

No, it doesn’t tell us nothing. These kinds of limitations are not uncommon for nutrition studies. It just is weaker evidence that doesn’t tell everything we ever might want. Studies will always have some methodological limitations. There is always some factor you might be forgetting or could do better. Science doesn’t work by looking at induvidial studies alone. We take things in aggregate
That being said, of course things like RCTs will always be preferred and considered much stronger evidence. On that front, there have been some RCTs in other related health risk incidents with similar findings. For instance, I have read about some RCT studies for cardiovascular health. One meat industry funded review of RCT studies on cardiovascular risk for red meat found plant substitution improved predictors of cardiovascular health
Substituting red meat with high-quality plant protein sources, but not with fish or low-quality carbohydrates, leads to more favorable changes in blood lipids and lipoproteins.
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.118.035225#d3646671e1
Or from another review looking at larger changes
Nevertheless, several RCTs have examined the effect of vegetarian diets on intermediate risk factors of cardiovascular diseases (Table 1). In a meta-analysis of RCTs, Wang et al. (22) found vegetarian diets to significantly lower blood concentrations of total, LDL, HDL, and non-HDL cholesterol relative to a range of omnivorous control diets. Other meta-analyses have found vegetarian diets to lower blood pressure, enhance weight loss, and improve glycemic control to greater extent than omnivorous comparison diets (23-25). Taken together, the beneficial effects of such diets on established proximal determinants of cardiovascular diseases found in RCTs, and their inverse associations with hard cardiovascular endpoints found in prospective cohort studies provide strong support for the adoption of healthful plant-based diets for cardiovascular disease prevention
https://www.sciencedirect.com/science/article/am/pii/S1050173818300240
The question science isn’t ready to answer