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Advocates of the diet counter environmental criticisms by arguing that the majority of grain farm land was formerly poor quality pasture fit only for raising livestock and that it has been turned to grain production only through massive government subsidy and the use of environmentally questionable fertilizers and pesticides.

Supporters claim the exclusive focus on reducing fat is oversimplified, and that low-fat diets are not automatically healthy ones. The western world is not suffering from a collective failure of will to exercise, but has been encouraged to eat more carbohydrates, which in turn stimulate appetite and more eating.

Other producers have taken advantage of the trend. In response to consumer demand for low-carb foods, the food industry has been marketing low-carb products in recent years and restaurants are increasingly offering low carb menus. These items typically replace carbohydrate-laden wheat flour with high-protein soy flour and replace sugar with artificial sweeteners such as sucralose and sugar alcohols.