Keto – paleo: What are the similarities and differences?

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The keto and paleo diets are gaining popularity. They have some similarities and several key differences. Learn more about their food lists, benefits, and side effects, here.

Source: Keto vs. paleo: What are the similarities and differences?

The ketogenic (keto) diet focuses on eating a particular balance of macronutrients. The goal is to enter a state of ketosis, where the body begins to burn fat for health or weight loss.

The Paleolithic (paleo) diet focuses on eating foods that humans would have eaten in the Stone Age. The goal is to eliminate modern processed foods for health or weight loss.

This article looks at the similarities and differences between the keto and paleo diets, including their benefits, food lists, and side effects.

What are keto and paleo diets?

The keto and paleo diets are two dietary options that aim to boost health, eliminate highly processed foods, and encourage weight loss.

The following sections provide an overview of keto and paleo diets:

Keto diet

A keto diet is an eating plan that focuses on eating lots of healthful fat, some protein, and minimal carbohydrates.

The body typically uses carbohydrates as fuel for energy. When a person does not get enough carbs, the body will start using up fat and some protein stores. In true ketosis, the liver will take stored fat and turn it into ketones, which the body then uses for energy. Reaching this state of ketosis is the goal of the keto diet.

Some believe ketosis is an efficient way to lose excess fat and to reduce the risk of problems, such as heart disease and diabetes.

In general, a person on a keto diet should consume:

  • 70–80% fat
  • 20–25% protein
  • 5–10% carbohydrates

The keto diet encourages and excludes specific foods. A person on keto cannot get their carbohydrates from grains or legumes. Their carbs must come from a keto friendly vegetable, such as leafy greens, or a small group of fruits, primarily berries.

Paleo diet

A paleo diet is a dietary plan that focuses on foods that humans ate during the Paleolithic era. Some people refer to it as the caveman diet or the Stone Age diet.

This diet strives to eliminate products made via modern food processing and farming methods. People who follow the paleo diet may choose foods that a Stone Age ancestor would have been able to hunt or gather and eat. The diet of a Stone Age person would have varied according to the natural resources available in their area.

Some people believe that the human body is not well adapted to modern-day foods. According to supporters of the diet, cutting out foods such as dairy, grains, and legumes can help a person lose weight and prevent heart disease and diabetes.

A paleo diet excludes highly processed foods, as well as legumes, grains, and dairy products.

The paleo diet also encourages the consumption of healthful fats, such as those from wild or grass-fed animals, nut oils, butter, olive oil, and avocados. It also recommends that people eat higher amounts of animal protein.

According to some small, short term studies, the paleo diet may have benefits for metabolic syndrome and improving cholesterol levels. However, scientists need to carry out more research to confirm this.

Similarities between the keto and paleo diets

Both diets encourage the consumption of many nutritious whole foods and exclude highly processed foods.

Both involve a low carb intake and do not allow the consumption of grains and legumes. They emphasize meat for protein and recommend certain types of fats and vegetables.

Both paleo and keto diets include:

  • nuts
  • seeds
  • unprocessed meat
  • seafood
  • eggs
  • healthful fats, such as olive oil, avocado oil, and nut oils
  • non-starchy vegetables

Exclusion of highly processed foods

Both keto and paleo diets exclude many unhealthful foods, including:

  • processed foods, such as chips, crackers, and packaged snacks
  • foods that contain white or brown sugar, corn syrup, or agave nectar

Exclusion of healthful foods

Both diets exclude a variety of foods that many people would consider healthful. In fact, the 2015-2020 Dietary Guidelines for Americans lists some of these foods.

They include:

  • whole grains, including rice, wheat, quinoa, pasta, bread, and oats
  • legumes, including beans, peanuts, peas, soy, and lentils

These two diets encourage lower carbohydrate intake than the traditional reduced calorie or low fat weight loss plans that experts have recommended for years. For instance, the National Institutes of Health (NIH) and American Heart Association recommend a daily intake of whole grains, which are not a part of keto and paleo plans.

What are the differences between keto and paleo diets?

The keto and paleo diets exclude different foods. The keto diet excludes high sugar foods, including most fruits, while the paleo diet allows more fruits and some natural sweeteners. They also have different rules for meats, vegetables, and dairy.

The following sections look into key differences between the keto and paleo diets.

Processed meat

A paleo diet usually excludes processed meats, such as bacon, salami, and ham, as these are the result of modern food processing techniques. Some people believe that minimally processed bacon without nitrates or preservatives is acceptable on the paleo diet, while others do not.

The keto diet allows these types of meat as long as they do not contain sugar or carbohydrates, which could interfere with the body’s ability to reach ketosis. Some processed meats, such as bacon or sausage, may contain sugar, so people need to read the labels.

However, with research indicating that processed meats may increase the risk of cancer and other health issues, people on any diet may wish to focus on eating good quality meats rather than processed ones.

  • Paleo: Focuses on natural and grass-fed, no processed meat.
  • Keto: Allows any meat that does not contain added sugar or carbohydrates.

Sweeteners and sugar

The paleo diet allows some “natural” sweeteners, such as honey and maple syrup. But, it does not allow artificial sweetener, including sugar alcohols, because they are a result of modern technology.

The keto diet allows some artificial sweeteners as long as they do not contain any sugar (some products contain both sugar and artificial sweeteners). Ideally, a person should choose sweeteners that do not cause spikes in blood sugar, such as stevia and sucralose.

The keto diet does not allow honey, maple syrup, or other products that contain natural sugar or fructose.

  • Paleo: Allows raw honey, maple syrup, date sugar, and coconut sugar.
  • Keto: Does not allow any sugars, but allows some artificial sweeteners, such as stevia and sucralose.

Starchy vegetables

Some nutrient rich vegetables also have a high starch or carbohydrate content. These “starchy vegetables” are not allowed on the keto diet because they could interrupt ketosis and cause a person to consume more than their allotted total of carbohydrates.

However, the paleo diet allows many of these nutritious vegetables in moderation. A person following the paleo diet can eat foods such as sweet potatoes, beets, and carrots in moderation, but should prioritize lower carb vegetables.


Fruits contain a range of nutrients, vitamins, minerals, fiber, and antioxidants, and are a healthful choice for most people. However, fruits also contain some natural sugar, and some have higher levels of sugar and carbohydrates than others.

A person following a paleo diet can eat all fruits, including fresh, dried, and frozen, but they should generally focus on lower sugar types. A paleo diet includes plenty of berries, citrus fruits, and melons. It can include sweeter fruits, such as bananas, grapes, mangoes, and cherries, but ideally, in lower amounts.

The keto diet is more strict with fruit. It advises that to keep the body in a state of ketosis, a person should only eat lower sugar fruits, and only in small amounts. Berries are a common keto friendly fruit, but a person may also eat small amounts of cranberries, peaches, apricots, apples, and plums.

  • Paleo: Allows all fruits, though higher sugar ones in moderation.
  • Keto: Allows only lower sugar fruits.


The paleo diet excludes all dairy products because Paleolithic humans did not consume them. The paleo diet does not allow a person to consume cheese, milk, cream, or other dairy products.

However, people on the paleo diet can drink unsweetened nut milk, coconut milk, and similar alternatives that do not contain artificial sweeteners or thickeners.

The keto diet allows some dairy products, especially those that are higher in fat and protein. This allows the person to take in the recommended amounts of these nutrients.

The keto diet does not include any dairy products that may contain sugar, such as ice cream, chocolate milk, or sugar-sweetened coffeecreamer. However, a person may consume dairy products that contain artificial sweeteners in moderation.

  • Paleo: Excludes dairy products.
  • Keto: Allows dairy without sugar, ideally higher fat and higher protein types.


Both the keto and paleo diets have specific guidelines that include and exclude certain types of food. There are some similarities but plenty of variation between the diets. Both may have health benefits related to eliminating highly processed foods, which may help with weight loss.

For most people, these diets require a drastic shift from previous eating habits. Some people may find eliminating all grains and legumes and increasing fat content difficult to sustain long term. People following these diets must also make sure they still meet their nutritional requirements.

A person should base their decision to follow either of these diets on their current health condition, how strict they want to be with their diet, and their individual health goals.

Some people following the paleo diet will eat processed foods as long as they are low sugar, contain no dairy or grains, and are paleo friendly. Others on the paleo diet may eat only foods in their natural state, excluding anything that comes in a package. Some people on the keto diet eat any meat, as long as it is carb free. Others focus on grass-fed and healthful meats only.

People will benefit from speaking with their doctor before changing their diet, especially if they have diabetes, heart disease, or other health conditions.

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