Longer-term studies of the Atkins diet failed to confirm the much hoped-for benefits. Dr. Gary Foster from Temple University published two-year results showing that both the low-fat and the Atkins groups had lost but then regained weight at virtually the same rate.11 After twelve months, all the DIRECT study patients, including the Atkins group, regained much of the weight they’d lost.12 A systematic review of all the dietary trials showed that much of the benefits of a low-carbohydrate approach evaporated after one year.13