In 1987, Reaven discussed the emerging science of metabolic syndrome at a conference on diabetes prevention hosted by the National Institutes of Health. The researchers and clinicians in attendance acknowledged that the science was compelling, but they also wished, as one NIH administrator said at the time, that “it would go away, because nobody knows how to deal with it.” They had come to believe that fat was bad for the heart and that too much protein could put an unhealthy strain on the kidneys. Now Reaven was bringing back the notion that carbohydrates were bad. “We have to eat something,”
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