Blood type diet type diet hypothesis and no clinical evidence that it improves health. Peter J. D'Adamo, a naturopath, is the most prominent proponent of blood type diets. Luiz C. de Mattos and Haroldo W. Moreira point out that assertions made by proponents of blood type diets that the O blood type was the first human blood type requires that the O gene have evolved before the A and B genes in the ABO locus; phylogenetic networks of human and non-human ABO alleles show that the A gene was the first to evolve. They argue that it would be extraordinary, from the perspective
ABO blood group system B, and AB blood into type O. This is done by using glycosidase enzymes from specific bacteria to strip the blood group antigens from red blood cells. The removal of A and B antigens still does not address the problem of the Rh blood group antigen on the blood cells of Rh positive individuals, and so blood from Rh negative donors must be used. Patient trials will be conducted before the method can be relied on in live situations. Another approach to the blood antigen problem is the manufacture of artificial blood, which could act as a substitute in emergencies.