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 …
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Here is the intervention mentioned in the study. Have a quick read through and then keep reading the threadpic.twitter.com/eFs7mVgbSp
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You'll note that there are A LOT of things included in the Virta package. That is, after all, why they charge ~$4500 a year for the first year and ~$2500 every year after thatpic.twitter.com/edvSU4foJT
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I'm flabbergasted that people can be calling an intervention that includes personalized dietary regimens, individual health coaches, physicians, nurses, and technological support as "ketosis"
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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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