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Correction to Shai et al., N Engl J Med 359(3):229-241 July 17, 2008.

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Volume 359:2169-2172 November 13, 2008 Number 20
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Weight Loss with a Low-Carbohydrate, Mediterranean, or Low-Fat Diet

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 by Shai, I.
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To the Editor: How do Shai et al. (July 17 issue)1 explain why the subjects in their study regained weight between month 6 and month 24, despite a reported reduction of 300 to 600 calories per day? Contributing possibilities may include the notion that a food-frequency questionnaire cannot precisely determine energy or macronutrient intake but, rather, ascertains general dietary patterns. Certain populations may underreport intake2,3 and have a decreased metabolic rate. The authors did not measure body composition, which is critical for documenting weight-loss components.

In addition, the titles of the diets that are described in the article are misleading. . . . [Full Text of this Article]




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