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I suspect that whenever the minhag of serving meat evolved, the state of knowledge regarding nutrition and the adverse health effects of most meat were unknown. If the underlying notion is hudur mitzvah and serving meat at one time was considered a sign of respect, etc. the times have changed. The cost/lb of fresh fish (not the bottom feeders served in various forms as “gefilte” fish and larded with lots of sugar) is considerably higher than most meats and nutritionally an order of magnitude better. The majority of yidden today (especially the younger generation) would much prefer a sincha with lots of fresh fish and salads (and perhaps chicken) rather than the traditional red meats, salty and fatty fish, starchy kugels etc.