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Weight loss after gestational diabetes (GDM) can prevent or delay the onset of type 2 diabetes. Intermittent energy restriction (IER) may offer an alternative to continuous energy restriction (CER) for weight loss. We compared the effects of IER (2 days per week) to daily CER over 12 mo on weight loss and diabetes risk markers in overweight women with previous GDM. Overweight females (n=121) ≥18 y were randomized 11 to either IER [2-d 500 kcal (2100 kJ); n=61] or CER [1500 kcal (6000 kJ); n=60] in this 12-mo noninferiority trial. The tri