“I said no twice,” Carmen Mbeki says. “Group things are not for me.” She attended twelve of twelve.

Nothing is weighed in front of anyone. Most of the group time is spent on what went badly, which is the part that generalises.

Why the group stayed closed

Protein and total intake are the two levers that matter most in older adults, and both point in the opposite direction to most public messaging about eating.

A closed group gets to week six and starts telling the truth. An open one restarts every week.

Tomas Ferreira, health psychology

Maintenance is a separate skill

The elimination phase is time-limited and supervised, because a restricted diet held indefinitely creates a second problem while solving the first.

She trained as a peer facilitator in the autumn. “You just have to turn up nine times.”

Contributing writer

Tomas Ferreira

A demonstration byline created for this prototype. Not a real writer, and not a clinician.

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