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Conventional energy reducing diets are ineffective among outpatients
but very effective among inpatients, which must reflect non-compliance
with the diet among outpatients. Summerbell et al (p 1487) compared
two novel and simple diets with a conventional one among obese
outpatients in a randomised trial over 16 weeks. The best result
(weight loss 9.4 kg) was obtained by a milk only diet. Weight loss was
not improved by a milk diet to which the patient was allowed to add one
food each day. Patients on both the milk diets achieved a significantly
greater weight loss than those on the conventional diet.