Why most diets don’t work—and what to try instead

than those eating ketogenic , but had higher blood sugar and insulin levels, However, these studies are expensive, short, and don’t necessarily reflect how people behave outside the lab.

These kinds of studies also have drawbacks. It’s rare for the trials to last longer than a year or two, Hall says, and researchers have little way of knowing for sure how well people are sticking to their assigned diet. “We’re not lab rats, and so we go out and live our lives,” he says. “If I go to somebody’s birthday party, I might have a slice of birthday cake whether or not I’m on a low-carb diet.

“We don’t know whether or not [a diet] was effective for that person because of some sort of biological reason, or whether or not it was more about the social supports and being in the right place and time in their life to make a sustained change,” Hall says. Another conundrum, he says, is whether these people would have been equally successful if they’d been assigned to a different diet.What is clear, however, is that dieting isn’t just a matter of willpower, says A.

If your goal is to be healthy, you'll be healthy If your goal is to look good, you got bigger problems

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