SMTM Potato Diet Community Trial: 6 Month Followup

Most diets help people lose a little weight. But once you go off the diet, the weight usually comes right back.

But what about the potato diet? In our recent community trial, people lost an average of 10.6 pounds over only four weeks on the potato diet, and the weight loss was very reliable. Of the people who finished four weeks on the diet, all but one of them lost weight, and a few people lost more than 20 pounds.

Most diets are not nearly this effective. The potato diet seems unusually good at causing weight loss. Could it also be unusually good at maintaining weight loss after people stop eating potatoes? 

There are some signs that it might. The potato diet was partially inspired by several case studies, and the case studies suggest that the weight you lose on the potato diet stays off, at least for a while. We focus on three case studies in particular:

Chris Voigt lost 21 lbs on a 60-day potato diet back in 2010. It’s not clear if he gained that back or not — this article from 2018 doesn’t mention it either way. He looks pretty lean in photos, but then again, he was pretty lean to begin with.

Andrew Taylor did an all-potato diet for a full year and lost 117 pounds. This was 7 years ago and he seems to have kept most of the weight off since then. Of course, Andrew did the potato diet for a full year, and was pretty strict about it, so his experience might not generalize to people who did the potato diet for only four weeks. 

And of course, Penn Jillette, of Penn & Teller fame, lost over 100 lbs on a diet that started with a two-week period of nothing but potatoes. This was way back in 2014, and despite only doing potatoes for two weeks, he seems to have kept most of the weight off as well.

In these cases, especially the last two, it seems like the potatoes have somehow reset these people’s lipostats, the system in the brain that keeps you at a particular weight. Their lipostats used to be really high for some reason; then they did a potato diet; now their lipostat seems to be defending a set point about 100 pounds lower. 

The good news is that we now have a larger sample to work with, so maybe we can finally get at some of these questions. It has been about 6 months since the close of the SMTM Potato Diet Community Trial, and this is the 6-month followup analysis.

Method

We sent an email on January 1st, 2023 to everyone who had participated in the Potato Diet Community Trial, asking people to fill out a short 6-month followup survey.

In this survey, we asked them for:

  • Their potato diet participant ID, so we could connect their responses to the original results
  • Their current weight
  • How much potato they continued to eat post-study
  • If they participated in the SMTM potassium trial
  • And any general comments

We gave people approximately two weeks to fill out this survey. Then on January 14th, we downloaded the data.

There were a total of 53 responses by this point.

The majority (51 of them) were people who we analyzed in the original trial.

Of these, 32 were people who made it the full 4 weeks in the original trial. This happens to be exactly half of the 64 who originally made it to 4 weeks.

When we did the original analysis of the potato diet, there were still a few people who were in the middle of their four weeks of the diet, so we didn’t analyze their data at the time. Two of those people responded to this followup survey. They were not in the original analysis, but they did both complete four weeks, so we are going to include them in this analysis. 

So in total we have 34 people who completed 4 weeks on the potato diet and then reported back at the 6-month check-in. This is our main group of interest.

One person (participant 24235303) reported being 136.4 lbs at the 6-month followup, but he was 222.2 lbs at the end of the potato diet, so this would mean he had lost 85.8 more pounds over the intervening 6 months. Because this seems unlikely, and because his comment was, “my weight drifted back up over a few months”, we assumed this was a typo. We followed up by email and he confirmed that he meant to type 236.4 lbs, so we corrected this number for the analysis. 

Participant 63746180 reported being pregnant (congratulations!) so we are excluding her data from this analysis as her weight may not be representative. 

Participant 65402765 mentioned that they “started semaglutide around the same time as potato diet”. Semaglutide (sold under brand names like Ozempic and Wegovy) is an anti-obesity medication, so while this participant did lose 13.4 lbs in this 6-month period, we also excluded their data from the analysis. 

Because of these exclusions, the final sample size for the rest of the post is 32 people.

All new data and materials are available on the OSF.

Results

On average, people gained back most of the weight they lost. This subset of people lost an average of 11.1 pounds from Day 1 to Day 28, and from Day 28 to the 6-month followup there was on average 10.3 lbs of weight re-gain.

People are on average down 0.71 lbs from their starting weight on Day 1 of the original study, but this is not significantly different from zero. On average, people are pretty much back to baseline.

In aggregate, it looks like a pretty strict reversion to the mean — people lost a little more than 10 lbs over 4 weeks on the potato diet, and gained back almost all of that weight over the next 6 months. 

This is still a relatively successful weight loss intervention — you do a diet for just one month and it takes about 6 months to gain back the weight you lost. This suggests that if you were willing to do a week or two of potato diet every 3 months, you could probably keep your weight down indefinitely.

But just looking at the averages conceals a pretty drastic spread. When we plot the results, we can see that 6 months later, most people are back near baseline, maybe slightly under baseline on average. But some people are down almost 20 or 30 lbs, some people are up more than 10 lbs, and one person is up almost 30 lbs! 

That central cluster is what gives us the average. Most people gained weight in the 6 months after the end of the potato diet, and ended up on average slightly under baseline. 

Four people kept losing weight (one of them isn’t obvious in the plot, they were near the top of the pack at Day 28 and are near the bottom of the pack at the 6-month check-in), and three of those people ended up down more than 15 lbs over 6 months. Those three are the clear outliers below the main group at 6 months.

Five people gained back way more (10+ lbs) than they lost. These are the five dots way above the main group at 6 months, including that one dot that is up at nearly 30+ lbs. 

It may be hopeless to try to figure out what is different about these eight or so people, given the small sample size, but let’s try.

Outliers

Since there are so few outliers, let’s start by looking at them one-by-one.

Participants ​​99065049, 82575860, 66459072, 10157137, and 77742719 all ended up more than 10 lbs heavier than their baseline on Day 1 of the potato diet. 

Participant ​​99065049 is the outlier, having lost 6.3 lbs in the trial and gained back 34.5 lbs since then, for a total gain of 28.2 lbs since Day 1. We wanted to double-check this result, so we reached out to this participant over email and he confirmed that it was not a typo.

This group didn’t say much about themselves in the comments. Only two of them left responses at all. Participant 10157137 said: 

After the potato diet my cholesterol had improved, but post diet it shot back up again 😔

Participant 82575860 said:

Would appreciate a follow up post on the best potato-based recipes that were sent in 

Participants 20943794, 19289471, and 35182564 lost the most weight. All of them lost more than 5 lbs on the potato diet, and kept losing weight after that. Their total weight loss by 6 months was 19.3 lbs, 23.2 lbs, and 28.7 lbs, respectively. 

Participant 35182564, who lost the most weight, said:

Weight is incredibly stable, although I eat normal, just like before the potato diet. This was a great success.

Participant 20943794 offered the most detail, saying: 

After the potato diet ended, I started a pretty traditional CICO diet using the Noom app. Roughly speaking, I lost 10 lbs on the potato diet, and another 10 on the CICO diet. 

Before the potato diet, I tried calorie counting and various high-protein, low carbohydrate diets, and have never had this kind of sustained success. (E.g., I’ve lost 20 – 30 lbs before, but I didn’t maintain that weight for more than a month or so). 

In addition to the potato diet, there are some other confounding factors: 

1. Whey protein has figured heavily in all my previous diet regimens, but I obviously didn’t take any during the potato diet, and even after it ended, I drastically cut back how much protein powder I consumed (because of the lithium hypothesis) 

2. Because of covid and it’s after-effects, I eat out far less frequently than I ever did before. Since January 2020, I’ve eaten restaurant food (whether dine-in or take-out) only about a dozen times (most of that was on a business trip in October 2022). Before that, I’d say I ate restaurant food on average once per week

Moving on from the comments, we can see if any of the other variables offer us insight.

The potato diet included people from all weight brackets, and maybe that’s what is causing this confusing pattern. For example, maybe all the outliers who gained weight over baseline are people who were slightly underweight when they started the potato diet, and who have gone up to a healthy weight 6 months later. Maybe all the outliers who lost extra weight were very heavy people whose lipostats were easier to reset. 

But when we plot the results by BMI bracket, we see basically no pattern: 

Another possibility is that this reflects whether or not people kept eating potatoes after the trial was over. After all, you can eat potatoes without being on the potato diet, and many people do. Perhaps the people who kept losing weight are the people who stuck with the potato diet, even if only casually, for the long-term. And maybe the people who gained extra weight grew disgusted with potatoes and stopped eating them entirely. 

The good news is that we collected this very variable. But again, when we plot it, we see no such thing: 

The person who lost the most weight ate “way less potatoes than [they] used to”. The people who gained the most weight are all in the middle. No clear pattern here.

That said, if you plot this variable WITHOUT the outliers, you see basically what we would expect — people who kept eating more potatoes are mostly still below their original weight, people who didn’t change their potato intake are back to baseline, and people who are eating way less potato than they used to are slightly above baseline. 

Finally, here’s a breakdown by country. Most participants are Americans but take a look: 

American Holidays

Most of our participants are Americans, and in the span between the start of July and the end of December there’s a major American holiday period that famously involves a lot of eating: the period from Thanksgiving to New Year’s.  

Obligatory Rockwell

As a result, at the 6-month followup our participants were asked to weigh themselves just after a period of especially serious and far-ranging eating. Quite possibly they were being asked to weigh themselves at the heaviest they would be all year.

So in some ways, the particular timing of how this all worked out is a rather conservative test of the potato diet. The weight loss from the potato diet does not seem to survive the holiday period, but it might last somewhat better across any other 6-month span.

A number of our participants commented on this as well. Let’s take a look: 

(57875769) For about the first month after doing the trial my weight continued to trend downward although much more slowly. Then it slowly started creeping back up. Most of the weight came back during the holidays (it’s a little unfortunate that the six month follow up landed right after Thanksgiving, Christmas, and New Years!).

(89852176) After ending the full potato diet about 10 pounds below my typical weight, I returned rather quickly to my baseline (spurred on by eating at family vacation) and stayed there for several months. I ended the year roughly 5 pounds higher than baseline, all of which were gained in the second half of December with “typical” USA holiday (over-)eating.

(63187175) Gained about 5 pounds over the holidays, I was closer to 235 at the beginning of December

(50913144) I stayed at the lower weight for a few months, it only started creeping back up at pre-potato-trial rates in the last 6 weeks or so.  I am probably going to do another round of potato intervention, i don’t like the potassium and it doesn’t seem to help me much. 

(15106191) This measurement is being taken just after the holidays. This is higher than my pre-potato weight but I don’t blame the potatoes, its normal for me to weigh about this much more in January than I did in June

This is also somewhat supported by Nicky Case’s followup survey, which she conducted separately (with our peer review) and ran before the holidays. On October 30th, 2022, she put out a survey on the potato diet, asking people about their current status. She only got 9 responses, but found that most people were still below baseline and had kept most of the weight off.

If we expand our plot using her data, we can see that some people were down quite a bit more in late October / early November than they were at our 6-month check in.  

Some people, however, mentioned gaining the weight back more quickly: 

(25547207) It took about a two months to gain all my weight back. My strength training had to cease 2 weeks in for the remainder of the study, and my large lifts dropped about 10%. It took about 1 month to recover my original strength and I was making gains before fully recovering my weight.

(72706884) I gained back all the weight within 3 months

Conclusions

The potato diet causes very consistent weight loss. But whatever makes the potato diet work doesn’t permanently change your set point. The first thing we see is that most people gain back the weight they lost over time, and on average, it looks like they are back close to their original weight about six months later. 

Unless it did permanently change the lipostat for those three people for some reason. Because the second thing we see is striking individual differences. A small number of people ended up weighing 10+ pounds more or less than they did when they signed up for the trial, and it’s not clear why. 

Maybe they had unusual life circumstances that happened to make them lose or gain more weight over those six months. Maybe they are just random outliers. Or maybe they are more/less sensitive to potatoes for some reason, more sensitive to whatever the active ingredients are. Something something cybernetic attractor states.

There’s a chance that the outliers who kept losing weight are just noise, or that they would have lost weight anyways for some other reason and just happened to sign up for the potato diet at the right time. But there’s also the chance that there is something different about these four participants. If we could figure out what that difference is, maybe we could create lasting weight loss for everyone. For example, are these four people the only four vegans in this sample? We didn’t think to ask this question, but if they were, that would be very interesting. A potential extension then would be to do a much larger potato diet study (1000+ participants) and keep special track of the people who kept losing weight after the trial ended. 

Still, the potato diet is a relatively successful weight loss intervention, since one month of dieting gives consistent results that tend to stick around for about six months. And given the significant individual differences we see, it seems that for some people the effects are more lasting. While we don’t know why this happens for some people and not for others, there’s a small chance that you’ll end up being one of these outliers, and you’ll keep losing weight after the potato diet is over.

We will probably still do the 1-year followup to keep up with these outlier participants, and to see if overall average weight remains below the original baseline or not. But in general, it seems like the conclusion is that 4 weeks of potato diet will make you lose weight, and six months later most people will be back around baseline.

2 thoughts on “SMTM Potato Diet Community Trial: 6 Month Followup

  1. Any chance of sending out another questionaire and asking the partipants about their energy levels, mood, ease of sleep, etc. at this six month point? Regardless of weight loss effects, if potatoes make people have more energy, that’d still be pretty sweet! 🙂

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  2. Andy says:

    Maybe the connection with weight loss is the ROS theory of obesity. High starch low fat diet helps the body eliminate Linoleic Acid stores. Amber O’Hearn wrote about this in her blog.

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