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Patients can easily fool their doctors as well as themselves.

Obviously, there are people who do that. But it's not a blanket statement that applies to everyone. You can state your claim with certainty for those you've observed to be talking 500 cal but actually eating a lot more. But that's the limit.

And then, there are people who eat in their sleep: like sleep-walking and sleep-eating.

60 Minutes or someone did a special about sleep-eaters a while back. The people didn't believe the stories by their family members telling about their middle-of-the-night food binges. So ate gawdawful combinations of food and even some non-edible portions. They were shocked when they saw the films of their sleep-walking-eating food binges.

It's not inconceivable that such radical caloric deficit diet could induce a similar scenario -- people eating from hunger while still in a state of sleep, and not remembering it the next day.

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