Over the 23 weeks one has to ask whether placebo effect might account for some of the results. How can one ensure that researchers did not deliberately or unconsciously promote the 'new' diet.
And was there a significant difference in weight loss/gain between the groups., which could account for changes and what if weight had been kept near the same in both groups?
If the diet was strictly no meat or eggs, would 23 weeks be long enough for vitamin B12 to be depleted in the this group.?
The usual figure quoted is 2 years or more, so any longterm effect of a no meat diet on mental health (say from low B12 levels) would not be apparent. So is the 23 week trial long enough?
There does not seem to be any measure of how bowel flora might have changed in both groups and whether this change might have also influenced results.