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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.

Replacement of calories from carbohydrates with meat may result in high consumption of saturated fat and cholesterol, which many authorities believe will increase the risk of heart disease. Moreover, it has been hypothesised that the kidneys can become overworked and that a related change in blood acidity can lead to bone loss, but trials testing the hypothesis have found no evidence of kidney damage or loss of bone.

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.