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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
Verified account
@GidMK

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Health NerdVerified account

@GidMK

Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him

Sydney, New South Wales
theguardian.com/profile/gideon…
Joined November 2015

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    Health Nerd‏Verified account @GidMK 29 May 2018

    Here is the issue I have with #LCHF diets: the evidence is so very mixed

    6:31 PM - 29 May 2018
    • 2 Retweets
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    • Rationable Grenadier Liz "The Mask Goes Over Your Nose AND Mouth" Ditz
    1 reply 2 retweets 2 likes
      1. New conversation
      2. Health Nerd‏Verified account @GidMK 29 May 2018

        On the one hand, you see trials such as Virta, with extremely intensive interventions, that have amazing results

        1 reply 1 retweet 0 likes
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      3. Health Nerd‏Verified account @GidMK 29 May 2018

        However, when you look at systematic review evidence, often the benefits disappear long-termpic.twitter.com/QA2ylln9D5

        1 reply 2 retweets 0 likes
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      4. Health Nerd‏Verified account @GidMK 29 May 2018

        There are also numerous RCTs comparing low-carb with high-carb diets, and many of these find that IN IDENTICAL INTERVENTIONS there is no benefit to LCHF diets https://onlinelibrary.wiley.com/doi/full/10.1111/joim.12501 …pic.twitter.com/Gy3QQwV7eW

        1 reply 1 retweet 0 likes
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      5. Health Nerd‏Verified account @GidMK 29 May 2018

        The key here is "IN IDENTICAL INTERVENTIONS" You see, a lot of interventions test LCHF against usual diet

        1 reply 1 retweet 0 likes
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      6. Health Nerd‏Verified account @GidMK 29 May 2018

        This is, essentially, what Virta did: they compared a massive, intensive intervention - that included LCHF - with "usual care"

        1 reply 1 retweet 0 likes
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      7. Health Nerd‏Verified account @GidMK 29 May 2018

        When you compare LCHF against the average diet, it does much better When you compare it against OTHER dietary interventions, not so much

        1 reply 2 retweets 0 likes
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      8. Health Nerd‏Verified account @GidMK 29 May 2018

        It doesn't mean that the diet isn't right for you. It just means that most methods of dieting appear to be similar in terms of efficacy long-term

        1 reply 2 retweets 0 likes
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      9. Health Nerd‏Verified account @GidMK 29 May 2018

        And since virtually ALL diets have the same long-term adherence - low - extolling one above all the others simply isn't very well-supported evidentially

        1 reply 2 retweets 1 like
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      10. End of conversation

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