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- Type of diabetes
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Anyone who loses weight will lower their metabolism and yes part of that would be due to loss of lean muscle. Anyone crtiquing this approach should be aware that it seems to have an 86% success rate after 1 year of reversal in the big DIRECT study done in Newcastle and Glasgow. The post diet re education of eating habits was the bit they did n ot show on this TV programme. Lots of ways to skin a cat etc. but this was the most telegenic one with its quick results and starvation drama, which does not mean the other options (bariatric surgery, low carbing are not much more viable options for some).
I think that would be 86% of the 48% that met end protocol.