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In an ideal world, the diabetes and the obesity research communities would say: Between us, its costing over $1bn a day in direct medical care in the US, and if we spent one days worth of these costs doing rigorous clinical trials of different diets, we might learn enough to save trillions of dollars down the line. Ideally, we would have a trial involving several tens of thousands of people on the spectrum from overweight to obese, and pre-diabetic to diabetics