It's the reduced caloric intake that does it, not the specifics of the diet. But also<p>> Patients are given low-calorie meal replacement products such as soups, milkshakes and snack bars for three months<p>Something that goes below the radar is adherence - when someone else provides you with every single meal, sticking to a diet is much easier compared to when you're on your own and every meal is a choice that you make. It would be interesting to know how many people go back to their old habits once the program ends.
A better title would be that the diet triggered rapid weight loss which in turn put the diabetes into remission. That is, the weight loss caused the remission, not some special ingredient in the diet.
Total meal replacement is a diet most people are sleeping on.<p>One good article I found about this is<p><a href="https://www.mynutritionscience.com/p/total-diet-replacement" rel="nofollow">https://www.mynutritionscience.com/p/total-diet-replacement</a><p>Total diet replacement has effects on the level of new obesity drugs. Adherence is actually very good<p>I would love the ease of not having to cook, buy food, to eat healthily
I was recently diagnosed as "pre-diabetic" which was new to me. I have been put on an NHS funded program with an online mentor and weight monitoring. Obviously prevention is also being ramped up.
1740 people started the trial and 945 people completed it. Of that 32% went into remission. So the rate for all those which attempted the protocol was around 17.4%. Certainly the ability of people to comply with the protocol has to be considered part of the effectiveness of it.
800 "Calorie" diet... Effective surely, but also probably rather hard for many. Surprised by number that managed. Also the difference between average and "some" number seems rather small...