Hormonal
A well-formulated ketogenic diet (carbohydrate restriction ≤50 g/d with >70% fat) is more effective than low-fat diets for treating obesity and type 2 diabetes, offering superior weight loss, glycemic control, and hunger suppression.
Adopt a ketogenic diet by restricting carbohydrates to 50 grams per day and ensuring fats make up more than 70% of your calories. Focus on high-quality fats (avocado, nuts, olive oil) and non-starchy vegetables. This approach has been shown to significantly reduce weight and blood sugar in people with type 2 diabetes, often allowing for reduced medication use. It is considered a first-line treatment option by the author based on current evidence.
Based on available evidence, a well-formulated ketogenic diet does not appear to have major safety concerns for the general public and can be considered a first-line approach for obesity and diabetes.
Why this rating
The paper is an opinion/review citing meta-analyses and smaller trials, explicitly stating 'High-quality clinical trials... will be needed'.
Source
The Ketogenic Diet: Evidence for Optimism but High-Quality Research Needed
David S. Ludwig · Journal of Nutrition · 2019
DOI 10.1093/jn/nxz308
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