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Is the carnivore diet healthy?

November 7, 2024
Carnivore Diet

A comprehensive review of literature on the carnivore diet suggests both potential benefits and significant concerns. Historically, the "Carnivore Connection" hypothesis suggests that insulin resistance evolved as a survival advantage due to low carbohydrate availability during certain periods of human evolution, particularly pre-agricultural times (1, 5). This diet emphasizes consuming exclusively animal-based foods, leading to a high protein and fat intake while eliminating carbohydrates (2).

Clinical reports indicate potential health benefits for specific conditions. Studies suggest the carnivore diet may reduce symptoms of conditions like small intestinal bacterial overgrowth (SIBO) and inflammatory bowel disease due to carbohydrate elimination (3, 6). Additionally, some self-reported data from carnivore diet adherents suggest improvements in metabolic markers and overall health satisfaction, although there is an increase in LDL cholesterol levels, indicating a complex risk profile for cardiovascular disease (4).

Conversely, substantial concerns include potential nutrient deficiencies due to the exclusion of plant-based foods, which traditionally supply essential vitamins and fiber (2, 26). Some studies point at dietary fiber's critical role in maintaining gut health, which could be compromised by this diet (26). Furthermore, environmental analyses of diet carbon footprints indicate that the carnivore diet presents the highest environmental impact compared to vegetarian or vegan alternatives (20).

In comparative genomic studies, strict carnivores have gene family contractions in starch metabolism, showing dietary adaptation (42), while anecdotal evidence and media narratives often inflate the diet’s benefits, ignoring scientific limitations (11).

In conclusion, while the carnivore diet might offer short-term relief for specific health conditions, long-term adherence raises concerns. There is a need for more rigorous, long-term clinical studies to fully understand its benefits and risks, as well as strategies to mitigate potential nutrient deficiencies. Additionally, environmental and ethical considerations remain significant in evaluating the sustainability of such a diet.

References

1. Brand-Miller, Jennie C., Hayley J. Griffin, and Stephen Colagiuri. "The carnivore connection hypothesis: revisited." Journal of obesity 2012.1 (2012): 258624.

2. OHearn, Amber. "Can a carnivore diet provide all essential nutrients?." Current Opinion in Endocrinology, Diabetes and Obesity 27.5 (2020): 312-316.

3. Martin, Peter, Martina Johansson, and Annelie Ek. "A Zero Carbohydrate, Carnivore Diet can Normalize Hydrogen Positive Small Intestinal Bacterial Overgrowth Lactulose Breath Tests: A Case Report." (2021).

4. Lennerz, Belinda S., et al. "Behavioral characteristics and self-reported health status among 2029 adults consuming a carnivore diet." Current developments in nutrition 5.12 (2021): nzab133.

5. Brand Miller, Jennie C., and Stephen Colagiuri. "The carnivore connection: dietary carbohydrate in the evolution of NIDDM." Diabetologia 37 (1994): 1280-1286.

6. Norwitz, Nicholas G., and Adrian Soto-Mota. "Case report: Carnivore-ketogenic diet for the treatment of inflammatory bowel disease: a case series of 10 patients." Frontiers in Nutrition 11 (2024): 1467475.

7. Karai, Andrija, et al. "The gut microbiome without any plant food? A case study on the gut microbiome of a healthy carnivore." Microbiota and Host 1.aop (2024).

8. Kerna, N. A., et al. "The Truth: Are Humans Vegetarian, Carnivore, or Omnivore? A Review Based on the Anatomy and Physiology of the Human Digestive Tract." EC Nutrition 16.8 (2021): 78-86.

9. Kirwan, Richard, et al. "Limitations of self-reported health status and metabolic markers among adults consuming a Carnivore diet." Current Developments in Nutrition 6.5 (2022).

10. Murray, Maureen, et al. "Poor health is associated with use of anthropogenic resources in an urban carnivore." Proceedings of the Royal Society B: Biological Sciences 282.1806 (2015): 20150009.

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