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Pimento cheese is simply made from shredded cheese, cream cheese, and mayo... along with some spices.
To make it "Primal" simply make the ingredients as good as possible.
Good quality organic cheese, good quality cream cheese with no fillers, and make your own mayo at home using good oils.
And follow any recipe you want.
“You have your way. I have my way. As for the right way, the correct way, and the only way, it does not exist.”
And that's why I'm here eating HFLC Primal/Paleo.