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Independents' Day

Calories vs fat: we need advice

Throughout Malcolm Kendrick's article about diet advice in diabetes (Clinical, 7 September), no mention is made of the importance of calorie intake as a contributory cause of obesity. I would be interested to know exactly how much of what food people who take a high-fat diet can eat without gaining weight. Most people in the real world do not calculate what percentage of their calorie intake is fat or carb. Too much of either will cause weight gain, and a relatively small shift of food volume from carbs to fat will produce a massive gain of calories.

I am not a 'scientific' GP. What jobbing GPs and practice nurses want to know is how to advise people from a practical and not a theoretical point

of view.

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