characteristics could be produced. Thus male rats
October 30, 1920.]
PROCEEDINCfS OF NATIONAL AND LOCAL SOCIETIES.
695
which had been castrated before puberty and in
whom an ovary had been transplanted took Purchase Slimfast on sec-
ondary female characteristics ; the same was true Order Slimfast Online of
rats of the opposite sex. We did not know the
stimulus that called into activity this property of
the gonads. It might depend on the interactivity of
other endocrine glands — for instance, the hypo-
physis. Gonadal stimulating The Slimfast Diet properties might exist
in all Buy Cheap Slimfast endocrine glands. We should find clinical
cases in man sho.wing the results of hyperfunction or
hypof unction of these organs; that is, we should
find cases of precocious Slimfast Canada or delayed puberty in both
sexes. We could also study the effects of double
ovariotomy.
Mild Types of Thyroid Toxic Adenomata. —
Dr. Malcolm Slimfast Meals S. Woodbury, of Clifton Springs,
said there were two varieties of goitre which might
be toxic — the exophthalmic type and toxic adeno-
mata. The opinion was that adenomata were em-
bryological in origin, derived from fetal rests.
Work was being Slimfast Cost Slimfast 123 Plan done on this and would be
published soon. For Buy Slimfast Online the clinician it was im-
portant to recognize th^t adenomata might
appear as distinct nodules Slimfast Price or there might be a
diffuse process, as shown by the microscope ; the
absence of nodules did not rule out this condition.
The recognition of thyroid adenomata as an entity
marked an advance. They might attain a large
size, but usually not without toxicity. The mild
ones might produce only pressure symptoms. Small
adenomata might be toxic just as small exophthalmic
goitres might. Plummer stated that thirty-three
per cent, of all hyperfunctioning thyroids were
adenomata. It was obviously of the greatest im-
portance to differentiate toxic states associated with
goitre from psychoses. The term thyroto.xicosis
was Purchase Slimfast Online better than the term hyperthyroidism when
applied to adenomata. In our recent short series
there was a family history in eighty per cent, of
the cases and infections of the tonsils or teeth in
ninety per cent. ; all the patients came from districts
in which goitre was rather common. Probably the
'etiology was somewhat as follows : It appeared
that fetal rests might be transmitted more com-
monly in certain families ; be due to the water con-
tent in localities requiring an overactivity of Slimfast Australia the
thyroid in metabolism adjustment, to disturb-
ance of the sympathetic nervous system, or to
pregnancy. The cells proliferated and took on the
form of adenomata. Whether the activity was due
to cells in the adenoma per se or the surrounding
cells was not Slimfast 123 yet established. Nervous symptoms
in the cases of adenomata were no different from
those in the exophthalmic cases. In adenomata
fifty per cent, of tlie Slimfast Tablets patients complained of depres-
sion which was dift'erent from the depression of
psychoses in the Order Slimfast absence of self accusatory delu-
sions. Definite Slimfast Snack Bars nodules could be felt in half the
cases, although palpation must be done carefully to
detect them. Dr. Woodbury described his method
of palpating the thyroid to detect adenomata. With
the patient sitting with the head on a head rest
turned toward the side on which the examiner stood,
the landmark to palpate was the oblique ridge on
the als of the thyroid cartilage when the patient
swallowed.
The metabolism rate had received a great deal
of attention since the portable apparatus of Bene-
dict had come into use, but too much reliance must
not be placed on it and it was necessary to allow for
differences in weight, age and sex. An increase of
not more than fifteen per cent, was to be considered
normal. Adenomatous cases might show only a
slight increase in basal metabolism or no increase
at all, and the question arose whether these were
cases in which a toxic element was playing a part.
Dr. Woodbury thought they were. Slimfast Cheap The Goetsch
test was positive. The patients were operated on
by Dr. C. W. Webb, with good results where the
Related tags: Slimfast 321 Plan, Slimfast Meal Bars, Slimfast Diets, Cheapest Slimfast, Slimfast Products, Slimfast 321, Slimfast Powder, Slimfast Nutrition, Slimfast Diet Plan, Buy Slimfast, Coupons For Slimfast, Slimfast Coupons, Slimfast Coupon, Slimfast Shakes, Slimfast Shake, Slimfast Diet, Slimfast Uk, Slimfast Bars, Slimfast Offers, Cheap Slimfast, Slimfast Online