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Many smoothies include large servings of fruits and vegetables which are recommended in a healthful diet. However, too many sweet fruits can lead to too much sugar. Many smoothies include large servings of fruits and vegetables which are recommended in a healthful diet. However, too many sweet fruits can lead to too much sugar.

A smoothie containing dairy products is similar to a fruit milkshake, though the latter typically contains less fruit and often contains ice cream.

Most raw green leafy vegetables are bitter, but this can be ameliorated by suitable choice of vegetables (e.g. baby spinach is almost flavourless) or fruit (e.g. banana).

By the late 1960s, smoothies were widely sold across the US by ice cream vendors as well as health food stores. They were mainly made from fruit, fruit juice, and ice.