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I am a personal trainer/paleo nutritionist and have a client who wants to work with me but is hopelessly Pescatarian, I normally do not take on clients who aren't willing to go full boar paleo as my work-outs are geared toward said lifestyle diet, so I'm just curious if anyone has any sort of advice of sources of information to help me make this Pescatarian/Paleo work for her :)

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Maybe you need to define what you consider "paleo" because fish is encouraged by most paleo authors, particularly fatty fish that are wild or at least fed what wild fish eat. I don't see why there would be anything wrong with fish/seafood as a protein source with coconut oil for fat. – Rock_Paper_Shirley Aug 17 2011 at 13:55
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I find it a bit scary that you call yourself a nutritionist and refer to your client as "hopelessly Pescaterian." It really behooves you to understand a large variety of diets if you are going to work with clients. Speaking as a personal trainer/nutritionist here. – Dragonfly Aug 17 2011 at 14:21
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ITA with the above comments. I think it's might even be better than doing Paleo by eating a ton of muscle and organ meat from CAFO animals. – Olivia Aug 17 2011 at 15:52
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There are some pretty good arguments to be made for our ancestors being primarily pescatarian during a major bottleneck in our evolution. – Karen Aug 17 2011 at 18:20
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mosselbayman.co.za/index.php/home/… – Karen Aug 17 2011 at 18:25
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7 Answers

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I'm a nutritional therapist, and if I had a client like this, I would recommend eating wild fatty fish a couple of times a day, including plenty of shellfish, fish bone broth, and fish offal as much as possible, plus plenty of fats with every meal...then the diet should be able to provide optimal nutrition.

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This subject has been raised recently by Aravind here on paleohacks.

Also on Denise Mingers blog. Ancestral Health Symposium Thoughts, Paleo Vegetarianism, and Other Fun Things

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A diet of wild-caught fish and plenty of diverse shellfish (particularly mussels, oysters, and claims) is perfectly healthy and very nutritious...perhaps even healthier than a more "traditional" paleo diet heavy on poultry. In fact, I wouldn't say it's not "full-bore paleo"--it's just a particular style of paleo, like low carb paleo or, say, kosher paleo.

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I would be leery of any diet heavy on poultry. :P – Michael Aug 17 2011 at 19:48
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Mark Sisson's wife Carrie Is a Pescaterian.

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Looks like it's working for her. – TS Aug 17 2011 at 15:52
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i think so. i have multiple days in a row where i stick to fatty fish and veggies, though i do include eggs. feels great!

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Yes, the Kitavans are Pescaterian, with pork eaten on special occasions. The author of the definitive study on them, Staffan Lindeberg, spoke recently at the Ancestral Health Symposium. You might find his book, Food and Western Disease: Health and nutrition from an evolutionary perspective, very useful.

Addendum: I should add that the Kitavan diet is very high in saturated fat, moreso than the western style diet, even though it is lower in overall total fat. Take away: if your client likes coconut, he/she should have at it in all its forms (milk, water, meat). :P

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Seems like your n-3:n:6 ratio would get out of whack in the other direction, which might put you at risk for various hemorrhage-related problems. I suppose you could just match the amount of n-3 that you suspect you are eating and eat an equivalent amount of n-6 rich nuts.

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Yeah an invitation to eat more nuts! Gotta love that! – Shari Bambino Aug 18 2011 at 0:24

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