Kurt G. Harris MD

PāNu means paleonutrition. The "paleo" here signifies "old" and not necessarily paleolithic. The PāNu approach to nutrition is grounded on clinical medicine and basic sciences disciplined by knowledge of evolutionary biology and paleoanthropology. The best evidence from multiple disciplines supports eating a pastoral (animal-based) diet rather than a grain-based agricultural one, while avoiding what I call the neolithic agents of disease - wheat, excess fructose and excess linoleic acid.

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Primal Blueprint

If you have not yet read Mark Sisson's primal blueprint, I highly recommend it. It is accessible and fully PaNu compliant. The perfect book for your vegetarian girlfriend or boyfriend. (That's a compliment, folks)

If you buy with this link, PaNu earns a small 4-6% commission and you can thereby painlessly support this website at the same time.

Actually, any item purchased after accessing amazon through my site earns a tiny commission like this- so you can use this strategy generally.

Read the details of the freebies Mark is offering only for today here



Stephan just today has a review of Primal Blueprint here. I agree with much of his review and my supplement skepticism is well-known, so no point belaboring that.

I would just add that my view on non-fructose and non-gluten-bearing carbohydrate sources is probably best described as somewhere between Stephan and Peter. I share Stephan's belief that carbohydrate per se does not cause DOCs or metabolic syndrome, but I share Peter's suspicions that starchy carbs, ceteris paribus, are a suboptimal energy (and micronutrient) source compared to animal products.

How's that for a lazy review?

Reader Comments (16)

Hey, Doc! Where have you been all my life?!?!?!?!

I just found your blog today and LOVE IT! I've been Paleo (though have always referred to it as "low carb") for about 12 years now. I was able to lose almost 50 pounds and keep it off for several years following basic low-carb tenents, as espoused by Dr. Atkins and then the Drs. Eades.

Then menopause hit me at age 50. Over the course of a year, I gained it all back without changing my diet or exercise. Hormones. I've been on bio-identical Bi-Est and progesterone for a couple years, but still get hot flashes and night sweats, and have been struggling the whole time to lose the extra weight again.

I'm actually considering dropping the hormones. I see my gyno next week (who doesn't believe in testing for hormone levels). I can't tell you how hard it's been trying to find a gyno who believes in Paleo eating and yet isn't a quack. I still haven't. This guy is simply the best I've found. (I'm in rural Maine, so I don't have the pool of specialists that large cities have.)

Most of the time I eat animal fat and protein, and about 5 - 10% carbs in the form of veggies or from the natural carbs in eggs, cheese, cream, etc.

You say that you never measure, but your "Getting Started" post mentions around 80 - 85% fat and 10 - 15% protein. The best I ever seem to muster is around 72% fat. Do you think I should simply drink some extra heavy cream to bring up the percentage?

Any special suggestions for us ladies "of a certain age"?

Oh, and thanks for your blog!

March 17, 2010 | Unregistered CommenterKathy from Maine

Good review. I am a fan of the Primal Blueprint and Mark Sisson's approach. I think it probably is the most accessible introduction to Paleo for new people, and I also appreciate his holistic style that combines a Paleo diet with some good recommendations about exercise and a healthy dose of "Don't worry, be happy." It's a very positive message.

I'm thinking about sending my copy of the Primal Blueprint to my parents. It's that kind of book, that introduces and explains everything in a very welcoming way.

March 17, 2010 | Unregistered CommenterNathaniel

Done! We appreciate your time and effort and don't mind sending a little your direction.

March 17, 2010 | Unregistered CommenterJLB

Which Peter are you referring to? Did you mean Mark?


Peter at Hyperlipid (see my blogroll). Most of my readers read him as well.

March 17, 2010 | Unregistered CommenterGlenn

just ordered it through your link.

will also buy your book when it comes out.

March 17, 2010 | Unregistered Commentercaphuff

Yeah Kurt, get to work on your own book already!

KGH: Hopefully this summer

March 17, 2010 | Unregistered CommenterNathaniel

There is so much good stuff being posted in the blogosphere by people for free, I have a hard time buying this book. I do plan on supporting this site because you never asked ;)

KGH: So I'll look for your donation or did I get it already?

March 17, 2010 | Unregistered CommenterBart

Have you considered potential revenue through amazon.co.uk? Shipping costs to England ordering from amazon.com are too prohibitive.

March 17, 2010 | Unregistered CommenterBill

Quick question for you: Do you still recieve a commission on purchases through your links, even if I don't buy the linked item? For example, if I click your link to Mark's book, but then I decide to buy GCBC instead, do you still get a commission because I first accessed Amazon via your link?

The reason I ask is because I make Amazon purchases frequently, and if you gain commission in the way I have described above, then I will just always access Amazon through your link first before I make my purchases, so you reap the benefits.


KGH: Yes I think it applies to anything. If you were going to buy it anyway...

March 17, 2010 | Unregistered CommenterKevan

Interesting that Karen De Coster has a review of this book on Lew Rockwell today. It's a good read.


Yeah, I guess it is some kind of coordinated effort. I just saw it on Richars's blog and thought I'd mention it. I didn't know it was a campaign. No problem with that, though.

March 17, 2010 | Unregistered Commentermds

I own the Primal Blueprint already and I think it's a great book. Definitely a recommended buy although I'm planning on more of a "Body by Science" workout scheme.

That said, it would fall perfectly within Sisson's exercise recommendations albeit at the low end.

Mark's a genuinely nice guy and both his book and his blog are great reads, as you may well know.

Question for you, Dr. Harris. Have you read Primal Body - Primal Mind by Nora Gedgaudas?

I'm thinking about picking up a copy of her book at some point, but would like to get yours too and/or first if you write one, since it's your eating stepsl I'm most closely following -- or aspiring to.

That said, her book seems closer to your approach than does Sisson's, I think. He puts of of an emphasis on plant food, including fruits. I think. I could be wrong.

Perhaps you should review and Amazon-link to her book as well?

She talks a lot about the mind as its one of her keen interests and, through neurofeedback, specialty. I for one can attest to the fact that mood, energy, concentration, and all those things are massively influenced by diet, and only a few days of eating healthy is necessary to see some very good results in those areas.

Probably far faster results there than in one's appearance.

This comment is already too long so I'll leave it here. I just wanted to see what you thought about her approach since she along with yourself, and the 2 Body by Science fellows are the ones I'm learning from directly.

March 18, 2010 | Unregistered CommenterChristoph Dollis

Anaerobic Respiration always burns carbohydrate, no matter how fat-adapted someone is. See SUBSTRATE UTILIZATION AT REST AND DURING EXERCISE

Fat adaptation & decreasing glycogen reserves reduce RER.
Increasing intensity of exercise & increasing glycogen reserves increase RER.

KGH: True, Nige but why are you posting this?

March 18, 2010 | Unregistered CommenterNige

I posted due to CMR. It looks like he's doing a lot of high-intensity exercise so he needs a higher carb intake to fuel it. "Lyle McD has some guidelines for carb intake under various circumstances."


You don't need guidelines and don't necessarily "need" more carbs for high intensity exercise - the lactate from the glucose is recycled. You always have glycogen even if you eat zero carb, remember?

Do you have any on-topic comments related to Mark's book?

March 18, 2010 | Unregistered CommenterNige

Dr Harris:


The too many calories and the dairy objections are easily dispensed with from the above link, but I forget where the debunking of the meat-stomach cancer hypothesis is. It may have been you or Chris Masterjohn who did something on it but I can't find it. I do remember the "strong relationship" ended up not, but can't recall the details.


The link says:

"Excessive consumption of animal products--Non-restriction of fat often leads to over-reliance on animal products. Higher intakes of red meats (heme proteins?) have been strongly associated with increased risk for colon and other gastrointestinal tract cancers. It is not a fat issue; it is an animal product issue. We should consume less meat, more vegetables and other plant-sourced foods."

Total Nonsense.

"Consumption of cured meats--Cured, processed meats, such as sausage, hot dogs, salami, bologna, and bacon, have a color fixative called sodium nitrite, an additive that has been confidently linked to gastrointestinal cancers. Risk is likely dose-dependent: The more you ingest, the greater the long-term risk."

Probably vastly overstated, at the least.

These are just cousins of the ridiculous lipid hypothesis.

The Japanese have the highest rate of gastric cancer in the world AFAIR, and guess how much red meat they eat?

I have refs on carbodydrate consumption and diabetes that support colon cancer being related to metsyn.

March 18, 2010 | Unregistered Commenterzach

Hey there. Love the blog. Drew Baye turned me on to you. Bought it and another. one too so you get a two-fer :)

March 18, 2010 | Unregistered CommenterGary

I purchased Primal Blueprint via your porthole yesterday. I didn't want to miss the opportunity to support both Mark and you in one fell swoop. I wish I could donate more to help support your blog, but at the moment it's just not possible. Thanks for all of the time you put into this, and thanks for all the great information.

I must say I like to read your responses to the commenters almost as much as the posts themselves...something to do with you not suffering fools gladly that just makes me like you even more.


Thanks, Lisa, I needed that right now.. I know I am sounding like a cranky middle-aged blogger.. some of the comments lately are, well, you've read them too, obviously..

March 18, 2010 | Unregistered CommenterLisa L Crawford
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