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Furthermore, without adequate attention to food quality, any macronutrient-focused eating pattern can have adverse effects. Public health guidelines do not discourage low-fat and plant-based diets, but instead focus on measures to encourage healthful versions of these eating patterns to minimize risk and maximize benefits. With the substantial evidence of benefit as described above, diets that restrict carbohydrate warrant the same consideration. First, the ketogenic diet used in this clinical context is typically more extreme (with ≥85% energy as fat) than would be recommended for virtually any other purpose. Second, patients with epilepsy can have other health problems or medication use predisposing to complications, for which the general public would not be at risk.
Many lettuces, such as iceberg, romaine, or red leaf, are suitable for use as low-carb taco shell alternatives. They can add the mushrooms to the grill during barbecue season to make low-carb burger bun substitutes. These may have a more substantial mouthfeel than other bread alternatives. However, as Ezekiel bread contains grains such as wheat and barley, it is unsuitable for people with gluten intolerance or celiac disease. The grains in Ezekiel bread are allowed to sprout before the flour-milling process.
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