C — single trials or observational data 5 sources · checked 2026-09-04

Paleo

What it is

A pattern built on an idea about what humans ate before agriculture: meat, fish, eggs, vegetables, fruit, nuts and seeds, and nothing that farming introduced — no grains, legumes, dairy, refined sugar or processed food. The historical claim is contested and irrelevant to the scale; what matters here is the food list, which excludes most cheap energy-dense staples and, with them, most of the ways people over-eat.

How it works in practice

Meat or fish with vegetables at most meals, fruit and nuts between, cooking from whole ingredients because almost nothing packaged qualifies. Carbohydrate falls, not by rule but because bread, pasta, rice, beans and lentils are gone; protein tends to be high for the same reason. Calcium has to come from somewhere other than dairy, and fibre from somewhere other than grains and legumes — vegetables and nuts can do both, but not by accident.

What the evidence shows

A systematic review and meta-analysis of the paleo trials found weight about three and a half kilograms lower than with comparison diets, along with smaller waists. The trials were small, short, and in people with chronic diseases such as type 2 diabetes and metabolic syndrome, and the authors explicitly asked for larger and longer studies before drawing conclusions. In the network meta-analysis of named programmes, paleo sits among the named diets whose differences at twelve months are small and uncertain. The reading is the usual one: the exclusions reduce energy for many people, the deficit does the work, and the ancestral story adds nothing measurable.

Who it tends to suit

People who do well with a short, simple rule rather than a budget; people who cook, can afford meat and fish at every meal, and eat mostly at home; people for whom "no bread, no sugar, no processed food" is the whole problem solved.

How it most often fails

On cost — it is the most expensive pattern on this site — and on the table, where bread, cheese, beans and dessert are all refused. Nutritionally, on calcium and fibre when the vegetables are not deliberate. And on the scale, when nuts, dried fruit and oil fill the space grains left: they are paleo and they are dense.

What to watch

Calcium and fibre; total energy from nuts and oil; and the honesty to notice whether the food list is serving the deficit or replacing it.

In the app

The paleo policy code exists and the planner takes it into account, but its revision has no documented review yet, so the app treats it as context rather than a verified rule; the site will change the wording the day that changes.

Sources

  1. de Menezes EVA et al., „Influence of Paleolithic diet on anthropometric markers in chronic diseases“, Nutr J 2019;18:41 — systematic review + meta-analysis
    Limitation: малки и кратки проучвания; хора с хронични заболявания; авторите изрично искат по-големи и по-дълги RCT
    cited, not reproduced
  2. Ge L et al., 14 popular named dietary programmes, network meta-analysis, BMJ 2020;369:m696, PMID 32238384 — systematic review + network meta-analysis (121 RCT, 21 942 участници)
    Limitation: между-диетните разлики са малки и с ниска до умерена сигурност; отпадането е високо; не казва нищо за придържането на конкретен човек
    cited, not reproduced
  3. National Academies DRI: macronutrients — official consensus report
    Limitation: general healthy population range; не индивидуална weight-loss prescription
    cited, not reproduced
  4. CDC, Weight Gain During Pregnancy — official public-health guidance
    Limitation: не е weight-loss solver за pregnancy
  5. Наредба № 1 от 22.01.2018 г. за физиологичните норми за хранене на населението, МЗ, ДВ бр. 11/02.02.2018 — national normative act (Bulgaria)
    Limitation: популационни норми за здрави хора, не за отслабване; отменя Наредба № 23/2005

Educational information, not medical advice. It does not replace a consultation with a doctor or a registered dietitian. Not for people under 18, during pregnancy or breastfeeding, or with a history of an eating disorder — talk to a professional first.