i’ll make that annoying comment: perhaps people who consume a lot of sweetened foods are also sort of people who have bad diets, regardless of whether artificial or real sweetness. Not a hard thing to believe. all the article says is artificial sweetener intake was compared to people who didn’t consume as much artificial sweetener and found a big difference in diet. That baseline captures a lot of people who don’t take sweeteners at all; artificial or natural. I supect these are likely the sort of people who have better diets. To me the effects need normalizes against an individual’s intake of sweetened foods generally.
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