Great presentation by @DrAlanWBarclay tonight at the Western Sydney Diabetes nutrition forum
Key take-homes:
- sugar isn't causing diabetes
- reducing sugar intake causes weight loss through reduction of calories
- this can be done with intense (artificial) sweeteners safely
Well, it certainly doesn't in long-term RCTs. The fact that a single small study that fed its subjects demonstrated these benefits is less convincing to me than the many studies that have not found any such improvement 
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First of all the meta-analysis that you pointed to defines CHO restriction as less than 45% of kcals. Let's be realistic about this. Clinicians who use therapeutic carb restriction don't 1) use % kcals or 2) use a level of carb intake that high.
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Second, I'm talking about a mechanism (efficacy). Why do we see metabolic improvements with carb restriction before wt loss occurs? (PS. This also happens with bari surg). What you are pointing to is effectiveness or how carb restriction is implemented in an RCT.
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