Adherence
LCHF diets do not provide superior long-term weight loss or metabolic benefits compared to high-carbohydrate diets, and adherence is significantly lower over time.
If you are trying to lose weight or manage diabetes long-term, a strict LCHF diet is unlikely to give you better results than a balanced, higher-carbohydrate diet and is much harder to stick to. Focus on a diet rich in vegetables, whole grains, and moderate fat, which is easier to maintain and equally effective for weight loss over time.
There is lack of data supporting long-term efficacy, safety and health benefits of LCHF diets... sustained adherence to a ketogenic LCHF diet appears to be difficult... low-carbohydrate diets... appeared no longer to be the case in the longer term. Overall, LCHF diets did not seem to show any superiority compared to diets with a higher carbohydrate intake.
Why this rating
Based on multiple meta-analyses and systematic reviews cited (Hu, Mansoor, Naude, Dyson) showing equivalence or inferiority in long-term studies.
Source
Overweight and diabetes prevention: is a low-carbohydrate–high-fat diet recommendable?
Fred Brouns · European Journal of Nutrition · 2018
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