The main changes that have occurred as the epidemic of metabolic disease has gotten worse and affected increasing numbers of individuals in all cultures including children, are environmental: food processing, preservatives, food additives, plastics and pollution. This eating plan eliminates or decreases exposure to many of these influences. Decreasing carbohydrate (sugars and starches) intake also decreases consumption of many of the most processed foods in our environment. In addition, the metabolic pathway that makes fat stores requires carbohydrate! Fat cannot be stored without carbohydrate and there are no essential carbohydrates. There is no harm to eliminating carbohydrate as much as possible. The body can synthesize as much glucose as needed from triglyceride and protein. The main stimulus for insulin secretion is glucose derived from the sugars and starches we eat. This eating plan will cut carbohydrate intake and lead to lower fasting insulin levels. One important result of cutting carbohydrate is that our bodies will burn fat to create the energy it needs. This has the secondary benefit of decreasing fat stores especially in liver. Since fat requires carbohydrate for storage, without carbohydrate it will be impossible to store new fat. This may improve metabolic health but will not result in weight loss unless there is less calorie intake than usage. The goal is to find an eating plan that improves health, satisfies hunger and is enjoyable! The plates below illustrate three sample meals: A) low carbohydrate: ham steak with cheese sauce, green bean with almonds, salad; B) low fat: sumac-crusted lamb tenderloin, sugar snap peas and salad; and C) low fiber: steak, baked potato and stir-fried zucchini noodles and cherry tomatoes.