In a 12 month trial
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The diet used doesn't seem to get great reviews from the public https://www.smh.com.au/lifestyle/health-and-wellness/unexpected-pregnancy-hair-loss--meet-australias-dangerous-new-diet-20160604-gpbkdk.html …
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Replying to @gillespi
Um... 1) The DiRECT trial used a very different approach to the one that article is about 2) anecdotes of adverse events abound for every approach, which is what published evidence is for
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Replying to @GidMK
It axiomatic that caloric deprivation (whether by shakes or surgery) can delay T2D (in people who aren't too far gone) but shouldn't the NHS be focusing on the cause rather than a dodgy band-aid? That is, telling people how to avoid the sugar that caused it.
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Replying to @gillespi
In what sense is it a "dodgy band-aid"? Excellent outcomes, demonstrated by robust clinical evidence - why does it matter how they did it?
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Replying to @GidMK
Because it doesn't last (any more than surgery or drug induced glycemic control does) and it doesn't fix the underlying problem (over-consumption of sugar) - it is a delaying tactic (at best).
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Why are you so keen for people to be sold a band-aid rather than simply being told what caused the problem (so they can stop doing it)? I know that will mean walking back 40 years of nutrition advice, but surely that's worth it?
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Replying to @gillespi
That's a false dichotomy and a mischaracterisation of my position. You can provide healthy eating advice and effective interventions-as demonstrated in robust clinical trials-at the same time
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Replying to @GidMK
And that brings me back to my point. The NHS is paying for the band-aid but not walking back the appalling nutrition advice it has been providing and replacing it with advice to remove sugar (or did I miss that announcment?)
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Replying to @gillespi
And as I've said before - that's a false dichotomy. You could just as easily say that the NHS should stop providing dialysis because it's just treating the symptoms, and it would be as cogent an argument
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Perhaps also worth noting that one thing that is absolutely demonstrated to be ineffective is providing dietary advice without structural change I'd be interested to know on what evidence you're basing telling people "what caused the problem" as an intervention
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