When it comes to popular low-carb diets, three approaches often come up: Paleo, Keto, and Carnivore. Each has a dedicated following and claims to offer unique health benefits. But which one is actually the healthiest? Let’s break it down based on their principles, benefits, and potential risks.
Diet Trends: The Rise and Fall of Popularity
Over the past few years, interest in these diets has shifted dramatically. Google Trends data shows that searches for “keto diet” have steadily declined since 2021, while interest in the “carnivore diet” has surged, even surpassing keto in some cases. The “paleo diet” remains relatively stable but has been overshadowed by these newer approaches.
Fad Diets Rise and Fall
Over the past few years, interest in these diets has shifted dramatically. Google Trends data shows that searches for “keto diet” have steadily declined since 2021, while interest in the “carnivore diet” has surged, even surpassing keto recently. The “paleo diet” remains relatively stable but has been overshadowed by these newer approaches. This trend reflects a broader pattern where extreme and restrictive diets gain rapid popularity due to their bold claims of rapid weight loss and transformative health benefits. However, such diets often fade as people struggle with their sustainability, nutrient deficiencies, or potential long-term health consequences.

Paleo Diet: Eating Like Our Ancestors
The Paleo diet is based on the premise that we should eat like our hunter-gatherer ancestors. This means avoiding processed foods, grains, legumes, and dairy while focusing on whole foods like meats, fish, vegetables, fruits, nuts, and seeds.
How It Works
Paleo relies on nutrient-dense, high-quality foods while eliminating modern processed ingredients. The main principle is that our bodies are best adapted to the foods our ancestors ate before agriculture.
Benefits of Paleo
- Nutrient-Dense Foods – Encourages the consumption of vitamins, minerals, and antioxidants from whole foods.
- Improved Blood Sugar Control – Eliminates refined sugars and processed foods, reducing blood sugar spikes.
- Supports Digestion – Many people find relief from bloating and digestive issues by cutting out processed foods and dairy.
- Sustained Energy – Since it avoids refined carbs, many report stable energy levels throughout the day.
Potential Downsides
- Eliminates Whole Food Groups – Cutting out dairy and grains can lead to deficiencies in calcium and fiber.
- Difficult to Maintain – Socially and practically, avoiding grains and legumes can be challenging long-term.
Keto Diet: Switching to Fat for Fuel
The ketogenic diet is a high-fat, moderate-protein, and very low-carbohydrate diet designed to put the body into ketosis—a state where it burns fat for energy instead of glucose.
How It Works
By reducing carbohydrates to about 5-10% of daily intake, the body enters ketosis, where it produces ketones from fat as a primary fuel source.
Benefits of Keto
- Rapid Weight Loss – Many people experience fast fat loss due to reduced insulin levels and increased fat burning.
- Enhanced Mental Clarity – Ketones provide a steady energy source for the brain, leading to improved focus.
- Appetite Control – High fat and moderate protein intake can keep you fuller for longer.
- Better Insulin Sensitivity – Some individuals experience improvements in insulin regulation and Type 2 diabetes management.
Potential Downsides
- Nutrient Deficiencies – Cutting out most fruits and vegetables can result in vitamin and mineral imbalances.
- Keto Flu – In the initial transition, people may experience headaches, fatigue, and nausea.
- Long-Term Health Risks – Some research suggests prolonged keto dieting can increase the risk of heart disease and kidney issues.
- Difficult to Maintain – Requires strict carb counting and careful meal planning.
Carnivore Diet: Meat, Meat, and More Meat
The Carnivore diet takes low-carb to the extreme, eliminating all plant-based foods and relying solely on animal products such as meat, fish, eggs, and some dairy.
How It Works
By removing all plant-based foods, the diet eliminates carbohydrates entirely. Advocates claim this reduces inflammation and simplifies food choices.
Benefits of Carnivore
- Simplicity – No need to track carbs, calories, or macros—just eat animal foods.
- Potential Autoimmune Relief – Some people report reduced inflammation and improved autoimmune symptoms.
- High Protein Intake – Promotes muscle retention and satiety.
- Mental Clarity – Some report increased cognitive function due to stable blood sugar levels.
Potential Downsides
- Extreme Nutrient Deficiencies – No fiber, vitamin C, or phytonutrients, which are crucial for long-term health.
- High Saturated Fat Intake – May increase the risk of heart disease for some individuals.
- Digestive Issues – Some experience constipation due to the lack of fiber.
- Lack of Long-Term Research – There is limited scientific research on the long-term effects of an all-meat diet.
Comparison of Paleo, Keto, and Carnivore
Before diving into the direct comparison, it’s important to recognize that each of these diets operates on a spectrum of restriction. Paleo allows for the most variety, Keto further limits carbohydrate intake, and Carnivore eliminates all plant-based foods entirely. The more restrictive a diet is, the harder it becomes to sustain long-term, which is a critical factor when evaluating overall health benefits.
Aspect | Paleo | Keto | Carnivore |
---|---|---|---|
Main Focus | Whole, unprocessed foods | High fat, low carb | Animal products only |
Carb Intake | Moderate | Very low | Nearly none |
Nutrient Density | High | Moderate (depends on food choices) | Low (lacks plant-based nutrients) |
Ease of Maintenance | Moderate | Difficult | Very difficult |
Potential Risks | Nutrient deficiencies (calcium, vitamin D) | Keto flu, long-term heart risks | Deficiencies, high saturated fat intake |
Which Diet Is the Healthiest?
If we look at long-term sustainability and overall nutrient intake, the Paleo diet appears to be the healthiest choice. It promotes whole, unprocessed foods while still allowing for a variety of nutrients from plant-based sources. While Keto and Carnivore can be effective for weight loss and short-term benefits, their restrictive nature makes them harder to sustain and may lead to long-term health concerns.
Ultimately, the best diet is one that provides balanced nutrition, is easy to maintain, and supports your individual health goals.
References:
Cordain, L. et al. (2005). Origins and evolution of the Western diet: health implications for the 21st century. The American Journal of Clinical Nutrition.
Paoli, A. (2014). Ketogenic diet for obesity: friend or foe? International Journal of Environmental Research and Public Health.
O’Connor, A. et al. (2020). The effects of a carnivore diet on metabolic and cardiovascular health. Nutrients.
Kossoff, E. H. et al. (2018). Benefits and risks of dietary therapies for epilepsy. The Lancet Neurology.
Johnston, C. S. et al. (2017). Paleo diet and its impact on glucose tolerance and lipid profiles. European Journal of Clinical Nutrition.