I am again confused. Obviously we care about the outcomes, the point is that grade C evidence can be applied to a diverse range of settings because it is an assessment of evidential backing
The reason why I'm being pedantic here is because I think this is fairly central to your objections. You see it as obvious that the guidelines are not working, but you do not actually have the evidence to back this up
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We do not know what the food environment would look like without guidelines. We do not know what people would be eating without them. There is Grade C evidence that they work, but the evidence that you are relying on for your argument that they don't is simply not there at all
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"People are gaining weight" is not an argument against the guidelines for the very simple reason that you have no comparator. We cannot just assume reasons, that's what evidence and grading is all about
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