I know someone who's on this diet and she's done surprisingly well. I don't think it's a good idea, but I can see why it appeals to some people.
In her case, there was no prohibition of exercise. They told her to continue going to the gym because she was used to it, but that she shouldn't add new exercise during the 500-calorie phase.
She does get regular medical testing (I don't know details), and appears strong and reasonably active. From what I've seen, she's better off than people who do the low-carb thing.
I suspect what's really going on is power of suggestion, and some people need that. I'm less inclined to judge this kind of thing as I get older (unless it's truly dangerous).



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