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Old Thu, Mar-25-21, 00:53
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Quote:
Originally Posted by GRB5111
Possibly all of the above as these types of "studies" using a very loose definition of what constitutes low carb have been commonplace over the past 15 years of so. Started with Atkins and now seems to be continuing today. Of course, the term "low carb" is relative and if not rigorously applied as below 50 grams per day. Therefore, the study's design is disingenuous to say the least. Relative to those eating SAD means they can peg low carb at 44% and still be correct. Important to read between the lines, as you're doing, but most don't.

I wouldn't call it disingenuous at all, it just helps to make one particular point without also complicating the picture with various other factors.

Many who argue against low carb on the grounds of "keto flu" style symptoms will often cite those shorter studies as the basis for their arguments. What this study demonstrates is that yes, there can often be side effects when first getting underway with low carb, but also that those symptoms are temporary. Past the first 2-3 weeks, things tend to work out much better in terms of TEE in the long run. That's the real point behind this study as I see it.

Yes, this may well have incorporated some studies where the definition of low carb might not quite agree with ours. But think about this: if a study like this had been done by assessing only those studies where carbs made up a maximum of say 20% of energy intake for example, the results may very well have turned out even better from our point of view, but at the same time, would also have given detractors an opportunity to argue the point, that not all "low carb" studies were considered, that the data was "cherry-picked" or whatever. And by their definition, they would be right. By including more liberal low carb studies in the mix, to actually meet their definition anyway and still demonstrate successful outcomes, that really leaves opponents with no room whatsoever to argue that particular point.

Could the results have turned out even better if eligible studies were limited to only those with even greater carb restriction? Probably, but that's not the purpose of this study as I understand it. That would be the subject of another study for another day.
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