Eating a low carb diet

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Critics contend that low carbohydrate diets are not without harmful side effects. Very low carbohydrate consumption can lead to the metabolic state called ketosis, which may cause headaches, tiredness, nausea, dehydration, dizziness, and an unusual sweet-smelling breath odor. The lowered intake of dietary fiber that often accompanies dramatically reduced carbohydrate intake (such as in the Induction stage of the Atkins diet) can result in constipation if not supplemented.

Advocates point to scientific trials demonstrating the efficacy and safety of low carb diets. Several independent clinical trials have shown that low carb diets can successfully be used to lose weight. These trials found that, in the short term, risk factors for heart disease and diabetes — such as blood serum cholesterol and insulin levels — tended to improve in spite of increased consumption of saturated fat and cholesterol. The trials were of short duration, and were not able to assess the long-term health effects of the diet.

Food producers have ascribed a commercial impact to the growing popularity of low-carbohydrate diets in recent years. For example, in May 2004, New World Pasta filed for bankruptcy protection, claiming that low-carbohydrate diets were reducing demand for pasta. In the same month, Krispy Kreme Doughnuts warned investors that its earnings would be below projections, and blamed low-carbohydrate diets on reduced demand for its products.