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Because geometric means are based on multiplication and ratios, you cant just look at the difference between the treatment group and the placebo group (so you cant say, the treatment group went down by 48.6% and the placebo group went up by 7.4%, so the total difference between the treatment group and the placebo group is 56%.) Instead, to get a placebo-corrected geometric mean we have to divide the drug's effect by the placebo's effect