Here is the issue I have with #LCHF diets: the evidence is so very mixed
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However, when you look at systematic review evidence, often the benefits disappear long-termpic.twitter.com/QA2ylln9D5
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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
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The key here is "IN IDENTICAL INTERVENTIONS" You see, a lot of interventions test LCHF against usual diet
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This is, essentially, what Virta did: they compared a massive, intensive intervention - that included LCHF - with "usual care"
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When you compare LCHF against the average diet, it does much better When you compare it against OTHER dietary interventions, not so much
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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
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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
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End of conversation
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