Paleo Diet for Health & Longevity - Quick Reference Sheet

Paleo Diet for Health & Longevity

Created on 07/12/2026 – Quick Reference based on Evidence Review created using AI4L / Opus 4.8 Audit

A whole-food eating pattern that drops grains, beans, dairy, sugar, and processed foods for meat, fish, eggs, vegetables, fruit, and nuts. The most reliable gains are lost weight and waist size, lower blood pressure, and better short-term blood-sugar and heart markers — largest for those starting from a poor diet. Calcium, vitamin D, and iodine can fall short. (Full Review)

Protocol

Core Pattern
Whole foods, no grains or dairy
Emphasize lean meats, fish, eggs, vegetables, fruit, nuts, seeds; remove grains, legumes, dairy, refined sugar, added salt, processed foods, industrial seed oils
Structure
~30-day strict phase
Then systematically reintroduce individual foods (dairy, white rice, legumes) to identify personal tolerance
Timing
No time-of-day requirement
Often combined with optional time-restricted eating (8–10 hour window)
Time to effect
Weight & Waist
2–12 weeks
Measurable body weight and waist reduction
Blood Pressure & Blood Sugar
2–12 weeks
Measurable blood-pressure and blood-sugar improvements
Appetite & Energy
Days–2 weeks
Earliest changes in fullness and energy

Benefits

Contraindications
  • Chronic kidney disease (eGFR < 60 mL/min/1.73m²)
  • Advanced osteoporosis
  • History of eating disorders
  • Pregnancy
Key Interactions
  • Glucose-lowering medications (insulin, sulfonylureas such as glipizide, glyburide)
  • Antihypertensive drugs (ACE inhibitors such as lisinopril, diuretics)
  • Warfarin
  • Lithium
  • Levothyroxine and iodine-dependent thyroid function
  • Over-the-counter interactions (calcium, iron supplements)
  • Supplement interactions and additive effects (magnesium, potassium, fish oil, garlic, berberine, chromium)

Risk & Side Effects

  • High: Calcium and vitamin D inadequacy and bone health risk; iodine inadequacy
  • Medium: Elevated LDL cholesterol in susceptible individuals; elevated TMAO and gut microbiome shifts; cost and adherence burden; transition symptoms and bowel changes
  • Low: Increased kidney stone risk; reduced whole-grain nutrients and fiber diversity
  • Speculative: Long-term cardiovascular risk from high red and processed meat; disordered eating and orthorexia

Monitoring

Marker Target Why
Fasting glucose 75–85 mg/dL Tracks blood-sugar control
HbA1c < 5.4% Average blood sugar over ~3 months
Fasting insulin 2–5 µIU/mL Early marker of insulin resistance
Triglycerides < 80 mg/dL Fat sensitive to carbohydrate and metabolic health
HDL cholesterol > 55 mg/dL (higher in women) "Good" cholesterol, tends to rise on the diet
LDL cholesterol / ApoB LDL context-dependent; ApoB < 90 mg/dL Detects the divergent LDL response in susceptible people
hs-CRP < 1.0 mg/L Gauges systemic inflammation
Blood pressure < 120/80 mm Hg Tracks the diet's blood-pressure effect
25-hydroxy vitamin D 40–60 ng/mL Bone health and immune function
Serum calcium + PTH Calcium 9.0–10.0 mg/dL; PTH 15–40 pg/mL Bone and calcium status given dairy exclusion
Urinary iodine 100–199 µg/L Thyroid function given loss of iodized salt/dairy
Ferritin 30–150 ng/mL (sex-dependent) Iron status on a higher-meat diet
eGFR > 90 mL/min/1.73m² Kidney function on a higher-protein diet

Cadence: Recheck metabolic and lipid markers at ~8–12 weeks, then every 6–12 months; vitamin D, iodine status, and bone density every 12 months (sooner if baseline values are borderline)

Qualitative Assessment

  • Energy levels and freedom from mid-afternoon energy dips
  • Appetite control and reduced cravings between meals
  • Sleep quality and morning alertness
  • Digestive comfort and regularity
  • Waistband fit and clothing sizing as a day-to-day body-composition cue
  • Exercise recovery and training performance