Fifty employees with an average BMI of 43.2 followed a ketogenic diet under 30g carbs daily for a year. All of them lost weight, averaging 43 pounds or 15.5% of body weight, eating to hunger without calorie counting.
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Our story centers on a new paper that colleagues and I recently published covering a 1-year study in which a self-insured manufacturing company approached a metabolic health clinic in seek of support for their medically in need employees. The average starting BMI of the 50 enrolled subjects was 43.2, or 271 pounds. It centered on patients consuming a ketogenic diet, with fewer than 30 grams of total carbohydrates per day. But patients were explicitly told not to attempt caloric restriction and instead eat according to their subjective hunger. All 50 patients, 100% of the participants lost weight, with an average weight loss of 15.5% body weight loss, or 43 pounds per patient over the year.