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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.

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.

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.