But it’s a mistake to simply assume weight is the mechanism linking food and disease. Yet using BMI as a proxy for health may be more costly than addressing health directly.

As for what other generic "low-carb" diets accomplish, research does indicate that these regimens can cause some degree of weight loss. For some people, shedding pounds can spark other desirable physical changes. For example, it can help people at risk of developing Type II diabetes — the illness that arises when your body stops producing or responding to insulin.

Like most GPs, until that point I would give the standard advice and refer patients to a weight-loss programme, if available. When that failed, I would put those with type 2 diabetes on medication, which they rarely came off.

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