AH11201: Bill is correct. Assuming you take Zenpep 20's that's 20,000 units of lipase per meal. I also don't have a problem with high (healthy) fat, high protein and vegetable diets for CFers, but you are getting very little fat, some protein and very few vegetables (according to your earlier post in which referred to chicken, rice and yogurt as your staples). Furthermore, you are having symptoms consistent with malnutrition, which is why I am concerned about your diet.
For every proponent of the paleo diet, you'll find 20 who oppose it. It has been ranked lowest recently by professionals who compared it to other diets, based on overall health, and rates of compliance. This diet is still being debated among professionals.
Caroline: I don't argue that our western diet is grossly distorted out of proportion and heavily reliant on grains. There is evidence of grain in the paleolithic diet and even evidence of refined grains and starches as early as 23,00 years ago. The paleolithic era stretched from ~2.5 million-~10,000 years ago, when agriculture was discovered. It is noted that in that in the 10,000 years since, humans have adapted a greater tolerance for lactose as well as gluten. As far as cause of death, lots of people died of traumatic injury, that is still true today. It is often speculated that people simply did not live long enough to develop cardiac disease, osteoporosis and diabetes. Given the chance, they may have developed these diseases anyway. People also died from TB and measles, then in the neolithic they often died of poor dental health as dental caries increased at that time. We are here now as a species because the birth to death ratio then was much higher, not because of the nutrition. furthermore hunter gatherers were mostly frugivores, which is still true today. The game they kill is mostly small birds, frogs and small mammals (even carrion when available). Not much in the way of protein. Since the success rate of modern hunter gatherers is not very high, it is reasonable to assume it wasn't high several million years ago, considering that it's pretty well accepted that the bow wasn't used prior to 8,000 BCE.
In any case, none of us are nutrition experts. Nor are most of us even competent to interpret published scientific studies, even if one could gather and read all the studies done over the last 30 years regarding the Paleo diet showing both support and opposition. So, I don't think that we are qualified to turn this into a huge debate. My concern is over the OP's diet and her subsequent symptoms. Something is obviously wrong, maybe it's the diet, maybe it's her enzyme dose, maybe it's something totally unrelated. One thing is certain, the OP needs to consult with her doctors and get to the bottom of what's causing her symptoms.