"Serious" Energy Restriction Better for Weight Loss than "Moderate" Energy Restriction?

Well, according to this new RCT it is – it found that patients were randomly assigned to 4 months of severe energy restriction (65-75% energy restriction through total meal replacement / whole fluid diet) followed by 8 months of moderate energy restriction (25-35%), at 12 months, lost significantly more weight than those attributed to the same moderate energy restraint rate.


So first of all it's not surprising that putting two groups on the same diet (25-35% energy restriction) but starting a group with 4 months of extreme energy restriction sees those who have had extreme jumping lose more in total.

Second, it seems that extreme people have a weight gain track that can erase differences over time.

And thirdly, that made me think. Behavioral weight loss programs, because they do not include products (unless the drugs are tried and were not here), have results that are likely to be significantly dependent on both the material and perhaps more importantly the service providers. Consequently, I wonder about the ability of any of these types of studies to apply to other offices or programs. It means at least here, it seems that the extreme people did better and the moderate people fell more often (perhaps due to the slower than desired initial losses), but the same should apply in a different area, with the same restrictions with different service providers. , side materials, attention and support?

I would like to believe that these things are of much greater importance than generally stated in medical literature.

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