Discussion
metabolic syndrome, weight loss
METABOLIC SYNDROME, RECRUITMENT
Our findings were consistent with the results found in the literature as improving cardiovascular risk factors and anthropometric measurements as BMI but showed a possible improvement in sexual function and testosterone which was an unprecedented point related to a low-carbohydrate diet effect.An excellent review, looked at studies along 40 years, found that men with metabolic syndrome and subnormal testosterone level should be advised to implement lifestyle measures such as weight loss and exercise, which, if successful, raise testosterone and provide multiple health benefits [Male sexual health and different diets were reviewed and some improvement was seen in men on Mediterranean diet [However, our study has some limitations. Since it is a diet, not all eligible patients agreed to participate. There is a great resistance to healthier diets, such as a low-carbohydrate diet, precisely because it affects entrenched eating habits. Nevertheless, the COVID-19 pandemic was another important limiting factor of our study, impeding the recruitment of new patients which led us to terminate the study prematurely even with a small sample size. The combination of these factors reduced the power of our results and limited our conclusions but it did not invalidate them and would encourage further researches on this topic.