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Message: <blockquote data-quote="KennyA" data-source="post: 2719253" data-attributes="member: 517579">But it isn't a third of the people who started - around 1740. It was a third of the people who finished, ie did not drop out earlier. It explicitly uses "survivor bias" to produce a more palatable result, as did the DIRECT trial on which this is based.Nearly half (45%) dropped out.  We're not told why there is such a large drop-out, but I would find an 800 calorie diet extremely challenging for any length of time and I guess many of the participants did too. If you recalculate success based on the number of "remissions" against the number of people who started the program, it drops to 8%. Secondly "remission" in this case means two A1cs of under 48, without glucose-lowering medication, three months apart.   Nothing about symptoms etc whatsoever.</blockquote>

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