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After Simeons’ death, the diet started to spread to specialized centers and via popularization by individuals, such as the controversial author Kevin Trudeau, famous for promotion of alternative therapies and treatments. The controversy proceeds from warnings by the Journal of the American Medical Association and the American Journal of Clinical Nutrition that HCG is neither safe nor effective as a weight-loss aid. A meta-analysis found that studies supporting hCG for weight loss were of poor methodological quality and concluded that ‘there is no scientific evidence that HCG is effective in the treatment of obesity; it does not bring about weight-loss or fat-redistribution, nor does it reduce hunger or induce a feeling of well-being’. Homeopathic HCG for weight control. Controversy about, and shortages of, injected HCG for weight loss have led to substantial Internet promotion of ‘homeopathic hCG’ for weight control. 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