lack of evidence

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This post in JunkFoodScience examines whether there is good evidence to support the widespread belief that people with type 2 diabetes should attempt to lose weight and/or eat according to a particular food plan (low-carb or modified fat or what have you). It concludes that there is no good evidence to support weight loss or any particular food plan as a treatment for type 2 diabetes—not many studies have been done, and the studies that have been done are flawed.

http://junkfoodscience.blogspot.com/2008/08/evidence-behind-dietary-and-lifestyle.html

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But many women are denied the drugs until they're actively trying to concieve or until they've proven that they're good little girls by losing a significant amount of weight

You probably know about this, but for the benefit of anyone reading who might not:

The blog First, Do No Harm documents stuff like this. It started as a result of a post on one of the fat activist blogs by a woman whose mother died because she was told by a doctor "Don't come back until you lose 50 pounds." So she never went to the doctor again, for decades.