Best and Worst Foods to Eat on the Ketogenic Diet (2024)

Best and Worst Foods to Eat on the Ketogenic Diet (1)By Chloe Bennett, B.Sc.Reviewed by Dr. Liji Thomas, MD

As a society, Westernized people are increasingly conscious of the types of food we consume and the effect they have on weight and health. More and more people are following diet plans to manage their weight.

The ketogenic or keto diet is one commonly followed plan which shares some features with other well-known diets such as Atkins and low-carb diets. Like all diets, it provides guidance on what can and cannot be consumed.

What is the Ketogenic Diet?

The ketogenic diet is characterized by the consumption of low-carb, high-fat foods. As a consequence of eating such foods, many experience weight loss which can be extremely beneficial for those aiming to manage their weight.

This occurs as a result of the dramatic reduction in carbohydrate intake, to be replaced by fats instead, because of which the body goes into ketosis, which is a natural metabolic state. As a result, the body becomes more efficient in burning fat for energy, and it is also thought to convert ketones within the liver into energy which can be used to power the brain.

How Does Ketosis Burn Fat?

In a state of ketosis, the body’s glucose reserves become too low for normal fat oxidation and are unable to supply glucose to the central nervous system (CNS).

The CNS cannot use fatty acids as a source of energy since free fatty acids cannot cross the blood-brain barrier (BBB). After 3 to 4 days of abstinence of carbohydrates, the CNS has to find alternative energy sources.

One such source is ketone bodies (KBs), specifically, acetoacetate, β-hydroxybutyrate and acetone, which are produced primarily through ketogenesis which occurs in the liver, within the mitochondrial matrix.

Ketone bodies are a vital source of energy when the body is fasting or if there is a shortage of carbohydrates.

Best Foods to Eat on the Ketogenic Diet

Followers of the ketogenic diet are limited to 20 to 50 grams of carbohydrates per day which is roughly equivalent to one large potato and half a kilogram of vegetables.

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To remain within this allowance, there are particular foods that are recommended which are lower in carbohydrates. However, it is still down to the individual to avoid the overconsumption of any food, whether they are recommended or not, as too many carbohydrates may interfere with the development of ketosis.

Fish and Seafood

Most fish and seafood is allowed on the ketogenic diet. Apart from being rich in B vitamins and potassium, these foods are also quite low in carbohydrates.

Vegetables

Overconsumption of starchy vegetables should be avoided on the ketogenic diet. However, non-starchy vegetables are recommended, especially greens such as spinach, Brussels sprouts and kale.

Research also suggests that eating such foods is associated with a reduction in the risk of developing cancer and heart disease.

Low-carb vegetables can be a good substitution for other high-carb foods, for example, rice can be substituted with cauliflower rice.

Avocados

The popularity of avocados has increased over recent years with many considering it a superfood alongside kale. In addition to containing several vital vitamins, avocados also contain potassium. It is thought that the consumption of foods rich in potassium may assist in the body’s transition into ketosis.

Worst Foods to Eat on the Ketogenic Diet

Certain foods are not recommended on the ketogenic diet as they are too high in carbohydrates.

Fruit

Despite the many health benefits of fruit, there is an issue with some fruits on the keto diet. Grapes and bananas, for instance, contain high quantities of carbs. 1 cup of grapes has approximately 26 grams and a medium banana, 24 grams of carbohydrate.

As a rule, these fruits should be avoided. However, a cup of strawberries contains 8 grams and a medium orange 12 grams of carbohydrates. Therefore these are permissible in moderate amounts on the diet.

Grains and Starches

Grains and starches should also be avoided on the ketogenic diet because of their considerably high carbohydrate content. Consumption of such foods may take the individual over the 50-gram daily carbohydrate intake.

Processed Foods

The adverse health consequences of consuming processed foods have been well documented. ON the keto diet, processed foods and trans fats should be avoided as they are high in carbohydrates.

While the ketogenic diet might be useful to those wanting to manage their weight or diabetes, some argue that there is a lack of longitudinal studies investigating the long-term impact of adopting this type of diet. Furthermore, it is suggested that individuals seek medical advice as the diet is not suitable for pregnant women and people at risk of hypoglycemia.

Sources

Further Reading

  • All Ketogenic Diet Content
  • What is the Ketogenic Diet?
  • Ketogenic Diet and Epilepsy
  • History of the Ketogenic Diet
  • Ketogenic Diet Efficacy

More...

Best and Worst Foods to Eat on the Ketogenic Diet (2024)

FAQs

What foods should you avoid on keto diet? ›

By staying away from grains, sugary foods, high-carb fruits, and starchy vegetables, you set yourself up for a smoother transition into ketosis. Additionally, steer clear of processed foods, alcohol, and condiments that may contain hidden carbs.

What foods can you eat unlimited amounts of on keto? ›

Foods you can eat on the keto diet include fish and seafood, meat and poultry, non-starchy vegetables like bell peppers, broccoli, and zucchini, avocados, berries, nuts and seeds, eggs, high-fat dairy products, olive oil and other oils, and high-cocoa chocolate.

Is peanut butter keto friendly? ›

Peanut butter can definitely be part of a keto diet, but it's best to stick to plain options that are free of extra flavors and sweeteners. Almond butter is a good choice, too, and it's slightly lower in carbs. Additionally, you should be mindful of your portion size if you're trying to lose weight.

Is keto diet hard on kidneys? ›

Keto Can Put Stress on the Kidneys and May Give You Kidney Stones. Kidney stones are a well-noted potential side effect of the ketogenic diet. Past research observed that among children following the keto diet as a treatment for epilepsy, 13 out of 195 subjects developed kidney stones.

What are 5 bad things about keto diet? ›

The keto diet could cause low blood pressure, kidney stones, constipation, nutrient deficiencies and an increased risk of heart disease. Strict diets like keto could also cause social isolation or disordered eating. Keto is not safe for those with any conditions involving their pancreas, liver, thyroid or gallbladder.

Can I eat bananas on keto? ›

Bananas. Bananas may be great for muscle recovery, reducing bloat, and calming an upset stomach, but they're on the list of foods you can't eat on the keto diet. With 25g of carbs per 100g serving, bananas are too high in carbs.

What is the trick to keto diet? ›

Strategies for encouraging the body to enter ketosis include:
  1. Significantly reducing the carbohydrate intake. ...
  2. Increasing physical activity. ...
  3. Fasting for short periods. ...
  4. Increasing healthful fat intake. ...
  5. Testing ketone levels. ...
  6. Checking protein intake. ...
  7. Consuming more MCT oil.

What fruit can I eat on keto? ›

Keto fruits by definition are low in carbohydrates. You still need to exercise portion control with most keto-friendly fruits to be within the limits of a keto diet. Keto-friendly fruits include avocados, watermelon, strawberries, lemons, tomatoes, raspberries, peaches, cantaloupe, star fruit, and blackberries.

What keto foods are inflammatory? ›

“If your keto diet contains a fair amount of red meat, you will be eating more of the types of saturated fats that increase the inflammatory compounds that make you feel worse.” One type of fatty acid that's found in higher amounts in red meats promotes the cytokines and leukotrienes that cause more damage and ...

What is the hardest thing about keto? ›

The Hardest Part About Keto Is Eating Enough Fat

Until keto, fat was an occasional indulgence: a slice of rich, triple creme cheese here, a sausage and bacon breakfast there, the once-a-year slice of many-layered birthday cake. Now fat is a daily requirement and it can be a struggle to get enough of it.

What happens if you eat too many carbs during keto? ›

You should avoid cheat meals and days on the keto diet. Consuming too many carbs can kick your body out of ketosis — and it takes several days to 1 week to get back into it. In the meantime, your weight loss may be disrupted.

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