Here i go ... getting carried away with my own cleverness, and formulating a Personal Theory -- hear those echo-chamber sound effects! ;-) I've always been opinionated, but i'll try not to fall into the "it works for me so it must be UNIVERSALLY APPLICABLE" trap.
No. NO. I'm too put off by others who think that THEIR dietary path is The Only Path; i would despise myself if my ego let me sink into the same quagmire. Now, where was i?
"The 'magic resetting' aspect of the SMD regimen".... These are just speculations, mind you -- i have none of the credentials which a lot of COMPLETELY MISTAKEN "experts" do. i just enjoy thinking about old ideas in the light of new science, and modern ideas from a vintage point of view.
Dr. Donaldson tells us that 75% of his patients stuck with the weight-reduction instructions he gave them and did a great job (25% are non-compliant from the starting line). He doesn't tell us outright that they all reach their goal weights but he kinda implies it. Nor does he claim that they all maintain their losses afterward, but we know he had an enviable record -- i.e., better than the 2-5% successful dieters these days.
My thoughts about the mechanism of success:
It takes a lot of energy to metabolize protein, and it takes awhile to do it. Add those yummy animal fats, and the situation spells S-A-T-I-A-T-I-O-N (and satiety) in big letters. This is how someone can lose a lot of fat without hunger.
Enthusiasts of the "food reward hypothesis" will say that the limitation of foods bolsters their argument; i contend that it goes much further.
This diet breaks carbohydrate addictions and de-conditions snacking/craving behaviors. More important, it EMPOWERS the person who employs it. You feel you could conquer the world, it's so easy, mindless and effective. Fast, too -- losing more than one plodding pound per week is encouraging. I can't speak for everyone, but MY mood is great on this program. And you don't have to spend hours carefully planning meals, shopping for arcane grocery items, and cooking.
You can easily avoid allergens and toxins on a mostly-meat diet, too -- just choose meats you don't have a problem with! ;-) Duh.
We know that one can get every required nutrient from "fresh fat meat" as Dr. Donaldson repeatedly expressed it ... with the caveat that organ meats are occasionally necessary for certain vitamins and minerals. Therefore, the "Strong Medicine" prescription could easily be resolving nutrient deficiencies that people don't even know they have. As a result the overeating-in-an-attempt-to-become-properly-nourished (well covered in The Perfect Health Diet -- lets call it OIATBPN) is solved -- there is much less temptation to overeat. Your nutritional needs are thoroughly satisfied.
Chronic low-grade malnutrition (and i'd argue that most people in the western world suffer from it) MAY be behind the recidivism problem that dieters have. Going off a low-carb or low-fat or low-calorie diet, one is extremely likely to progress to a diet that is not "perfect" -- people are too eager to be able to eat things they've denied themselves during the weight-loss process! Going from a limited diet to a doubtfully-nutritious one WILL be problematic: one has loosened one's inhibitions, and one will be missing dietary necessities -- how can this NOT be a recipe for OIATBPN?
Yeah -- i'm happy with THIS hypothesis, Strong Medicine works because it's:
nutritionally replete during weight loss
nutritionally replete after weight loss
=reset fat/weight setpoint