Second, from the information provided, it appears that the amount of time that was mandatory for the participants to spend with the doctors and support staff learning about proper diet and control was substantial in year 1 but greatly decreased as the study continued.
I lied about waiting for you to respond, because this one is a "free throw".
Correct, the amount of time required to spend with the doctors either on site or remotely to learn about ketogenic diets decreased as the study went on
I'm pretty sure that it doesn't take 2 years of weekly meetings to learn how to get in to and stay in nutritional ketosis:
"Eat low carb, by low carb we mean less than 30g a day to begin with"
"Here are foods that are high in carb and should be avoided"
"Vegetables and fruits contain carbs also"
"You can check the carb content of your food by looking on nutritional labels"
"Lots of sauces have hidden carbs so make sure you check before applying salad dressing"
I'm pretty sure ketogenic diets aren't the equivalent of a college degree which require two years of weekly classes.
Also, what was it you were telling me about reading comprehension?
Participants selected their preferred education mode (CCI-virtual, n = 126 or CCI-onsite, n = 136) during recruitment. The CCI-virtual group received care and education primarily via app-based communication. The CCI-onsite group also received care and education via clinic-based group meetings (weekly for 12 weeks, bi-weekly for 12 weeks, monthly for 6 months, and then quarterly in the second year
Almost 50% of the CCI group were not receiving classes FROM THE VERY BEGINNING, choosing instead to get their "care and education" via an app. It was 136/262 who chose the classes.
Therefore, your point about "the amount of education they got was reduced as the study went on, ergo this study is unreliable" has been well and truly dismantled, at the very best it only applies to 136 of the 262 participants. But as explained above, it doesn't take 104 weekly classes to learn how to keto. PLUS ALL PARTICIPANTS HAD ACCESS TO THE APP ANYWAY - for communication with their care team, online resources, biomarker tracking and the opportunity to participate in an online peer community for social support
The only difference was that some chose to get classes delivered via the app, some chose to go in person.
It's remote learning vs in person learning.
I'm fairly sure that you're man enough to admit that this reason was a fail and no more needs to be said.
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