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Lawrence A. Leiter, MD, FRCP(C); Errol B. Marliss, MD, FRCP(C)

JAMA. 1982;248(18):2306-2307.

Abstract
The determinants of length of survival during total fasting are unknown. Media reports of hunger strikers in Northern Ireland have provided some basis for evaluating this question. Such "data" combined with standard concepts of body composition, fuel homeostasis, and responses to therapeutic fasts suggest that death occurred when fat stores were approaching exhaustion. Thus, fat stores may play a central role.

(JAMA 1982;248:2306-2307)

Author Affiliations
From the Departments of Medicine, University of Toronto (Dr Leiter) and McGill University, Montreal (Dr Marliss).

Footnotes
Reprint requests to McGill Nutrition and Food Science Center, Royal Victoria Hospital, 687 Pine Ave W, Montreal, Quebec, Canada H3A 1A1 (Dr Marliss).

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