Studies comparing whole food plant based diets with diets containing animal foods often involve multiple lifestyle changes in addition to removing animal foods, such as stress reduction, eliminating refined carbohydrates and junk foods, reducing fat intake, and various other health improvements. These comprehensive lifestyle changes make it difficult to isolate the effects of removing animal foods on health outcomes, leading to the whole food plant based diet appearing superior in many studies. Although such studies show health improvements, it remains unclear which specific aspect of the diet contributes the most to these positive outcomes.

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