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Low-carbohydrate diets restrict carbohydrate consumption relative to the average diet. Foods high in carbohydrates e. There is a lack of standardization of how much carbohydrate low-carbohydrate diets must have, and this has complicated research. There is no good evidence that low-carbohydrate dieting confers any particular health benefits apart from weight loss, where low-carbohydrate diets achieve outcomes similar to other diets, as weight loss is mainly determined by calorie restriction and adherence. An extreme form of low-carbohydrate diet — the ketogenic diet — was first established as a medical diet for treating epilepsy. The macronutrient ratios of low-carbohydrate diets are not standardized. There is evidence that the quality, rather than the quantity, of carbohydrate in a diet is important for health, and that high-fiber slow-digesting carbohydrate-rich foods are healthful while highly refined and sugary foods are less so. Most vegetables are low- or moderate-carbohydrate foods in some low-carbohydrate diets, fiber is excluded because it is not a nutritive carbohydrate. Some vegetables, such as potatoes, carrots, maize corn and rice are high in starch. Most low-carbohydrate diet plans accommodate vegetables such as broccoli, spinach, kale, lettuce, cucumbers, cauliflower, peppers and most green-leafy vegetables. Carbohydrate has been wrongly accused of being a uniquely “fattening” macronutrient, misleading many dieters into compromising the nutritiousness of their diet by eliminating carbohydrate-rich food.