Grains
For paleo followers, grains are a major exclusion. This includes all forms of cereal grains like wheat, rice, corn, oats, and barley, along with any products made from them, such as bread, pasta, and crackers. The primary reasoning behind this stems from the diet's core philosophy that grains were introduced to the human diet only recently, with the advent of agriculture about 10,000 years ago. Paleo proponents argue that our digestive systems have not had enough time to adapt to properly process them. A specific concern is the presence of antinutrients like phytic acid and lectins in whole grains, which can interfere with the absorption of other minerals. While some modern approaches might allow for small amounts of white rice, particularly if a person tolerates it well and is metabolically healthy, strict paleo avoids all grains.
Legumes
Another major food group on the avoid list is legumes, which encompasses beans, lentils, peas, and peanuts. Similar to grains, legumes were introduced during the agricultural period and are believed to contain antinutrients that can cause digestive issues or inflammation for some individuals. Legumes are often praised for their fiber and protein content, but paleo adherents source these nutrients from other food groups. This is why popular items like peanut butter are not paleo-friendly, as peanuts are classified as legumes.
The Dairy Debate
Dairy is a source of much debate, but most versions of paleo avoid it completely. The argument is simple: paleolithic humans did not milk other mammals. Dairy products contain lactose and the protein casein, which can be difficult for many people to digest and are sometimes linked to inflammatory responses.
While strict paleo purists reject all dairy, some modern variations permit certain high-fat, fermented dairy products. For example, some people choose to include grass-fed butter or ghee, which has the milk solids removed, making it more tolerable for some. Alternatives like almond, coconut, and cashew milk are widely used in paleo cooking and can help replace dairy in many recipes.
Processed Foods and Refined Sugars
This is perhaps the least controversial avoidance, as most healthy eating plans advise against processed foods. For paleo, this means eliminating virtually all packaged snacks, sugary drinks, candies, and fast food. Refined sugar, including table sugar and high-fructose corn syrup, is strictly off-limits. The diet prioritizes whole, unprocessed foods, which naturally eliminates these items. Instead of refined sugar, paleo-friendly sweeteners like raw honey and maple syrup can be used in moderation. However, the emphasis is always on minimal sugar intake, even from natural sources.
Unhealthy Oils and Fats
Certain vegetable oils are also excluded from the paleo diet. Highly processed and often high in omega-6 fatty acids, oils such as soybean, corn, cottonseed, and canola are avoided. The diet instead promotes fats that would have been more readily available to our ancestors, such as those from avocados, olives, and coconuts. Sourcing fat from healthy sources like lean meats and fish is also a core tenet. Trans fats, which are man-made and found in many processed foods, are unequivocally banned.
Paleo vs. Non-Paleo Food Choices
| Food Category | Non-Paleo Choice | Paleo Alternative | 
|---|---|---|
| Grains | Wheat bread, rice, pasta | Cauliflower rice, sweet potatoes, turnips | 
| Legumes | Black beans, lentils, peanuts | Nuts (almonds, walnuts), seeds (pumpkin, sunflower), berries | 
| Dairy | Milk, yogurt, cheese | Nut milks (almond, coconut), coconut yogurt, ghee (for some) | 
| Processed Sugars | White sugar, candy, soda | Raw honey, maple syrup (in moderation), fresh fruit | 
| Vegetable Oils | Soybean oil, canola oil | Olive oil, avocado oil, coconut oil | 
Potatoes and Salt: A Modern Nuance
While strict paleo often restricted white potatoes due to their high glycemic index, modern interpretations are more flexible. Many followers consider them a "safe starch," as they are a whole, unprocessed food. Similarly, salt is often limited in strict versions, but its exclusion is not universally followed in modern paleo as it would have been found in nature.
Conclusion: Navigating the Paleo Avoid List
To successfully follow the paleo diet, it is crucial to understand what it avoids and why. The foundation rests on eliminating foods introduced by agriculture, focusing on whole, unprocessed items instead. By cutting out grains, legumes, dairy, processed sugars, unhealthy oils, and processed foods, the diet aims to reduce inflammation, improve metabolic health, and align with ancestral eating patterns. While some modern adaptations offer flexibility, especially concerning white rice or certain dairy, the core principles of avoiding modern, processed foods remain steadfast. Ultimately, prioritizing real, whole food sources is the guiding philosophy.
For additional information on the paleolithic diet and its comparison to modern dietary guidelines, visit the NCBI Bookshelf.