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Conclusion
The urgent need to effectively confront the global epidemics of obesity and type 2 diabetes is now underscored by the COVID-19 pandemic and its disproportionate harm to individuals with these conditions (72). Across all dietary interventions, there are vast differences in individuals' treatment responses with some individuals gaining weight and others losing weight with the same approach (73–75). Thus, average diet treatment effects and one-size-fits-all nutrition counseling approaches are of little utility when treating individual patients who deserve personalized, outcome-driven care. Using best-available evidence, clinical acumen, and individuals' preferences and needs, we can thoughtfully help our patients navigate a path toward better health with strategies that may include dietary carbohydrate restriction.