An important element in the management of women at the change of life is to impress upon them the fact that they have no definite disease, but are undergoing a perfectly normal cessation of function, and that, while there are likely to be minor disturbances of physical and psychic processes, these do not require any special regulation of diet and do not excuse hysteric outbursts.

On the other hand, if a woman at the menopause manifests distinct pathologic symptoms, she must l>e examined and appropriately treated.

Aside from avoiding dietetic excesses and irregularities and taking some pains to prepare the food so as to appeal to the appetite, no special modification is necessary.

The use of ovarian extracts after or during the menopause, is of doubtful propriety, as there is normally a deprivation of ovarian function.

However, it must not be forgotten that certain diseases tend especially to develop at the menopause. Among those requiring dietetic treatment may be mentioned obesity, thyroid disturbance, hepatic and renal degeneration, diabetes.