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Message: <blockquote data-quote="chrisjohnh" data-source="post: 2573147" data-attributes="member: 538614">I think the above three cases of low carbs having pulled A1c right down in a short time, well before a big drop in weight, are very interesting. In my own case I did not give myself the opportunity to test that as I forced my weight down quickly from the start whilst going low carb at the same time. If I knew now that the weight loss had been unnecessary I would regret having done it, as I really am pretty skinny.Today I re-read Dr Unwin’s excellent BMJ paper on his own surgery experiment in which he monitored his low-carb T2 patients for nearly three years. About half of them got down to A1c of 48 or below, but he states that all of them underwent weight loss. He is very clear in his view that weight loss is the aim and low carbs a tactic for that, as opposed to low carbs being the aim and leaving weight loss as only a possibility. But his view is also perhaps belied by the above cases. As I said earlier, the relative importance of these factors is not yet settled.On the DUK theme, my impression is that they have become more receptive to LCHF and very many of their forum members now are strong low carb advocates (and not being expelled!).</blockquote>

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