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The text says deficient in fat and carbohydrates. I’m pretty sure they mean it only happens when you don’t have enough of either, not that carbs are an essential nutrient.
Small tangent - I know this is going to probably be an internet fight, but there is no such thing as an essential carbohydrate for human health.
Bioavailable nutrition is in the fat in the meat, and in the organ meat such as liver.
The Eskimos never died from a lack of carbohydrates.
The text says deficient in fat and carbohydrates. I’m pretty sure they mean it only happens when you don’t have enough of either, not that carbs are an essential nutrient.