Keeping Keto: Thanksgiving Edition | Phoenix Children's Hospital (2024)

Keeping Keto: Thanksgiving Edition | Phoenix Children's Hospital (1)

Thanksgiving is by far my favorite holiday. I start decorating for Fall when it is still triple digits and am adamant there be no Christmas decoration until after Thanksgiving. There is something magical in the air as the weather starts to cool. Family and friends gather, and memories are made. With many special events and holidays cancelled last year, I have a feeling this year will be all the sweeter but savoring these moments while balancing special dietary needs can be a challenge.

Here are some easy tips and swaps to keep keto this Thanksgiving while still enjoying those traditional favorites:

Consider time-restricted eating (TRE). Plan when your Thanksgiving meal is going to be and consider an extended fast in advance (which means no nibbling as you prepare the feast). Fasting increases levels of ketosis, which may allow for a few extra carbs during your eating window. Note, a “few extra” is not a hog-wild binge, but rather room for a bigger portion of non-starchy vegetables or keto-friendly dessert. A good starting point is 16 hours of fasting with an 8-hour time frame for eating. TRE is a tool that is not appropriate for everyone, so talk to your dietitian to see if and how this can be factored into your nutrition plan.

Eat off a salad plate. Choosing a smaller plate will naturally reduce portion sizes and ultimately carbohydrate intake while tricking your brain into thinking your portion is sufficient because it is filling up the plate. Fat is more than twice as calorically dense than protein or carbohydrates - meaning you will get the energy you need, in a smaller volume.

Choose dark meat over white meat. While turkey itself is zero carbs, dark meat has a higher fat content than white meat. If you do opt for white meat, make sure to add extra fat (butter, oil, avocado, mayo, or cream).

Stuffing swap. Regular bread is an obvious keto no-no, but you can substitute a keto bread or biscuit as an easy swap in your favorite stuffing recipe.

Sugar-free cranberry sauce. Add equal parts of water, fresh or frozen cranberries, and strawberries or peeled oranges to a small saucepan and simmer until the cranberries have popped. Blend or mash to fully incorporate the fruits. If you need a little more sweetness, add your favorite keto-approved sweetener such as liquid stevia, monk fruit, or powdered erythritol to taste. I personally like to add a few dashes of ground cinnamon, cardamom, clove, and ginger.

Sweet potato casserole. Sub sweet potatoes for butternut squash, which is much lower in carbs and use a keto-friendly brown sugar alternative. Skip the marshmallows and serve to the whole lot, keto or not. It’ll be our little secret. I made this recipe two years ago and it was a hit!

Mashed potatoes and gravy. Steam chopped cauliflower and use a cheese cloth to squeeze out extra water. Blend cauliflower with a little heavy cream and a generous amount of butter to recreate that fluffy texture we all crave. Add garlic, salt, and pepper to taste. If there is a cauliflower hater in your midst, try turnips. Roast turnips at ~350 degrees until tender and blend or mash with cream, butter, and desired seasonings.

Crustless pumpkin pie. Using a standard pumpkin pie recipe, you can easily swap out sugar in the recipe for powdered keto-approved sweeteners like erythritol, which is available in both brown and white sugar replacements. Skip the crust and bake in small ramekin dishes for single servings. If you prefer the whole shebang when it comes to pie, check out this recipe from the Charlie Foundation for a keto pumpkin pie, crust and all. Whichever you choose, top it off with some homemade whipped cream.

Whatever you serve this holiday season, remember to savor the moments with the ones you love most of all. Enjoy!

Keeping Keto: Thanksgiving Edition | Phoenix Children's Hospital (2)

Wheeler, Christi MS, RDN, CSP

Christi Wheeler holds bachelor’s and master’s degrees in Clinical Nutrition from Arizona State University. As a Registered Dietitian board certified in pediatric nutrition, Christi works in the nutritional management of children with special healthcare needs with a subspecialty in ketogenic dietary therapies since 2010. Christi is actively involved in research, education and program development to expand the use of the ketogenic dietary therapies. Her current focus is in collaboration with the Barrow Neurological Institute at Phoenix Children’s Psychology Department to reduce barriers to dietary adherence and improve patient care with this powerful dietary therapy.

Keeping Keto: Thanksgiving Edition | Phoenix Children's Hospital (2024)

FAQs

Can I break keto for Thanksgiving? ›

There Are Plenty of Conscious Ways to Have a Keto Cheat Day

Or, if it's Thanksgiving, don't offer to cook green beans or turkey (which are already keto-compliant). Instead, bring a low-carb pumpkin pie or make mashed cauliflower instead of potatoes.

What are the side effects of ketogenic diet used in children? ›

When Starting the Diet
  • Low blood sugar - We will check blood sugars frequently when your child starts this diet. ...
  • Nausea/vomiting - This might occur if the diet is started too fast. ...
  • Lethargy - Your child might be lethargic (tired and worn out) during the first couple days of the diet.

Are keto products safe for kids? ›

Unless a keto diet is recommended and guided by a physician for medical purposes, it's inappropriate for most children and teens. Following a restrictive diet like keto can lead to unhealthy behaviors surrounding food and may affect growth in children and teens.

Is the keto weight loss program safe? ›

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.

Will one cheat day stop ketosis? ›

While many dieters think of cheat day as a well-deserved reward, nutritionists say there are downsides to it. Some disadvantages of having a cheat day on keto include getting knocked out of ketosis and hindering further weight loss.

What happens if you go over 20 carbs on keto? ›

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.

Can keto cause vitamin deficiency? ›

A high-fat/carb-restrictive diet like keto could lack the following vitamins and minerals necessary for a healthy diet: vitamin B1, vitamin B6, vitamin B7, vitamin B12, calcium, iron, magnesium, and phosphorus. These are all essential nutrients that your body needs to function properly.

Does a keto diet help with ADHD? ›

When these children are put on a strict or liberalized version of the keto diet (40–60 grams of carbohydrates per day), ADHD symptoms improve. “We have seen improved behavior and focus with both versions independent of full seizure control,” says Pfeiffer.

What of children become seizure free after sticking to a ketogenic diet? ›

Some children, usually 10-15%, even become seizure-free.

Was keto made for kids with epilepsy? ›

The diet is sometimes used as a treatment for children with seizures when medicine isn't working well. Researchers aren't sure why the diet works. But some children become seizure-free when put on the diet. The diet doesn't work for every child.

How many carbs can kids have on keto? ›

This method is a little more lenient than classic keto. We'll give kids a specific net carbohydrate limit within a 24-hour period. Usually, it's around 15-30 grams of net carbs a day.

Can a 12 year old do a keto diet? ›

Why the keto diet is not recommended for children and teens. The keto diet is not recommended for weight loss in children because it seriously limits carbohydrates, and children need carbs to be mentally and physically active.

Can I break my diet for Thanksgiving? ›

Even if you enjoy a bit too much turkey, stuffing, potatoes or pie, there's no reason to fret, says Jamie Kandora, clinical nutrition manager for Tidelands Health. The important thing is to not let one day of overeating deter you from your long-term health goals.

Is it OK to take a break from keto? ›

You should take a break from the keto diet regularly, whether that's every few days or every couple of weeks. "Following any form of restrictive diet for a prolonged period of time is not recommended," says nutritionist Jenna Hope.

How to survive Thanksgiving on keto? ›

A few general tips for making your Thanksgiving keto-friendly: Swap out mashed potatoes for mashed cauliflower, nix adding any flour to thicken recipes like green bean casserole or creamed spinach, and load up on the low-carb veggies like Brussels sprouts, spaghetti squash, and mushrooms.

What happens if you suddenly break keto? ›

A significant cheat, even for one meal, can stall your weight loss, make you feel sluggish, experience significant brain fog, and if you're somewhat new to keto, perhaps cause you go through keto flu symptoms all over again. More than that, you will need to work your way into ketosis again.

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