# Points: - All points must be taken in the context that the sample population was self-selected and paying. - They counted improvements sustained by metformin toward their reversal statistic of 32.5%. - Complete remission without drugs was only 6.7% among completers, and 4.7% ITT (Table 1). - 45% of the participants started GLP1 agonists and another 10% increased their dosage (Fig. 3A). - Hba1c essentially returned to baseline despite subjects maintaining 50% of weight loss. - Likely due to not reinstating medications. - Difficult to make inferences about insulin sensitivity either way. - LDL was changed by 4.6 mg/dL, which is about half as much as is expected from going from the lowest to highest cholesterol intake. - Not sure why we care about HDL, TG, or ApoA-1.