The Flipped Food Pyramid A Clinical Perspective on Why Grains Are No Longer Foundational My interest in nutrition from a clinical perspective began in 2016, when I first researched the ketogenic way of eating. What started as an exploration of keto for weight loss quickly broadened into something far more substantial. The ketogenic diet was not designed as a lifestyle trend; it originated as a medical intervention for epilepsy, and its effects on metabolism, neurological function, inflammation, and psychological health have been documented for over a century. That wider therapeutic potential is explored in the documentary The Magic Pill, which illustrates how carbohydrate restriction has been used to support a range of metabolic and neurological conditions. Since then, my ongoing clinical interest has been reinforced by the work of practitioners and researchers such as Dr Sarah Hallberg, Dr Eric Berg, Dr Aseem Malhotra, Professor Tim Noakes, Dr Jason Fung, and