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Or as Miller puts it, Youve essentially made the person equivalent of having pernicious anemia. Thats because these surgeries can reduce the production of both intrinsic factor and stomach acid, which is necessary for digesting food

In C57BL/6 mice, an unrestricted KD with 13E% from protein reduced tumor growth after transplantation of Lewis lung carcinoma cells compared with a high-CHO diet (77E% CHO), and this became significant when protein was further restricted to 5E% and replaced with fat

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Fad diets, extreme caloric restriction, and intense exercise programs fail the majority of people who try them not because of lack of willpower, but because they don't address the underlying metabolic and hormonal factors driving weight gain