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a new study published in jama shows that the dietary guidelines advisory committee referenced one randomized control trial and 152 observational studies in making their recommendation to the u.s dietary guidelines committee now what does this mean in terms of the strength of the evidence for these recommendations and why are they using these observational trials im dr brett sher the medical director at dietdoctor.com and i think this is so interesting to look into because you know knowing the strength of the dietary guidelines knowing the power that they have in the united states and to be honest in the world in general its important to know what makes up the evidence and the research that theyre citing to come up with their recommendations well this interesting paper published in jama it was very clear about what they were using its almost like they were bragging that they used all these observational studies 152 observational studies and one randomized control trial now weve ta