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I think the prevailing theory will eventually be that a diet rich in monosaccharides is detrimental to health. It's been demonstrated that low carb, high meat diets are not the optimal diet, in that most adults will eat red meat or some type of processed meat and little fiber. Both add to the numerator when looking at myocardial infarction, stroke, and colorectal cancer. When one is in kidney failure it is recommended by the American Society of Nephrologists to attenuate protein derived from animal products.

Essentially, balance is what the current recommendations say, but also to stay completely away from sugar.

All my sources shamelessly stolen from Uptodate:

> U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015 – 2020 Dietary Guidelines for Americans. 8th Edition. December 2015. Available at http://health.gov/dietaryguidelines/2015/guidelines/

>Carbohydrate quality and human health: a series of systematic reviews and meta-analyses. Reynolds A, Mann J, Cummings J, Winter N, Mete E, Te Morenga. Lancet.

>Changes in diet and lifestyle and long-term weight gain in women and men. Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB. N Engl J Med.

>Meta-analysis of the association between whole grain intake and coronary heart disease risk. Tang G, Wang D, Long J, Yang F, Si L. Am J Cardiol. 2015;115(5):625. Epub 2014 Dec 18.



I miss my up to date access. Tangential -- I do not think people realize a resource like UpToDate exists. Well written up to date summaries of various medical topics based on the latest research. Were something like this to be publicly accessible it would do wonders. If anyone is working on or wants to work on this type of problem please let me know, I'd love to help out (programmer, former MD).




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