The Banting Letter: The True Origin of Low-Carb
In 1863, a London undertaker named William Banting published a pamphlet titled Letter on Corpulence, Addressed to the Public detailing his success with a diet prescribed by his surgeon, William Harvey. Banting, who stood 5 feet 5 inches tall, weighed 202 pounds and was struggling with poor health. After adhering to Harvey's advice to avoid sugar, starches, and fats, he lost 46 pounds over a year, prompting him to share his method with the public. His approach, which became known as 'Banting,' is widely considered the first recognized low-carb diet.
Banting's plan focused on consuming a high-protein, high-fat, very-low-carbohydrate diet. The key was to avoid certain categories of food entirely. This was a radical departure from the common eating habits of the era. He documented his daily intake, which was centered around meat, fish, and green vegetables, with limited portions of wine. The core principle was that the body's fat stores could be burned for energy by restricting the intake of starches and sugars.
Banting's Restricted Food List
Banting was quite specific about which foods to eliminate or severely limit:
- Sugar and sweets
- Starchy vegetables like potatoes
- Bread and other grains
- Beer and other sugary alcoholic drinks
- Milk and some dairy products
In essence, Banting's diet provided a simple, easy-to-understand framework for weight management, and its public dissemination sparked the first true low-carb movement.
The Ketogenic Diet's Medical Roots
While Banting introduced the low-carb concept for weight loss, the ketogenic diet, a more restrictive form of low-carb, has a different origin. In the 1920s, doctors at Johns Hopkins Hospital developed a high-fat, low-carb, moderate-protein diet to treat children with epilepsy. The diet was found to reduce seizures by forcing the body to use fat for energy instead of glucose, a metabolic state known as ketosis. Unlike Banting's plan, which was primarily a weight-loss method, this early ketogenic diet was a therapeutic tool under strict medical supervision. This original application highlights that low-carb approaches have a long history in the medical field, not just as a tool for reducing body mass.
The Rebirth of Low-Carb: Dr. Atkins and Beyond
Decades later, in 1972, cardiologist Dr. Robert Atkins published Dr. Atkins' Diet Revolution, reintroducing the low-carb concept to a new, modern audience. Atkins' diet, while based on the same fundamental principles of carbohydrate restriction, was structured into distinct phases:
- Phase 1 (Induction): A very strict, short-term phase to initiate weight loss by severely limiting carbohydrates to under 20 grams per day.
- Phase 2 (Ongoing Weight Loss): Gradual reintroduction of select carbohydrates like nuts, seeds, and berries.
- Phase 3 (Pre-Maintenance): Closer to the goal weight, with further increases in carb intake to determine a personal threshold.
- Phase 4 (Maintenance): Long-term, sustainable eating based on the individual's carbohydrate tolerance.
Atkins' approach, with its phased structure and targeted marketing, made the low-carb diet a household name and a permanent fixture in the diet industry. It moved the concept from a niche medical treatment and a historical anecdote to a mainstream consumer phenomenon.
Evolution into Today's Low-Carb Movements
The low-carb idea has continued to evolve and splinter into various modern dietary movements. The Paleo diet emerged from the idea of eating like our Stone Age ancestors, eliminating grains and processed foods, which naturally leads to a lower carbohydrate intake. The modern ketogenic diet is a refined version of the 1920s therapy, now primarily used for weight loss and improved metabolic health. Other variations like LCHF (Low-Carb, High-Fat) and the South Beach diet have also adopted and adapted the core principle of restricting carbohydrates.
Low-Carb Diet Comparison Table
| Feature | Banting Diet (c. 1863) | Atkins Diet (c. 1972) | Modern Ketogenic Diet | 
|---|---|---|---|
| Primary Goal | Weight Loss | Weight Loss | Therapeutic (epilepsy), Weight Loss | 
| Carb Restriction | Severe (but not quantified) | Quantified, Phased Reduction | Very Low (~20-50g/day) | 
| Protein Intake | Moderate | Unrestricted (early versions) | Moderate | 
| Fat Intake | High | Unrestricted (early versions) | Very High | 
| Food Focus | Meat, Fish, Green Veg | Meat, Fish, Eggs, Veg | High-Fat Meats, Fats, Nuts, Seeds, Low-Carb Veg | 
| Structure | General guidelines | Structured phases | Strict macronutrient ratios | 
Criticisms and Controversies Over Time
The low-carb diet has faced controversy throughout its history, and skepticism from the medical community is not a recent phenomenon. Early versions, including Banting's, were criticized for their high fat and protein content, potentially raising concerns about heart health. In the 20th century, the rise of the low-fat movement positioned low-carb diets as counterintuitive and potentially harmful. Modern versions face scrutiny regarding long-term sustainability, potential nutritional deficiencies (especially fiber), and side effects like the "keto flu". The debate persists, with research yielding conflicting results on long-term health outcomes, emphasizing the need for individualized dietary approaches. A comprehensive narrative review of low-carb diets, their efficacy, and safety concerns is available [PMC article on LCD] (https://pmc.nlm.nih.gov/articles/PMC8066770/).
Conclusion: The Enduring Legacy of Low-Carb
From a London undertaker's personal health quest to a global mainstream diet phenomenon, the low-carb story is a testament to the enduring appeal of this dietary principle. What was the original low-carb diet—William Banting's 1863 plan—laid the conceptual groundwork, emphasizing reduced carbohydrate intake to address weight issues. The subsequent development of the ketogenic diet for epilepsy further solidified the medical basis, while Robert Atkins's phased approach brought the concept to the masses. The legacy continues today in the form of Paleo, Keto, and LCHF diets, which all trace their lineage back to these historical milestones. The evolution of low-carb diets shows how a simple idea can be refined and re-marketed over time, always sparking a mix of fervent adherence and scientific debate.