Pooled results from 11 randomised trials lasting 8 to 24 weeks found intermittent energy restriction, including 5:2 regimens, produced essentially the same weight loss as continuous everyday dieting, with only a slight extra drop in fasting insulin of uncertain clinical relevance.
What it shows: A trustworthy null: results pooled from 11 trials where people were assigned at random to fasting-style or standard calorie cutting, and weight loss came out the same. All the trials ran 24 weeks or less, so longer-term differences remain untested.Meta-analysis · J Transl Med