I'm seeing a lot of noise about this new magical keto evidence and all I can say is that it's AT BEST wildly misleading The new study definitely did not show that ~ketosis~ was a weightloss/diabetes improvement tool - a threadhttps://twitter.com/garytaubes/status/991811295056809989 …
Yes, ketosis was ~part~ of the intervention. But that's like arguing that a care works because it has headlights. The headlights are important, but they aren't everything
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Does this study prove that ketogenic diets work? Well, maybe We already know that ketogenic diets are about as effective as any other calorie-restrictive diet i.e. https://academic.oup.com/ajcn/article/97/3/505/4571510 …
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And whether it was ketosis or calorie restriction is impossible to argue from this piece of research, because THEY DIDN'T COLLECT THAT INFORMATIONpic.twitter.com/hYEaDbDOoi
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So basically this Virta intervention did exactly what you'd expect: put people on a very intensive weightloss regimen, and they lose weight (magic!)
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Is it affordable/possible/realistic to spend $4,500 per year on every patient at risk of diabetes? That's a tough question
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But bottom line: there is NO EVIDENCE from this new research that ketogenic diets are any more effective than, say, calorie restriction in a high-carb diet
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Also would be interesting to see how the exorbitant cost of medications, insulin in America play a factor in adherence to
@virtahealthThanks. Twitter will use this to make your timeline better. UndoUndo
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So intensive support also vastly improved their cardiovascular risk markers in the exact same way other low carb studies, without the intense support? Thats a huge co-incidence! https://cardiab.biomedcentral.com/articles/10.1186/s12933-018-0698-8 …
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Either that or it's a huge coincidence that these results mirror the results of ~every single~ intensive intervention into diabetes for at least the last 5 years i.e. https://link.springer.com/content/pdf/10.1007%2FBF00400196.pdf …
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