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Under these various dietary programs, foods containing carbohydrates (like sugar, grains, and starches) are limited or replaced in favor of foods containing more protein and fat. Vegetables, though classified as carbohydrates, are thought to be far healthier than grain-based carbohydrates. Programs such as the South Beach, Atkins and Zone diets, are claimed to "work" because they reduce insulin levels, which in turn causes the body to burn its fat for energy.

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.

Low-carb diets are largely distinguished by the proportions of carb intake they recommend, and the method or methods used to determinine which source or sources of carbohydrates should be consumed and which should be avoided. While all agree that processed sugar should be eliminated, or at the very least greatly reduced, they often differ on the recommended levels of grains, fruits and vegetables, though there is broad agreement that, in general, vegetables are better than fruits, and fruits are better than grains.