It must be high fat. From the linked essay [1], the diet is 30g daily carbohydrates, 1.5g/Kg(body mass) protein. For an 80Kg individual, that results in 150*4=600Kcal. That means almost 2000Kcal in fat to reach the daily caloric intake.
Yep, and this is the method used by Virta Health. They are attempting to use this diet and telemedicine to reverse diabetes at scale. Their 2 year clinical data should be out soon.
https://www.nhs.uk/news/diabetes/radical-low-calorie-diet-ma...