Hi Tom. Often it is the dairy protein, especially whey, that aggravates acne, not the fat. You may be able to stop milk and cheese, but continue eating butter and heavy cream. Also, there may be something about your workouts that could be irritating your skin. You may be perspiring excessively, or maybe your gym is contaminated with bacteria. Do you wear a hat or headband? Do you wipe your forehead frequently with a towel, glove or sweatband? These things could exacerbate acne on the forehead. Sometimes soaps or shampoos can irritate the skin on your forehead. Consider trying a "no-soap-no-poo" lifestyle ( http://paleohacks.com/questions/593/any-women-tried-no-soap-or-shampoo ). Finally, you can treat the acne with benzoyl peroxide and/or antibiotics, and see if that gets it under control.

Use lard instead of butter to fry and cook with, it is much more stable when heated and will provide you with animal fat to replace the dairy fat.

I eat omlette for breakfast most days (4 or 5 eggs, loads of butter, a few rashers of bacon, onion tomato or whatever is about).

Then at night I have stew or could be anything really - traditional homecooked stuff no pasta or bread etc. occasional potatoes...pretty much paleo but not 100% by any means.

Am I the only who saw that? I had acne my whole live and when I went paleo I read a couple of article suggesting acne is diet related, so I kept changing my diet to find out the reason. Today I am completly acne free and considering it was so bad that I was taking medication against it this is quite surprising for me. There are three things that give me acne:

• Nightshades (tomatoes, potatoes, paprika, chili, etc. to name a few)
• Alcohol, although for me beer really is the worst
• Training 4-5 times a week, then I get it especially on the chest

I tried to cut out the dairy, but unless I drink milk it doesn't affect me.

Hope I could help, try to cut out the nightshades first for me they are the worst problem.

Have you tried adding avocado to your omelettes and salads? And maybe some coconut milk to a fruit shake.

Just one tiny comment- switch the chicken breast on your salad to chicken thighs instead. They have more fat.

First, choose fatty cuts of meat like ribeye. I also save fat from cooking beef and pork, and even buy extra beef fat and render it. Then I cook with it, add it my meat, or use it for making pemmican. Butter is a good source of fat, but some people who do not tolerate dairy, do not tolerate even butter. You could try ghee, which is butter that has been clarified of the non-fat particles. Coconut oil is also a good choice if you must use a plant oil.

Do you know those coconut cream blocks? They are extremely yummy and most people can´t stop eating. I call it my white chocolate. Red palm oil is also very delicious, healthy and somehow underrated. I like it most with beef and use it more like a sauce than a fat. I also get pimples from dairy except ghee. Because I don´t tolerate neither casein nor beta-lactoglobulin.

Let bacon be your vice.

Just did a post about some easy cooking tips you might enjoy. The best would probably be bone marrow. It's cheap and can be cooked in a toaster oven.

Another favorite of mine is pork belly. If you cook it the way I tell about in my post, you also get lard, which you can cook veggies in to boost your calorie intake. Gourmet stores should also have duck fat, which serves the same purpose.

I don't eat much in the way of eggs or dairy, so I rely on these things. When I first reduced my egg consumption, I just cooked everything under the sun in coconut milk. Got tired of that, but it's another great source of fatty calories.

I too, have some sensitivities to dairy but mine is manifested mostly in sinus congestion. I have found that sheep and goat cheeses and goat's milk do better for me. Like you, I don't have a problem with butter at all.

Another thing to consider - do you take fish oil? It can have an anti-inflammatory response, even in the skin.

Coconut milk!! I get the light kind from trader joes and drink it from the can and the real whole fat one from whole foods or an Asian market. Taste great and is good for you. Also depute the name there is no dairy involved

Use this: http://cgi.ebay.de/ws/eBayISAPI.dll?ViewItem&item=250479640349

Coconut cream. It's solid below 20-25°C. Above, it's good a pasty consistency (68% fat). There are shredded coconuts in it. That stuff is just awesome, it tastes so well that you will find it hard NOT to get your daily fat. A teasponn (or two or three) after each meal and you're good to go.

Melt lard into mashed tubers. Have a look at this: How to Eat Lard

So Tom how is the non diary thing working out for you ?

Save your bacon fat. Use it with your Lean chuck or bison. Grass fed meats are key and because they are grass fed they will have less fat ( that is why bison is lean. It comes from their diet, not genetics ). And like previous answers, coconut is wonderful. I like cocunut BUTTER for many things, except frying, the coconut burns, use the coconut oil. One of my main foods is Avacados.

I'm going (at least) 30 days without dairy (ghee excluded), starting now.

Wish me luck :)

Search from mutton flaps. This has to be the best cut of meat (read: fat marbled with meat) I have ever seen. I think it's belly of mutton but I'm not sure. It's also dirt cheap.

I love nutritionalists, they've made student life so much easier by making everyone scared of my favourite foods!

I use grass fed suet to up my fat percentage. I cut off pieces to cook in my slow cooker with bone broth, water, meat and vegetables. It doesn't have much flavor. I did render suet into tallow and then added the tallow to what I was making, but since decided that was too much work.
I also hard boil eggs and throw away the egg whites. The whites are all protein and have very little fat or vitamins. The whites sit a little heavy in my stomach and I viewed that as a warning sign that my body didn't like them. Eggs are 60/40 fat/protein as a whole and 77/23 as egg yolks.

For future reference...15mg of zinc every day did wonders for my estrogen-induced acne. Clearly Tom doesn't have estrogen-induced acne, but for the ladies? Yep. If you're not doing it. Try it.