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Virta Health Two Year Results

The relatively modest HbA1c reduction of 0.9% means there's still much room for improvement in the protocol.

Remember many people were on large inslin doses etc, and this is a reduction alongside most people coming of inslin etc. We are used to seeing results from people who take action shortly after finding out they have DM2, most people in the study have had DM2 for a long time.

Also the study is likely to have excluded anyone who had already found out about LCHF themselfs, hence like most studies, the people with the greatest motivation are excluded.
 
As to fasting, Dr Phinney's have said that some of their health couches get people to do "restricted hour eating". He addmitted in one Q&A section that no research has been done with fasting in poeple with a high BMI eating a low carb diet.

Interesting it seems that in "real life" many people eat higher quality food when they start fasting (eg more total protein) partly due to having more money and time for the meals they do eat. Virtahealth are working with people who have no issue affording high quality food for all their meals.
 
@KK123
Virta will be using US HbA1c units, which are different from mmol/mol used in the UK.
US % units and UK mmol/mol units are both shown on the upper curve of the graph below, for comparison.

hba1c-chart.jpg
 
Dr Phinneys views are that fasting should be no longer than 48 hours. I believe his views are framed within the context of results seen with athletes - maybe persons with optimal lean mass loose their mass quicker than a non athlete.

I see an increase in lean mass after 36 hours, and a loss of 0.7 kg per day at 2 days (which is where I now decide to stop). I put back on lean mass at a rate of 0 6 kg a day.
 
It is unlikely any "scales" will correctly tell you how lean mass is changing with a short fast, as some gycogen stores shows up as lean mass in the scales.
 
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