The only possible recommendations I would have are these:
1. If your eyes are bugging out at the possibility of 'lean meat' then what are you eating? Is the meat you're ingesting grass-fed and organic or is it conventional? Grass-fed meat is naturally leaner than conventional meat and has a different fatty acid profile that makes it healthy, but the fat from conventional meat is NOT healthy IMO and there's a reason many paleo people recommend lean cuts of meat if you buy conventional. Are you eating a lot of processed 'meats' (sausage, lunch meat, etc...) that are really in a different category from well-raised natural meat? I'm a fan of chicken skin, steak, and occasional bacon (1-2x/month max) but I think that some people go a bit too gung-ho into 'all meat is healthy - all meat-based-fat is healthy!' and can gorge themselves on stuff that is not good for their bodies. Store-bought bacon 3x/day=unhealthy, I'm sorry. Eating chicken/beef/lamb 3x/day? Great! Ground lamb and Oscar Meyer Bacon are not even in the same ballpark when it comes to the health of their fat.
2. Are you taking omega-3 if you refuse to eat fish? Your dr.'s rec here is spot on IMO and part of living primally is expanding your palate. Fish are a VERY healthy source of food and fat. How are your omega 3:6 ratios?
3. How is your vegetable intake? Is it at least 50% of your total intake per day (not in terms of calories but if you were to lay out all your eating on a table, would vegetables (and a few fruits) compromise half of the table?
4. How is your sodium intake? Are you getting your salt from natural 'real' sea salt (that is multi-hued) or is it coming from salty processed meats or salty packaged paleo foods?
No need to eat cereal grains, but perhaps rethink if there are areas of your diet that could use tweaking .