With all the diets, maintaining compliance may be difficult. Children who have behavioral problems are generally less likely to be compliant, and it can require a major effort to maintain the diet, detracting from efforts to control other areas of behavior. Diets are also problematic because they require the children to eat foods different from their peers. In children who are already singled out as different, this can further reduce their self-esteem. Care has to be taken to weight the benefits of diets with as yet objectively unproved effects against the potential harm and difficulties in administering them.
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