No-one knows whether or not a neutral-tasting nutrient-sludge diet leads to enormous weight loss

I recently discovered the blog Slime Mold Time Mold, which is largely about the science of obesity — a matter of more than academic interest to me, and if I may say to, to Matt.

I discovered SMTM through its fascinating discussions of scurvy and citrus-fruit taxonomy. But what’s really been absorbing me recently is a series of twenty long, detailed posts under the banner “A Chemical Hunger“, in which the author contests that the principle cause of the modern obesity epidemic is chemically-induced changes to the “lipostat” that tells our bodies what level of mass to maintain.

I highly recommend that you read the first post in this series, “Mysteries“, and see what you think. If you want to read on after that, fine; but even if you stop there, you’ll still have read something fascinating, counter-intuitive, well referenced and (I think) pretty convincing.

Anyway. The post that fascinates me right now is one of the digressions: “Interlude B: The Nutrient Sludge Diet“. In this post, the author tells us about “a 1965 study in which volunteers received all their food from a ‘feeding machine’ that pumped a ‘liquid formula diet’ through a ‘dispensing syringe-type pump which delivers a predetermined volume of formula through the mouthpiece’”, but they were at liberty to choose how many hits of this neutral-tasting sludge they took.

This study had an absolutely sensational outcome: among the participants with healthy body-weight, the amount of nutrient sludge that they chose to feed themselves was almost exactly equal in caloric content to their diets before the experiment. But the grossly obese participants (weighing about 400 lb = 180 kg), chose to feed themselves a tiny proportion of their usual intake — about one tenth — and lost an astonishing amount of weight. All without feeling hunger.

Please do read the Slime Mold Time Mold write-up for the details. But I will let you in right now on the study’s very very significant flaw. The sample-size was two. That is, two obese participants, plus a control-group of two healthy-weight individuals. And clearly whatever conclusion we can draw from a study of that size is merely anecdotal, having no statistical power worth mentioning.

And now we come to the truly astonishing part of this. It seems no-one has tried to replicate this study with a decent-sized sample. The blog says:

If this works, why hasn’t someone replicated it by now? It would be pretty easy to run a RCT where you fed more than five obese people nutrient sludge ad libitum for a couple weeks, so this means either it doesn’t work as described, or it does work and for some reason no one has tried it. Given how huge the rewards for this finding would be, we’re going to go with the “it doesn’t work” explanation.

In a comment, I asked:

OK, I’ll bite. Why hasn’t anyone tried to replicate the astounding and potentially valuable findings of these studies? It beggars belief that it’s not been tried, and multiple times. Do you think it has been tried, but the results weren’t published because they were unimpressive? That would be an appalling waste.

The blog author replied:

Our guess is that it simple hasn’t been tried! Academia likes to pretend that research is one-and-done, and rarely checks things once they’re in the literature. We agree, someone should try to replicate!

I’m sort of at a loss for words here. How can it possibly be that, 58 years after a pilot study that potentially offers a silver bullet to the problem of obesity, no-one has bothered to check whether it works? I mean, the initial study is so old that Revolver hadn’t been released. Yet it seems to have just lain there, unloved, as the Beatles moved on through Sergeant Pepper, the White Album, Abbey Road et al., broke up, pursued their various solo projects, died (50% of the sample) and watched popular music devolve into whatever the heck it is now.

Why aren’t obesity researchers all over this?