Always sceptical of studies sponsored by someone who has a multi-billion dollar interest in the outcome. However, within the bounds of the study, this one looks fairly solid.
If you wanted to be truly cynical - or perhaps paranoid, you might ask whether the study was contrived. Why select only 160ish people out of the 2k+ that applied. Did they run multiple studies and ignore the ones which did not produce the results they wanted? Why 660ml per day? Why 5 weeks?
Reasonable explanations given for all, but what if the cause of weight gain observed in population studies was that gut microbiota changed after 5 weeks, and TEI skyrocketed after that? Or the process was a lot faster at 3 servings a day (990ml) rather than 2? (660ml)
I tend to be sceptical, but not paranoid. Iām happy to accept that low levels of consumption, donāt cause acute issues. Iām also happy that for an RCT N=1, I have suffered no deleterious effects. Also, population study of N=however many people I know that drink it, any effects donāt appear to be acute.
In context though, diet soft drinks has helped me stick to low carb, and the benefits of low carb appear to outweigh any deleterious effects of LCS, so Iām happy to continue with it, unless thereās reasonable evidence that there are long term effects I hadnāt considered. If such evidence was produced, Iād reconsider.