@fairyrae
I am not an expert in this. I just made the list because it seems natural, trying to fit all the information that I have seen.
If you are effortlessly losing weight on the primal diet, with 100-150gm carbs you are probably not that much damaged. Some people don't get damaged that easily.
You should listen to your body. A lot would also depend on where your weight stabilizes, and how you feel about that weigth level. You may decide at that point that you want to go further down, and are willing to make the modifications required to reach those level. I am sure those modifications are not natural to us. And whenever you stray from those modifications you will go back to your natural level.
There are several levels of damage also. Insulin resistance is only one type of easily handled damage. There are damages due to badly behaving hormone systems. Damages due to bad omega3

mega6 ratio. There are also problems due to long term mineral and vitamin deficiencies.
Once you reach the final plateau, then you will be able to experiment, where your problems are. I am sure primal diet will help many of those damages. But there are some damages that are irreparable.
I am not at a very lean level, but the lifestyle changes required to reach those level are not for me. You will have to make a similar decision when you reach your natural level.