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Source: Guidance to Metabolic therapies

Compare this to PubMed:Very-low-carbohydrate ketogenic diet v low-fat diet for long-term weight loss: a meta-analysis of randomised controlled trials

This review concluded that individuals assigned to a very-low-carbohydrate ketogenic diet achieved greater long-term reductions in body weight and certain blood cardiovascular risk factors than those assigned to a low fat diet. The conclusions of this well-conducted systematic review are likely to be reliable but the magnitude of the results were of little clinical significance.
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And compare to American Diabetes Association said in their Lifestyle Management, section 4, of this year’s Standards:

While some studies have shown modest benefits of very low–carbohydrate or ketogenic diets (less than 50-g carbohydrate per day) (78,79), this approach may only be appropriate for short-term implementation (up to 3–4months) if desired by the patient, as there is little longterm research citing benefits or harm.


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