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In 2004, a Canadian court ruled that foods sold in Canada could not be marketed with reduced or eliminated carbohydrate content as a selling point because carbohydrates were determined not to be a health risk, and that existing "low carb" and "no carb" packaging would have to be phased out by 2006.

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.

The recent rise in western obesity rates has coincided with a widespread belief in low-fat, high-carbohydrate as a healthy way of eating. By contrast traditional, high-fat French cooking has led to a much lower incidence of obesity, morbid obesity and chronic heart disease than the high-sugar American diet, despite overall energy intake and exercise levels being the same.