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However, as I already mentioned, the Paleo template simply gives us a starting point from which to decide how to feed ourselves in the modern world. I make my own choices by weighing the health consequences of the foods I eat—and I also consider the gustatory pleasure of the experiences, too. Over the past few years, my attitude toward food has evolved. When I first adopted a Paleo lifestyle, I strictly followed the rigid dictates of the Paleo diet because this new way of eating made me feel so much better. I didn’t even think to question why it worked. But with time, I’ve learned that it’s more important to stay curious about the science behind the approach, and to be fully conscious of my food choices. I learned that I don’t need to strive for “Paleo perfection” as long as I’m mindful of what I’m choosing to put into my mouth, and why.
In the long term, you have to be sure you’re getting calcium and other nutrients you’re missing by not having dairy products and certain grains. Some paleo-approved foods, such as salmon and spinach, contain calcium, so you have to be sure you’re including them in your diet. It would be a good idea to check with a registered dietitian, too, to make sure you’re meeting your calcium and other nutrient needs.
Trying to devise an ideal diet by studying contemporary hunter-gatherers is difficult because of the great disparities that exist; for example, the animal-derived calorie percentage ranges from 25% for the Gwi people of southern Africa to 99% for the Alaskan Nunamiut.[40] Descendants of populations with different diets have different genetic adaptations to those diets, such as the ability to digest sugars from starchy foods.[40] Modern hunter-gatherers tend to exercise considerably more than modern office workers, protecting them from heart disease and diabetes, though highly processed modern foods also contribute to diabetes when those populations move into cities.[40]
Once again, it is important (and we strongly advise) that you seek advice from your healthcare professional before commencing the program and we also recommend you stay under careful supervision of a qualified and knowledgeable healthcare provider during your dietary and lifestyle transition in the case of Type I and/or Type II diabetes. You may ultimately require positive adjustments in your medications following the implementation of this program; so careful monitoring of blood sugar and blood ketone levels is advised.

As University of California-Davis food chemist Bruce German told Pollan in an interview, “You could not survive on wheat flour. But you can survive on bread.” Microbes start to digest the grains, breaking them down in ways that free up more of the healthful parts. If bread is compared to another method of cooking flour—basically making it into porridge—”bread is dramatically more nutritious,” says Pollan.

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