The best diet for losing weight is Weight Watchers, according to the experts who rated the diets below for U.S. News. Volumetrics came in second, and Jenny Craig and the vegan diet were third on this overall weight loss ranking list, which takes into account short-term and long-term weight loss scores. Some other diets performed as well or better in our rankings for enabling fast weight loss, but long-term weight loss is more important for your health.

I have tried all kinds of weight loss programs and exercise, and they just didn’t get me the results I was hoping for. So I tried the 3 Day Military Diet after hearing about it through a co-worker. You wouldn’t believe how easy it is! Since you only have to make it through 3 days, I can manage the restrictive diet. Now I’ve done 3 rounds of the diet, losing 6.5 pounds each time! I haven’t gained the wait back afterwards either. I do eat only 1400 calories for the 4 days after the 3 day diet portion.


"The keto diet is primarily used to help reduce the frequency of epileptic seizures in children. While it also has been tried for weight loss, only short-term results have been studied, and the results have been mixed. We don't know if it works in the long term, nor whether it's safe," warns registered dietitian Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women's Hospital.
And, of course, the low-cal nature of the military diet can dangerous, says Amidor. This is especially true if you plan to exercise: Attempting to do high-intensity workouts on such a low-calorie diet could potentially cause you to become weak, light-headed, and fatigued—so low-intensity cardio or walking is your safest option during this diet, says Allen.
Our increasingly slothful lifestyles are partly to blame for skyrocketing obesity rates, so it’s no surprise that being more active is a simple fix for belly fat. In 2003, a first-of-its-kind study from Duke University showed that sedentary adults accumulated abdominal fat surprisingly quickly — and that sedentary women stacked on fat more visceral fat than sedentary men, even though they added less fat overall.
The first modern study of fasting as a treatment for epilepsy was in France in 1911.[12] Twenty epilepsy patients of all ages were "detoxified" by consuming a low-calorie vegetarian diet, combined with periods of fasting and purging. Two benefited enormously, but most failed to maintain compliance with the imposed restrictions. The diet improved the patients' mental capabilities, in contrast to their medication, potassium bromide, which dulled the mind.[13]
There are different types of HIIT but an easy one to begin with is to simply warm up for 3 minutes on an elliptical machine or by walking.  Then work out for 30 seconds so that at the end of the exercise you feel satisfied.  Reduce the speed to slow down to a moderate pace.  Do this 7 more times or for total 8 intervals. Start with one interval and as your body is ready to take more increase the intervals.  Studies show that HIIT to be the absolute premier cardio for weight loss and optimal health as compared to longer, traditional cardio.
When carbohydrates are used by the body as an energy source, the blood sugar levels become unstable. As the energy source is not consistent it is difficult for your brain to stay focused for long periods of time. On the other hand, when you are in ketosis and the brain uses ketones as a fuel source, which has a consistent fuel source and you can focus for longer periods of time. Hence, you also tend to feel more active and alert.
^ Thomas, Diana; Elliott, Elizabeth J.; Baur, Louise (31 July 2006). Written at University of Sydney, Children's Hospital at Westmead, CEBPGAN (Centre for Evidence Based Paediatrics Gastroenterology and Nutrition. Thomas, Diana, ed. "Low glycaemic index or low glycaemic load diets for overweight and obesity" (PDF). Cochrane Database of Systematic Reviews. USA (published 18 July 2007). 3 (3): CD005105. doi:10.1002/14651858.CD005105.pub2. PMID 17636786.

The nerve impulse is characterised by a great influx of sodium ions through channels in the neuron's cell membrane followed by an efflux of potassium ions through other channels. The neuron is unable to fire again for a short time (known as the refractory period), which is mediated by another potassium channel. The flow through these ion channels is governed by a "gate" which is opened by either a voltage change or a chemical messenger known as a ligand (such as a neurotransmitter). These channels are another target for anticonvulsant drugs.[7]


Unintentional weight loss may result from loss of body fats, loss of body fluids, muscle atrophy, or even a combination of these.[26][27] It is generally regarded as a medical problem when at least 10% of a person's body weight has been lost in six months[26][28] or 5% in the last month.[29] Another criterion used for assessing weight that is too low is the body mass index (BMI).[30] However, even lesser amounts of weight loss can be a cause for serious concern in a frail elderly person.[31]
However, it's safe to say that no one really knows the origin of the military diet, Yurechko said, as it is certainly not approved by the military. But if you are still a tad bit curious about taking this diet out for a spin, we spoke to some experts on the subject to make sure you have all the ins-and-outs. Here are some takeaways to keep in mind.
Directions: Rinse 1 cup of quinoa in cold water. In a medium saucepan, combine quinoa with 1 tablespoon curry powder and 1 teaspoon turmeric. Add 2 cups low-sodium chicken broth and bring to a boil. Cover and simmer until the water is absorbed—about 15 minutes. Stir in 1 cup shredded carrots and 1 cup cubed firm tofu. Makes about 4 one-cup servings. Refrigerate remaining servings for an easy, healthy snack or meal later in the week.
We reached out to two experts to see what they thought — and if the diet works. "It’s a low calorie diet that includes typical American foods," said Janis Jibrin, MS, RD, an adjunct professor of Nutrition at American University. "It’s nutritionally deficient, but not as crazy as some (i.e. juice fasts)." When it comes to the meal plan, she's not a fan. "It’s too low in many nutrients," she explains. Day 2 alone is "so low in fiber, iron, calcium and other nutrients, yet it manages to hit the daily sodium max. (Actually, most health authorities recommend 2,300 mg as a max, so this diet exceeds it.) Sure, the other four days offer more calories and nutrients, but even so, you’re still skimping."
Cortisone as an oral drug is another common culprit (e.g. Prednisolone). Cortisone often causes weight gain in the long run, especially at higher doses (e.g. more than 5 mg Prednisolone per day). Unfortunately, cortisone is often an essential medication for those who are prescribed it, but the dose should be adjusted frequently so you don’t take more than you need. Asthma inhalers and other local cortisone treatments, like creams or nose sprays, hardly affect weight.
The nerve impulse is characterised by a great influx of sodium ions through channels in the neuron's cell membrane followed by an efflux of potassium ions through other channels. The neuron is unable to fire again for a short time (known as the refractory period), which is mediated by another potassium channel. The flow through these ion channels is governed by a "gate" which is opened by either a voltage change or a chemical messenger known as a ligand (such as a neurotransmitter). These channels are another target for anticonvulsant drugs.[7]
Anticonvulsants suppress epileptic seizures, but they neither cure nor prevent the development of seizure susceptibility. The development of epilepsy (epileptogenesis) is a process that is poorly understood. A few anticonvulsants (valproate, levetiracetam and benzodiazepines) have shown antiepileptogenic properties in animal models of epileptogenesis. However, no anticonvulsant has ever achieved this in a clinical trial in humans. The ketogenic diet has been found to have antiepileptogenic properties in rats.[55]
Other Exercises – Ab exercises will also help reduce belly fat and help you keep that tummy tone as you lose the weight. We are a huge fan of core and ab exercises here at Lose Weight by Eating, and consider them the best exercise to lose belly fat. Not only to they help you tone up fast, they also strengthen your back, fix your posture (which makes you look thinner!) and help you lose belly fat!

Check the nutrition labels on all your products to see if they’re high in carbs. There are hidden carbs in the unlikeliest of places (like ketchup and canned soups). Try to avoid buying products with dozens of incomprehensible ingredients. Less is usually healthier.Always check the serving sizes against the carb counts. Manufacturers can sometimes recommend inconceivably small serving sizes to seemingly reduce calorie and carb numbers.


While there are probably plenty of pre-made bean and veggie soup options that just need a few minutes to heat through on the stovetop, making your own soup is really easy—and a great idea for your health. Homemade soups are much lower in sodium – about 100 milligrams or less per 2-cup serving. By contrast, 2 cups of many canned soups contain a blood-pressure-busting 1,200 milligrams or more, a worrisome amount considering that health experts recommend consuming no more than 1,500 milligrams of sodium for the entire day. This is also a great way to use up all those leftover vegetables in your crisper—pretty much anything works in this soup.

You can drink water and black coffee or tea, but no soda, milk, juice, or alcohol. Stick to the menu as much as you can. You’re allowed to switch out some foods if you have food allergies or other dietary needs. But only make swaps that the diet approves. For example, you can have sunflower seed butter instead of peanut butter or a tofu dog instead of a hot dog. But don’t switch the grapefruit to an orange or the vanilla ice cream to a scoop of mint chip or cookie dough.


Diarrhea can also be due to a lack of fiber in the diet, says Kizer, which can happen when someone cuts way back on carbs (like whole-grain bread and pasta) and doesn’t supplement with other fiber-rich foods, like vegetables. It can also be caused by an intolerance to dairy or artificial sweeteners—things you might be eating more of since switching to a high-fat, low-carb lifestyle.

To encourage ketone production, the amount of insulin in your bloodstream must be low. The lower your insulin, the higher your ketone production. And when you have a well-controlled, sufficiently large amount of ketones in your blood, it’s basically proof that your insulin is very low – and therefore, that you’re enjoying the maximum effect of your low-carbohydrate diet. That’s what’s called optimal ketosis.

If the diet is a quick fix rather than one that promotes lasting lifestyle changes, this could pose a problem. In particular, extreme diets that promise big weight loss up front aren’t always sustainable — and you may end up overeating or even binge eating if you feel deprived. “Consider if the diet’s habits are ones you can continue throughout your lifetime, not just 21 or 30 days,” says Angie Asche, RD, a sports dietitian in Lincoln, Nebraska.
There are three instances where there’s research to back up a ketogenic diet, including to help control type 2 diabetes, as part of epilepsy treatment, or for weight loss, says Mattinson. “In terms of diabetes, there is some promising research showing that the ketogenic diet may improve glycemic control. It may cause a reduction in A1C — a key test for diabetes that measures a person’s average blood sugar control over two to three months — something that may help you reduce medication use,” she says.
We also know that the Military Diet is not associated with the armed forces in any way, says Roland Paquette, PA-C, an assistant professor in physician assistant studies at UT Health San Antonio. A former Green Beret who served in the United States Special Forces from 2004 to 2006, Paquette tells MensHealth.com that the army did not institute a specific diet to get cadets into shape.
Carbohydrates are a touchy subject: while some blame them for all fat gain, it’s the type of carbs you eat that’s key. A 2011 study out of the University of Alabama found that a diet that slightly cut back on carbs, and which comprised mostly low-GI carbohydrates, lost more deep abdominal fat than those who ate a lower-fat diet. GI stands for glycemic index, a measure of how fast carbohydrates supply your body with energy: high-GI foods make you spike then crash, while low-GI foods provide a slow burn.
For long-term success, it is recommended to avoid short fad diets and focus on a gradual lifestyle change. Start eliminating processed foods, and begin eating a mostly organic, plant-based whole food diet with plenty of vegetables, fruits, whole grains, seeds, nuts, beans, and legumes. Exercise at least 20 – 30 minutes a day. Get enough sleep, reduce stress, and practice a positive mindset.
If losing up to 10 pounds isn't enough, people have followed the diet cycle for a full month. They repeat the cycle of 3 days on followed by 4 days off for a month. The Military Diet results on this plan are obviously much greater if you do multiple cycles- and you could conceivably lose 20-30 pounds if you do repeat the diet several times over. If choosing to go this route, make sure during the 4 days off the diet, you are eating a diet full of nutrients and vitamins that you may not be getting enough of during the 3 days on the strict regime. Another alternative is to give your body a bit more of a rest between cycles- and subsequently perform the 3 Day Military Diet once a month. This will also boost your military diet results, but more slowly and over a longer period of time.
I've been following Leanne Vogel for about a year and purchased a few of her ebooks (which are amazing!) and her weekly meal plans (again, so helpful). The Keto Diet is the icing on the cake. More than a recipe book, this huge (seriously, it's HEAVY!) book is an encyclopedia of the right way (in my opinion) to do keto. It's not about just eating bacon, cheese and Swerve.

Frederick F. Samaha, M.D., Nayyar Iqbal, M.D., Prakash Seshadri, M.D., Kathryn L. Chicano, C.R.N.P., Denise A. Daily, R.D., Joyce McGrory, C.R.N.P., Terrence Williams, B.S., Monica Williams, B.S., Edward J. Gracely, Ph.D., and Linda Stern, M.D., “A Low-Carbohydrate as Compared with a Low-Fat Diet in Severe Obesity,” N Engl J Med 2003; 348:2074-2081. http://www.nejm.org/doi/full/10.1056/NEJMoa022637.
While 1,200 may be the right number for some, it can be super restrictive for others, says Jaclyn London, MS, RD, CDN, Nutrition Director at the Good Housekeeping Institute. Try basing your meals and snacks off this plan and double up on veggies at any opportunity — more fruit at snack time works too! You can also add an extra ounce or two of protein at all meals if you find yourself feeling hungry. The combo of fiber from produce and lean protein makes this an adaptable strategy that’ll help you lose weight safely — one meal (and snack) at a time!
What if someone told you that you could lose 10 pounds a week…while eating ice cream? Sounds too good to be true, right? That’s the alluring sell behind the Military Diet, a strict eating regimen that’s been sweeping the Internet over the past few months. The rules: Follow a rigid meal plan for three days, then do four days of maintenance and watch as the pounds “melt away” by the end of the week.
First reported in 2003, the idea of using a form of the Atkins diet to treat epilepsy came about after parents and patients discovered that the induction phase of the Atkins diet controlled seizures. The ketogenic diet team at Johns Hopkins Hospital modified the Atkins diet by removing the aim of achieving weight loss, extending the induction phase indefinitely, and specifically encouraging fat consumption. Compared with the ketogenic diet, the modified Atkins diet (MAD) places no limit on calories or protein, and the lower overall ketogenic ratio (approximately 1:1) does not need to be consistently maintained by all meals of the day. The MAD does not begin with a fast or with a stay in hospital and requires less dietitian support than the ketogenic diet. Carbohydrates are initially limited to 10 g per day in children or 20 g per day in adults, and are increased to 20–30 g per day after a month or so, depending on the effect on seizure control or tolerance of the restrictions. Like the ketogenic diet, the MAD requires vitamin and mineral supplements and children are carefully and periodically monitored at outpatient clinics.[47]
Enjoy the rich flavor of sweet potatoes? While home on Sundays, cook up a batch. Wrap each one in foil and bake for about an hour at 425 degrees F, or until their luscious, sweet juices start to ooze out into the foil. At work the following week, just pop one in the microwave for a quick warm-up. They’re loaded with taste, so they don’t need any extra toppings. If you want a little zest, swirl in a teaspoon or two of no-salt-added Dijon mustard or a quarter cup of plain nonfat Greek yogurt.
By now, you probably know that coffee can help curb your appetite. But did you also know it can boost your metabolism? Since coffee contains the antioxidant chlorogenic acid (CGA), it can actually increase your body’s use of fat for energy. Research has additionally shown that CGA can slow the release of glucose and lower insulin resistance to inhibit weight gain after eating a meal.
That sour cherry is pretty sweet when it comes to your health. The results of a study conducted at the University of Michigan found that rats given high-fat foods along with tart cherries ditched nine percent more body fat than those in a control group over just 12 weeks. Cherries are also a good source of antioxidant pigment resveratrol, which has been linked to reductions in belly fat, dementia risk, and lower rates of macular degeneration among the elderly.
Weight loss can be a major challenge today because of the abundance of food available and a more sedentary lifestyle. But there are strategies people can use to reach and maintain a healthy weight, including choosing eating patterns that are sustainable over the long term, adding in regular exercise, and focusing on restarting their efforts if they go off track. More »
Meat – like grass-fed selections – and fresh veggies are more expensive than most processed or fast foods. What you spend on Keto-friendly foods will vary with your choices of protein source and quality. You can select less-expensive, leaner cuts of meat and fatten them up with some oil. Buying less-exotic, in-season veggies will help keep you within budget.

So as tedious as this one step might seem,  it is an important step for both weight loss and maintenance later on and it holds everything together. Having a meal plan helps you manage plateaus while keeping you motivated. In the long run you’ve studied for your new healthy lifestyle and for your new figure. It makes it easier to maintain your weight loss diet when you have done the studying. So don’t skip this step, you’re studying for the most important test of your life… your health.
The ketogenic diet reduces seizure frequency by more than 50% in half of the patients who try it and by more than 90% in a third of patients.[3] Three-quarters of children who respond do so within two weeks, though experts recommend a trial of at least three months before assuming it has been ineffective.[9] Children with refractory epilepsy are more likely to benefit from the ketogenic diet than from trying another anticonvulsant drug.[1] There is some evidence that adolescents and adults may also benefit from the diet.[9]
The brain is composed of a network of neurons that transmit signals by propagating nerve impulses. The propagation of this impulse from one neuron to another is typically controlled by neurotransmitters, though there are also electrical pathways between some neurons. Neurotransmitters can inhibit impulse firing (primarily done by γ-aminobutyric acid, or GABA) or they can excite the neuron into firing (primarily done by glutamate). A neuron that releases inhibitory neurotransmitters from its terminals is called an inhibitory neuron, while one that releases excitatory neurotransmitters is an excitatory neuron. When the normal balance between inhibition and excitation is significantly disrupted in all or part of the brain, a seizure can occur. The GABA system is an important target for anticonvulsant drugs, since seizures may be discouraged by increasing GABA synthesis, decreasing its breakdown, or enhancing its effect on neurons.[7]
When these things are lacking, it causes your metabolism to drop and leads to inflammation, sending signals to the brain that you need to stock up on white fat. And new research shows that when there's too much white fat, your body can't keep up and the cells stop turning into brown fat.  What's that mean for you? Your calorie burn slows down like woah. 
Many diets, including Atkins and the keto diet, fit into this umbrella. A typical low-carb diet limits carbs to less than 60 g daily, but this can vary, according to the Mayo Clinic. (15) In a September 2015 review published in PLoS One, people following low-carb diets saw modest weight loss — although study authors note that long-term effects of the diet require further research. (16)

The idea is that the fasting induces mild stress to the cells in your body, helping them become better at coping with such stress and possibly helping your body grow stronger. The verdict is still out regarding the diet’s long-term effectiveness with weight loss, according to a review of preliminary animal research published in January 2017 in Behavioral Sciences. (17)

Slow down, we're not saying you have diabetes. But insulin resistance is "the beginning of your body not dealing well with sugar and carbohydrates," says Melina Jampolis, M.D., author of The Doctor On Demand Diet..  Basically, when you have insulin resistance, it means the body's cells have noticed an increase in sugar in the blood and ratchet up the amount of insulin to transport it to cells that process it for energy. A vicious cycle gets started, you create more insulin—too much of it, in fact—and your cells become resistant to it, leading to more free-floating sugar in your blood stream that eventually gets converted to fat and is usually stored in your belly. Unless you reverse the insulin resistance, your body will keep going round and round, and diabetes could develop. The key, says Jampolis, is to lose fat and build muscle. "Exercise, especially strength training, can improve your body's response to insulin even if you don't lose an ounce," Jampolis explains. Try lifting weights two to three times a week—these moves are great fat-blasters. 


^ McMillan-Price, J.; Petocz, P.; Atkinson, F.; O'neill, K.; Samman, S.; Steinbeck, K.; Caterson, I.; Brand-Miller, Janette Cecile (2006). Written at Human Nutrition Unit, University of Sydney, Sydney, Australia. "Comparison of 4 Diets of Varying Glycemic Load on Weight Loss and Cardiovascular Risk Reduction in Overweight and Obese Young Adults: A Randomized Controlled Trial" (PDF). Archives of Internal Medicine. USA (published 24 July 2006). 166 (14): 1466–75. doi:10.1001/archinte.166.14.1466. PMID 16864756.
Cabbage is rich in antioxidants and vitamin C but extremely low in calories (just 22 per cup), so you can fill your plate with the leafy green guilt-free. And while you're probably familiar with the infamous Cabbage Soup Diet, there are plenty of alternate ways to eat this veggie that won't leave you feeling hungry. It's delicious in a variety of slaws or salads, and makes a crunchy garnish atop tacos or burgers.

The diet plan last a full week, though some only to the three days of planned meals and others do a 10-day military diet. But the experts say it's not something that anyone should be on for very long. "It's probably safe for most people for a week," said Professor Jibrin, but recommends that people shouldn't be on it for any longer. Palinski-Wade agrees: "Following a plan such as this for 3 days will most likely not lead to significant nutritient deficiencies." The author worries, however, about the overall effects. "It sets the patterns for yo-yo dieting and restrictive eating that result in weight regain as well as impairing your relationship with food."
The meals shown here are "templates" that you can vary any number of ways to please your tastebuds and avoid eating the same old thing every day. Follow them and you'll get between 2,400 and 2,800 calories per day. That should provide plenty of calories for all but the most severely obese, while allowing most guys to lose fat around their middles at a steady pace. (Don't worry about hitting the numbers on the nose every time. If you exceed your fat quota during lunch, for instance, just cut back a little during dinner.)

When Johns Hopkins researchers compared the effects on the heart of losing weight through a low-carbohydrate diet versus a low-fat diet for six months—each containing the same amount of calories—those on a low-carb diet lost an average of 10 pounds more than those on a low-fat diet—28.9 pounds versus 18.7 pounds. An extra benefit of the low-carb diet is that it produced a higher quality of weight loss, Stewart says. With weight loss, fat is reduced, but there is also often a loss of lean tissue (muscle), which is not desirable. On both diets, there was a loss of about 2 to 3 pounds of good lean tissue along with the fat, which means that the fat loss percentage was much higher on the low-carb diet.

The ketogenic diet achieved national media exposure in the US in October 1994, when NBC's Dateline television programme reported the case of Charlie Abrahams, son of Hollywood producer Jim Abrahams. The two-year-old suffered from epilepsy that had remained uncontrolled by mainstream and alternative therapies. Abrahams discovered a reference to the ketogenic diet in an epilepsy guide for parents and brought Charlie to John M. Freeman at Johns Hopkins Hospital, which had continued to offer the therapy. Under the diet, Charlie's epilepsy was rapidly controlled and his developmental progress resumed. This inspired Abrahams to create the Charlie Foundation to promote the diet and fund research.[10] A multicentre prospective study began in 1994, the results were presented to the American Epilepsy Society in 1996 and were published[17] in 1998. There followed an explosion of scientific interest in the diet. In 1997, Abrahams produced a TV movie, ...First Do No Harm, starring Meryl Streep, in which a young boy's intractable epilepsy is successfully treated by the ketogenic diet.[1]

I’ve heard of the military diet and have contemplated it, but haven’t tried it as of yet. As I get light-headed very easily, this may NOT be the diet for me to try at all. I know a couple of people who have done it and benefited from it, but they said it was hard in the beginning. For me, the cons outweigh the pros. I just can’t risk any health issues arising from it.
So, how can you lose more than 3 pounds then? Well our bodies are more complex than simple calorie-counting would have you believe. Each person’s metabolism is different and reacts differently to the diet. Many people burn more than 2000 calories in a day, just through their regular activities, which would mean you’d lose more weight. It’s also possible that you typically consume more than 2000 calories in a day- making the effects of the diet even more dramatic.
The first modern study of fasting as a treatment for epilepsy was in France in 1911.[12] Twenty epilepsy patients of all ages were "detoxified" by consuming a low-calorie vegetarian diet, combined with periods of fasting and purging. Two benefited enormously, but most failed to maintain compliance with the imposed restrictions. The diet improved the patients' mental capabilities, in contrast to their medication, potassium bromide, which dulled the mind.[13]
^ Brand-Miller, Janette Cecile; Thomas, M.; Swan, V.; Ahmad, Z.I.; Petocz, P.; Colagiuri, S. (2003). Written at Human Nutrition Unit, School of Molecular and Microbial Biosciences, University of Sydney, Sydney, NSW, Australia. "Physiological Validation of the Concept of Glycemic Load in Lean Young Adults" (PDF). The Journal of Nutrition. USA (published September 2003). 133 (9): 2728–32. doi:10.1093/jn/133.9.2728. PMID 12949357.
In the mid-1990s, Hollywood producer Jim Abrahams, whose son's severe epilepsy was effectively controlled by the diet, created the Charlie Foundation to promote it. Publicity included an appearance on NBC's Dateline programme and ...First Do No Harm (1997), a made-for-television film starring Meryl Streep. The foundation sponsored a multicentre research study, the results of which—announced in 1996—marked the beginning of renewed scientific interest in the diet.[1]
Intentional weight loss is the loss of total body mass as a result of efforts to improve fitness and health, or to change appearance through slimming. Weight loss in individuals who are overweight or obese can reduce health risks,[1] increase fitness,[2] and may delay the onset of diabetes.[1] It could reduce pain and increase movement in people with osteoarthritis of the knee.[2] Weight loss can lead to a reduction in hypertension (high blood pressure), however whether this reduces hypertension-related harm is unclear.[1][not in citation given]
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