Guide

Where the numbers come from

The diet switch chart on the home page draws the mean weight change that published studies reported for each diet. This page lists every study used, the figure as the paper reports it, how it was scaled to the chart, and what an average does and does not say about one person.

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What the chart shows

The diet switch chart on the home page draws, for each diet you tap, the mean body weight change that a published study reported, scaled to a 96 kg start. The light jitter on the line is cosmetic, under 0.3 kg, so it reads like a weigh in series rather than a plot.

The studies are randomised trials where one exists, with a meta-analysis or a second trial as a cross check. The table below names each one, with links to the publisher.

How a study becomes a line

Each study reports weight at a few time points. We take each as a percentage of that trial’s own starting weight, apply it to 96 kg and draw straight lines between the points.

Nothing is extended past a study’s last measurement. Where a trial stopped before week 30, the line holds flat and the chart says so.

What an average is not

An average is the middle of a wide spread. In STEP 1 the mean was 14.9% lower at 68 weeks, yet about one in seven people on the drug lost under 5% and about one in three lost 20% or more.

The people in these trials also had counselling, regular weigh ins and a team watching, and in the drug trials a placebo group lost weight too. Their average is not a forecast for anyone reading this page.

Undiet describes what the papers report; it does not advise. Before a diet, a fasting protocol or a medication, talk to your doctor or a dietitian.

Undiet 90 has no study

Undiet 90is the rotation program built into the app, and no trial has tested it. Its line is labelled as a model on the chart: the mean of two balanced diet arms, the PREDIMED-Plus Mediterranean group and the low fat group of Bazzano et al. 2014.

When a study of the program exists, this page and the chart will use it instead.

What happens when you switch

The second period on the chart follows its own study from that study’s first week, starting at the weight the first period ended on. No study tested one diet after another, so this is the honest shape, not a measured one.

Three findings about leaving a program are added on top. After semaglutide stopped in the STEP 1 extension, people regained two thirds of what they had lost within a year; after behavioural programmes end, each kilogram lost comes back at about 0.13 to 0.19 kg a year; and the 1.6 kg of water lost in the first two weeks of a ketogenic diet is modelled as returning when a low carb period ends.

Reading the table

Each row names the study, who was in it, how long it ran, the figure as the paper reports it, how it was turned into the line, and the caveat we think you should know. Links go to the publisher’s page.

Sample sizes are the number randomised unless the row says otherwise. Where a trial reported only a percentage, the kilograms are that percentage of 96 kg.

The studies, one by one

  1. GLP-1

    STEP 1

    randomised, placebo controlled · n 1,961 · 68 weeks

    Reported:semaglutide 2.4 mg once weekly: body weight 14.9% lower at 68 weeks vs 2.4% lower with placebo (15.3 kg vs 2.6 kg from a 105.3 kg baseline).

    On the chart:Weekly means read off the published Figure 1A (observed in trial data, weeks 0 to 68, digitised from the article PDF), applied to 96 kg.

    Caveat:With placebo controlled injections, dose escalation over 16 weeks, counselling every 4 weeks, a 500 kcal daily deficit and 150 minutes of activity a week. The placebo arm lost 2.4%.

    Wilding et al., NEJM 2021

  2. GLP-1, cross check

    SURMOUNT-1

    n 2,539 · 72 weeks

    Reported:tirzepatide 5, 10 and 15 mg: 15.0%, 19.5% and 20.9% lower at 72 weeks vs 3.1% with placebo.

    On the chart:Not drawn; listed so the line can be checked against a second source.

    Jastreboff et al., NEJM 2022

  3. Keto

    Foster et al. 2010

    randomised, low carbohydrate (20 g a day induction) vs low fat · n 307 · 2 years

    Reported:low carbohydrate arm: 9.5 kg lower at 3 months, 12.2 kg at 6 months, 10.9 kg at 12 months, 6.3 kg at 24 months (103.3 kg baseline); the low fat arm lost the same.

    On the chart:Table 2 kg values divided by the 103.3 kg baseline, applied to 96 kg.

    Caveat:With weekly group behavioural sessions for 20 weeks and prescribed walking. The low fat arm lost the same amount, so most of this line is the programme, not the carbohydrate rule.

    Foster et al., Annals of Internal Medicine 2010

  4. Keto, cross check

    Bueno et al. 2013 meta-analysis

    13 trials · n 1,577 · 12 months or longer

    Reported:very low carbohydrate ketogenic vs low fat diets at 12 months or longer: 0.91 kg more lost on keto (95% CI 0.17 to 1.65 kg).

    On the chart:Not drawn; listed so the line can be checked against a second source.

    Bueno et al., British Journal of Nutrition 2013

  5. Fasting 16:8

    TREAT

    randomised, 16:8 (noon to 8 pm) vs three structured meals · n 116 · 12 weeks

    Reported:0.94 kg lower (1.17%) at 12 weeks on 16:8 vs 0.68 kg lower (0.75%) in the control group; the difference was not significant.

    On the chart:The reported 1.17% of the 99.3 kg baseline, applied to 96 kg; straight line to week 12, then held flat because the trial stopped there.

    Caveat:No calorie target, no counselling, daily weigh ins on a connected scale. 141 were randomised and 116 analysed.

    Lowe et al., JAMA Internal Medicine 2020

  6. Fasting 16:8, cross check

    Chen et al. 2023 meta-analysis

    9 trials · n 665 · 8 to 14 weeks

    Reported:time restricted eating vs control in adults with overweight or obesity, mostly 8 to 14 week trials: 1.28 kg more lost (95% CI 0.52 to 2.05 kg).

    On the chart:Not drawn; listed so the line can be checked against a second source.

    Chen et al., Frontiers in Nutrition 2023

  7. Vegan

    Kahleova et al. 2020

    randomised, low fat vegan diet vs no change · n 244 · 16 weeks

    Reported:6.4 kg lower at 16 weeks on the low fat vegan diet (93.6 kg baseline) vs 0.5 kg lower in the control group.

    On the chart:6.4 kg divided by the 93.6 kg baseline (6.8%), applied to 96 kg; held flat after week 16 because the trial stopped there.

    Caveat:Ad libitum, with weekly classes. Weight was measured at weeks 0 and 16 only, so the line between them is straight. Run by the Physicians Committee for Responsible Medicine.

    Kahleova et al., JAMA Network Open 2020

  8. Low-carb

    Bazzano et al. 2014

    randomised, under 40 g digestible carbohydrate a day vs low fat · n 148 · 12 months

    Reported:low carbohydrate arm: 5.7 kg lower at 3 months, 5.6 kg at 6 months, 5.3 kg at 12 months (96.3 kg baseline); low fat arm 1.8 kg lower at 12 months.

    On the chart:Table 3 kg values divided by the 96.3 kg baseline, applied to 96 kg.

    Caveat:With dietitian sessions, weekly at first then monthly, and one meal replacement a day in both arms.

    Bazzano et al., Annals of Internal Medicine 2014

  9. Low-carb, cross check

    DIETFITS

    n 609 · 12 months

    Reported:healthy low carbohydrate 6.0 kg lower vs healthy low fat 5.3 kg lower at 12 months; the difference was not significant.

    On the chart:Not drawn; listed so the line can be checked against a second source.

    Gardner et al., JAMA 2018

  10. Mediterranean

    PREDIMED-Plus, one year results

    randomised, energy restricted Mediterranean diet with activity and support vs usual Mediterranean advice · n 626 · 12 months

    Reported:2.4 kg lower (2.7%) at 6 months and 3.2 kg lower (3.7%) at 12 months in the intervention group vs 0.4 kg and 0.7 kg in the control group.

    On the chart:The reported percentages (2.7% at 26 weeks, 3.7% at 52 weeks), applied to 96 kg.

    Caveat:Energy restricted, with activity promotion and behavioural support, in adults aged 55 to 75 with metabolic syndrome. Measured at 6 and 12 months, so the line to month 6 is straight.

    Salas-Salvadó et al., Diabetes Care 2019

  11. Undiet 90

    No study. Modelled as the mean of two balanced diet arms

    see the two arms

    Reported:No study of Undiet 90 exists. The line is the mean of two balanced diet arms: the PREDIMED-Plus Mediterranean group and the low fat group of Bazzano et al. 2014 (2.6 kg lower at 3 months, 2.3 kg at 6 months, 1.8 kg at 12 months from 97.9 kg)..

    On the chart:Mean of the two arms, each interpolated weekly from its reported time points, applied to 96 kg.

    Caveat:Not a study of this program. A labelled model, the mean of two balanced diet arms, shown so the chip has an honest line rather than an invented one.

    PREDIMED-Plus, one year resultsBazzano et al. 2014, low fat arm

  12. No diet

    Control groups of TREAT and Kahleova et al. 2020

    the no change control arms of two randomised trials (57 and 122 people) · n 179 · 12 to 16 weeks

    Reported:control arms asked to change nothing: 0.68 kg lower (0.75%) over 12 weeks in TREAT and 0.5 kg lower over 16 weeks in Kahleova et al..

    On the chart:Mean of the two control arms (0.75% and 0.54%) placed at their mean time point, week 14, applied to 96 kg; held flat after that.

    Caveat:People in a trial weigh in and know they are watched, which is why even control arms drift down a little. Outside trials, adults gained about 1.5 kg per four years (Mozaffarian et al. 2011, 120,877 people).

    Lowe et al. 2020; Kahleova et al. 2020

  13. No diet, cross check

    Mozaffarian et al. 2011

    n 120,877 · up to 20 years

    Reported:three cohorts followed up to 20 years: an average gain of 3.35 lb (1.5 kg) per four year period.

    On the chart:Not drawn; listed so the line can be checked against a second source.

    Mozaffarian et al., NEJM 2011

  14. The switch

    STEP 1 extension

    n 327

    Reported:one year after semaglutide and the lifestyle programme stopped, participants had regained 11.6 of the 17.3 percentage points lost, two thirds of the prior weight loss.

    On the chart:After a GLP-1 period ends, two thirds of what was lost is added back evenly over the following 52 weeks.

    Wilding et al., Diabetes, Obesity and Metabolism 2022

  15. The switch

    Hartmann-Boyce et al. 2021

    249 trials · n 59,081

    Reported:after behavioural weight loss programmes end, each kilogram lost was associated with faster regain at 0.13 to 0.19 kg a year; the difference from controls lasted at least five years.

    On the chart:After any diet period ends, 0.16 kg a year for each kilogram lost is added back, evenly.

    Hartmann-Boyce et al., BMJ 2021

  16. The switch

    Hall et al. 2016

    n 17

    Reported:in the first 15 days of an isocaloric ketogenic diet body weight fell 1.6 kg, which the authors attribute mainly to water, with fat mass down only 0.2 kg.

    On the chart:When a keto or low carb period ends and the next one is not low carb, that 1.6 kg of water is modelled as returning over 15 days. A metabolic ward study of 17 men; the return is a model, not a measured figure.

    Hall et al., American Journal of Clinical Nutrition 2016

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