- Shireen Kassam, consultant haematologist
- King’s College Hospital, London, UK
- shireen.kassam{at}nhs.net
McNally raises the importance of dietary risk factors on health outcomes, including obesity.1 Unhealthy diets are the leading risk factor for chronic ill health, and I agree that this needs to be tackled at a community and policy level, with healthy food accessible to all.2
I disagree, however, with the implication that carbohydrates are the problem. Not all carbohydrate-rich foods are created equal. Refined sugars, grains, and carbohydrate rich ultra-processed …