Is Keto or Paleo Right for You?
 | Leo Treyzon, MD (2024)

What is a keto diet?

Even though keto began as a standard treatment for pediatric epilepsy patients in the 1920’s, it is more widely known now as an alternative to the standard, everyday diet. A ketogenic diet consists of high-fat, low-carbohydrate meals with moderate protein consumption.To adjust to low levels of carbohydrates in the blood stream, the body begins to break down stored fats stimulating weight loss. For this reason, keto is commonly used to treat patients with obesity. This can also be effective for patients diagnosed with celiac disease since it centers on a low-gluten meal plan.

Keto has four subcategories: the standard keto diet (SKD), the cyclical keto diet (CKD), the target keto diet (TKD), and the high-protein keto diet. The standard diet is characterized by a low-carb, moderate protein and high-fat diet, as mentioned earlier. A common intake ratio is 75% fat, 20% protein and 5% carbs. CKD, as the name suggests, involves alternating between high and low carb consumption. It is common to eat low amounts of carbs 4-6 days a week and high levels of carbs for the remaining 1-3 days. The high-protein keto diet and TKD follows similar guidelines to the standard diet with small changes. TKD allows for carb intake during workout times, while the high-protein diet places more emphasis on protein intake with a ratio of 60% fat, 35% protein, and 5% carbs.

Some foods that are commonly avoided include high-sugar content products, grains,starches, fruits, beans, root vegetables, highly processed foods, and unhealthy fats. Themajority of meals prepared under the keto diet should incorporate the following: meats, fatty fish, eggs, unprocessed cheese, nuts and seeds, healthy oils, and low-carb vegetables.

What is a paleo diet?

The paleo diet gets its name from paleolithic in reference to the Stone Age. A major reason for this is due to the central tenant of its practice: eating meals like the hunters and gathers of that era. A typical paleo diet is whole-food based, meaning that all food should be whole and unprocessed. Like keto, paleo requires cutting out high-content sugar products and grains. It is also important to avoid dairy products, artificial sweeteners, legumes, vegetable oils, and trans-fat.Paleo can be customized and does not require a strict ratio intake, like keto does. Some diet plans may opt for low-carbs consisting of mainly proteins, while others may follow a high-carb intake based in plants. While considering that all consumed products must be unprocessed, allowable foods include: meats, fish and seafood, eggs, vegetables, fruits, tubers, nuts and seeds, healthy fats and oils, and salt and spices.

Differences between Keto and Paleo

Keto and paleo are both great alternatives to the standard diet with each offering health and lifestyle benefits. While keto supports a high-fat and low-carb diet, paleo centers on meal plans based in whole and unprocessed foods. Although both diets avoid grains, beans, and sugars, there are distinct restrictions that each diet exclusively follow that the other does not. While paleo integrates high sugar fruits and starchy vegetables, keto offers dairy options.

Provided below are types of food that are included and excluded from each diet.

Type of Food

Paleo

Keto

Eggs

Yes

Yes

High sugar fruit (banana, orange, peach, grape, apple, pear)

Yes

No

Low sugar fruit (berries, coconut, melon, tomato)

Yes

Yes

Dried beans, peas, lentils

No

No

Grains (corn, rice, oats, barley, wheat, millet, quinoa, wild rice)

No

No

Sugars (cane, beet, high fructose corn syrup, honey)

No

No

Natural oils (avocado, olive, coconut)

Yes

Yes

Nuts and seeds

Yes

Yes

Meat, poultry, fish

Yes

Yes

Full-fat dairy (cheese, butter, Greek yogurt, cream)

No

Yes

Starchy vegetables (potato, sweet potato, yam, carrot, beet, turnip, parsnip, winter squash)

Yes

No

Non-starchy vegetables (lettuce, cauliflower, radish, mushroom, broccoli, celery, onion, kale, okra, green beans, pepper, collards, spinach, snow peas)

Yes

Yes

Resources

Healthline (Paleo):

https://www.healthline.com/nutrition/5-studies-on-the-paleo-diet

https://www.healthline.com/nutrition/ketogenic-diet-101#what-it-is

Virtahealth:

https://www.virtahealth.com/blog/paleo-vs-keto-whats-the-difference

Author Leo Treyzon MD

Is Keto or Paleo Right for You?
 | Leo Treyzon, MD (2024)

FAQs

Is paleo or keto better for you? ›

Both paleo and keto diets have the potential to be healthy, but paleo is more likely to offer a wider variety of nutritious options. Keto can be difficult to maintain and may not be well tolerated by some people.

Is the paleo diet recommended by doctors? ›

The bottom line

A paleo diet may help you lose weight or keep a healthy weight. It also may have other helpful health effects. But there are no long-term clinical studies about the benefits and potential risks of the diet.

Does your body go into ketosis on paleo? ›

It can be harmful to stay in a state of ketosis for extended periods. People do not experience the symptoms with the paleo diet as a paleo diet does not lead to a state of ketosis.

Do nutritionists agree with keto? ›

“It's not sustainable,” Farid says. “I call it a 'quick fix' to fit in the dress.” The consensus among dietitians and medical experts seems to be that while you may see results in the short term, the average person should avoid restrictive diets like keto long term.

Is keto or paleo better for inflammation? ›

Both paleo and keto diets have anti-inflammatory properties but work differently in managing inflammation and related health conditions. The paleo diet is better for managing autoimmune diseases, while the keto diet is better for managing diabetes and metabolic syndrome.

Is the paleo diet inflammatory? ›

Numerous studies have found that The Paleo Diet is an anti-inflammatory diet.

Who should avoid paleo? ›

For example, people at risk for heart disease, those who have kidney damage, and those who are diagnosed with type 1 diabetes should avoid the paleo diet.

What diseases does the paleo diet prevent? ›

The Paleo Diet® & Chronic Diseases

Other studies applying the Paleo Diet strategy have found positive effects on lowering the risk of diabetes, cardiovascular disease, cancer, and type-2 diabetes.

What diet works better than keto? ›

Though both the keto diet and Mediterranean diet can both promote weight loss, evidence suggests that the Mediterranean diet is safer, more sustainable, and more effective long-term.

Is oatmeal paleo? ›

Why are Oats not Paleo-friendly? Although oats are a non-fattening healthy food for a more mainstream diet, oats do contain anti-nutrients that the Paleo diet aims to avoid such as phytic acid, lectins, and avenin. Not only do oats contain a few anti-nutrients, but they are also often contaminated with gluten.

Can you eat cheese on paleo? ›

The typical paleo diet focuses on naturally raised meat and fish, as well as vegetables and fruits. It promotes avoiding dairy products and grains. This diet can put you at risk for deficiencies in calcium and vitamin D, which are critical to bone health.

What is the downside of keto? ›

The keto diet could cause low blood pressure, kidney stones, constipation, nutrient deficiencies and an increased risk of heart disease. Strict diets like keto could also cause social isolation or disordered eating. Keto is not safe for those with any conditions involving their pancreas, liver, thyroid or gallbladder.

What do dietitians think of keto? ›

Nutritional deficiencies. There is no way of getting around the fact that because the ketogenic diet eschews certain foods, and thus, nutrients, nutritional deficiencies are possible. This is one of the more important cons of the keto diet, particularly from the perspective of a nutritionist or dietitian.

What do dieticians think of a keto diet? ›

McManus recommends that you keep saturated fats to no more than 7% of your daily calories because of the link to heart disease. And indeed, the keto diet is associated with an increase in "bad" LDL cholesterol, which is also linked to heart disease. Other potential keto risks include these: Nutrient deficiency.

What is the biggest difference between keto and paleo? ›

The Paleo Diet is considered a low-carb, high-protein diet. The focus is on whole foods, or foods in their 'whole' state. The Keto Diet is considered a low-carb, high-fat diet in which the intake of carbohydrates is so reduced, the body turns to burning fat instead of carbohydrates for energy.

What diet is healthier than keto? ›

Mediterranean Diet Benefits

That often makes it much easier for people to adhere to than a hugely restrictive diet that may not be manageable in the long term. Not to mention, it's been repeatedly named the healthiest overall diet by U.S. News & World Report for many years in a row!

Is paleo anti-inflammatory? ›

Understanding the Basics of the Paleo Diet

First, know that paleo is an anti-inflammatory diet that aims to remove sugar, legumes, most dairy, grains, and refined vegetable oils like corn and soy oil. Essentially, paleo sets out to eliminate processed, so-called modern foods from our diets.

Do you lose weight fast on paleo? ›

The Bottom Line. It's well known that following a paleo diet can help you lose weight. It's high in protein, low in carbs, may reduce appetite and eliminates highly processed foods and added sugar.

References

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