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Paleo vs Keto: The Main Differences and Which is Better

Sep 26, 2025

Last Updated Nov 14, 2025

7 Min Read

Siti Amirah content writer for eato

Written by

Siti Amirah

When it comes to the topic of nutrition and diets, we hear about all sorts of diets now and then. The most popular diets that still have people talking today are the paleo vs keto diets. Although they are vastly different, they do also have some similarities in terms of benefits. This is why some people tend to get confused between the two, wondering which is better for health.

In this article, we’ll look at the key differences between the paleo vs keto diet. We’ll also compare the benefits and downsides of each diet, and which of these you should be trying.

Key Takeaways

  • Paleo focuses on whole, unprocessed foods while keto focuses on eating foods that are high in fat, moderate in protein, and very low in carbs so that the body goes into ketosis.
  • Paleo and Keto reduce processed foods and refined carbs, which can help with weight management, blood sugar control, and improving cholesterol profiles.
  • Paleo may risk nutrient gaps from excluding grains and dairy, while Keto requires careful planning to maintain a balanced intake of fiber, vitamins, and minerals due to strict carb restrictions.
  • Ultimately, your diet choice depends on your goals and lifestyle.

What is the Paleo Diet?

What is paleo diet
Credit: Canva

The Paleo diet, also known as the Paleolithic diet in full, is a dietary pattern. It has been adapted based on the assumption of what our hunter-gatherer ancestors ate during the Stone Age period [1].

Based on how humans had evolved physically and anatomically back then, it was likely due to their diets being highly nutritious and digestible. These findings led to the development of the first modern Paleo diet in 1975. It was proposed that humans required a diet that is meat-heavy and low-carbohydrate, similar to the diet of our ancestors.

Today, the Paleo diet has evolved to emphasize consuming whole foods. These foods include lean meat, fruits, vegetables, fish, eggs, nuts, and seeds. They exclude grains, dairy foods, high-fat foods, and processed foods.

Benefits of the Paleo Diet

Going on a Paleo diet seems to be beneficial for health for a few reasons, including:

a) Reducing the risk of heart disease

An outpatient study that involved 9 non-obese sedentary volunteers found that after going on a Paleo diet, there was a significant reduction in total cholesterol, low-density lipoproteins (LDL), and triglycerides. This is due to the reduced consumption of ultra-processed foods that tend to contribute to heart disease [2].

b) Lowering the risk of type 2 diabetes

Research analysis also showed that the Paleo diet could have positive outcomes for type 2 diabetes patients. This is as glycemic and lipid profiles were improved. However, more clinical outcomes and evidence are needed to support this.

c) Potentially supports weight loss

Drawbacks of the Paleo Diet

a) Not getting essential nutrients

b) Long-term benefits are not known

There aren’t enough research studies that look into the effects of being on this diet for a long period of time, as it’s considered somewhat restrictive. You’ll have to exclude grains, dairy, and legumes. Taking this into account, it’s best to avoid following the diet for too long.

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What is the Keto Diet?

Grilled meat skewers cooking over open flame, a high fat and low carb meal suitable for keto and paleo diets.
Credit: Canva

The Keto diet, also known as the Ketogenic diet, is a diet plan that focuses on high-fat intake and low-carbohydrate intake. Looking at it from a macronutrient perspective, daily, you can expect to consume 55% to 60% fat, 30% to 35% protein, and 5% to 10% carbohydrates [5].

This would mean keeping your carbohydrate intake to approximately 50 grams or fewer per day.

The Benefits and Risks of the Keto Diet

There have been a lot of discussions about whether the keto diet is safe and good for health. High-fat intake is commonly associated with higher cholesterol levels and increased susceptibility to heart-related complications.

However, some scientific studies suggest that there are potential health benefits of following a keto diet. Some benefits include:

a) Helping with weight loss

According to some studies, being on a keto diet can help you lose more weight at a faster rate compared to a low-fat diet. A low-carb diet essentially helps to improve insulin sensitivity and get rid of excessive water retention in the body [6].

b) Increase good ‘HDL’ cholesterol levels

‘HDL’ cholesterol refers to the ‘good’ cholesterol in our body as opposed to ‘LDL’ cholesterol, which is the ‘bad’ cholesterol. Eating foods that are high in non-saturated fats is what increases our ‘HDL’ cholesterol [7]. The more good cholesterol we have, the lower the risk of getting cardiovascular diseases such as atherosclerosis [8].

c) May potentially lower blood pressure levels

Diets that are low in carbs are found to be an effective way of lowering blood pressure, reducing the risk of many common health conditions [9].

d) Reduces insulin resistance

According to a study, cutting carbs can be an effective way of lowering blood sugar levels and improving fasting insulin levels. A low-carb and ketogenic diet plan can be used to treat type 2 diabetes patients with insulin resistance [10], [11].

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Difference Between Paleo vs Keto Diet

While the Paleo and Ketogenic diets may share many similarities in terms of their benefits, they also have significant differences between them.

Here is also a table of comparison between the Paleo vs Keto diets:

CategoryPaleo DietKeto DietShared Similarities
Main FocusWhole, unprocessed foodsHigh-fat, low-carb intakeBoth eliminate highly processed foods
GoalImprove overall healthEnter ketosis for fat-burningCan support weight loss and better metabolic health
CarbohydratesAllowed in moderate amountsVery limited (usually under 50g per day)Both reduce refined carbohydrates
Macronutrient RatioNo specific ratio requiredStrict: High fat, moderate protein, low carbBoth require mindful food choices

What Can You Eat On a Paleo Diet?

Some examples of what you can eat include:

  • Red meat
  • Fish and seafood
  • Eggs
  • Vegetables
  • Fruits
  • Tubers
  • Nuts and seeds
  • Healthy fats and oils
  • Salt and spices

To know the exact foods that you can or cannot eat on the diet, check out our ‘Paleo Food List‘ article.

Foods to Eat on a Keto Diet

For reference, here are some food examples of what you can eat:

  • Dairy and unsweetened dairy alternatives: Indian paneer, Greek yogurt, Middle Eastern labneh, Korean soy milk, Japanese tofu
  • Low-carb vegetables: Chinese bok choy, Thai eggplant, Korean kimchi cabbage, Mediterranean roasted zucchini, Indian spinach (palak)
  • Plant-based foods: Middle Eastern hummus, Indian lentils (dal), Mexican guacamole, Japanese edamame, Southeast Asian coconut and sesame snacks
  • Oils and fats: Italian extra virgin olive oil, South Indian coconut oil, Chinese sesame oil, Middle Eastern avocado or nut oils

The Final Takeaway: Which is the Better Diet?

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FAQ

References

[1] H. J. Challa and K. R. Uppaluri, “Paleolithic Diet,” Nih.gov, May 29, 2019.
https://www.ncbi.nlm.nih.gov/books/NBK482457/

 

[2] L. A. Frassetto, M. Schloetter, M. Mietus-Synder, R. C. Morris, and A. Sebastian, “Metabolic and physiologic improvements from consuming a paleolithic, hunter-gatherer type diet,” European Journal of Clinical Nutrition, vol. 63, no. 8, pp. 947–955, 2009, doi: https://doi.org/10.1038/ejcn.2009.4.

 

[3] C. Nelson, “How Does the Paleo Diet Work? Risks and Benefits,” GoodRx, Dec. 19, 2022.
https://www.goodrx.com/well-being/diet-nutrition/how-does-paleo-diet-work

 

[4] Cleveland Clinic, “Paleo Diet 101: What You Can and Can’t Eat,” Cleveland Clinic, Feb. 2, 2023.
https://health.clevelandclinic.org/paleo-diet

 

[5] W. Masood, K. R. Uppaluri, P. Annamaraju, and M. Z. Khan Suheb, “Ketogenic Diet,” National Library of Medicine, Jun. 16, 2023. https://www.ncbi.nlm.nih.gov/books/NBK499830/

 

[6] F. F. Samaha et al., “A Low-Carbohydrate as Compared with a Low-Fat Diet in Severe Obesity,” New England Journal of Medicine, vol. 348, no. 21, pp. 2074–2081, May 2003, doi: https://doi.org/10.1056/nejmoa022637.

 

[7] L. Berglund et al., “HDL-subpopulation patterns in response to reductions in dietary total and saturated fat intakes in healthy subjects,” The American Journal of Clinical Nutrition, vol. 70, no. 6, pp. 992–1000, Dec. 1999, doi: https://doi.org/10.1093/ajcn/70.6.992.

 

[8] P. P. T. MD, PhD, “The ‘Good Cholesterol’: High-Density Lipoprotein,” AHA Journals, Feb. 8, 2005.
https://www.ahajournals.org/doi/10.1161/01.CIR.0000154555.07002.CA

 

[9] M. E. Daly et al., “Short-term effects of severe dietary carbohydrate-restriction advice in Type 2 diabetes: a randomized controlled trial,” Diabetic Medicine, vol. 23, no. 1, pp. 15–20, Jan. 2006, doi: https://doi.org/10.1111/j.1464-5491.2005.01760.x.

 

[10] M. Noakes, P. Foster, J. Keogh, A. James, J. Mamo, and P. Clifton, “Comparison of Isocaloric Very Low Carbohydrate/High Saturated Fat and High Carbohydrate/Low Saturated Fat Diets on Body Composition and Cardiovascular Risk,” Nutrition & Metabolism, vol. 3, no. 1, p. 7, 2006, doi: https://doi.org/10.1186/1743-7075-3-7.

 

[11] W. S. Yancy, M. Foy, A. M. Chalecki, M. C. Vernon, and E. C. Westman, “A Low-Carbohydrate, Ketogenic Diet to Treat Type 2 Diabetes,” Nutrition & Metabolism, vol. 2, no. 1, p. 34, 2005, doi: https://doi.org/10.1186/1743-7075-2-34.

Siti Amirah content writer for eato

Siti Amirah

Eato Content Writer

Amirah is a content writer passionate about topics related to health and wellness. Her growing interest in nutrition stems from a personal commitment to cultivating healthier eating habits and supporting her overall well-being. Amirah holds a Bachelor’s Degree in International Communication Studies from the University of Nottingham.

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