The randomized controlled trial is considered the gold standard for many areas of medicine. People are randomly assigned to two groups, and the only significant difference between the groups is the treatment.
But with nutrition, it's too difficult to randomly assign different diets to people and assume people will stick with the specific diets for years to find clues if certain foods caused certain diseases. Scientists can't lock people up to ensure they stick to the diet. At best, studies can only measure short-term effects.
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