The DiRECT approach to weight loss: Efficacious and pragmatic
The DiRECT trial ran counter to received wisdom by advocating a very-low-calorie, total-meal-replacement diet as a means not just of weight loss but also of weight maintenance for people with type 2 diabetes.
Trial dietitian Alison Barnes (Newcastle University, UK) speaks of her initial skepticism, and describes how the diet actually worked in practice as a pragmatic approach for people with type 2 diabetes aiming to lose sufficient weight to reverse their condition, and to maintain their weight loss over the long term.
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