Keto + Vegetarian...is it possible?

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A friend’s vegetarian daughter is thinking of trying keto to help with her Hashimoto’s – but she’s scared she won’t have anything to eat! My friend and her husband have seen great results on keto (for their health issues), but they eat meat so they can’t really help her out on this one. Any ideas/advice from you folks?

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As long as she is vegetarian and not strictly vegan, yes it is possible with lots of eggs and dairy involved. Also lots of avocados, nuts, and coconut products.

I went through a vegetarian phase in college but I’m so glad I got over it. If she could stretch her boundaries to include seafood that would be much better for her long term health.

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Yes, it is possible to do a keto diet following a vegetarian or plant-based diet (vegan). I first started doing keto back in the mid 90’s, at that time I ate a wide variety of meat. However for the last five years I have been following a plant-based diet. The keto diet worked extremely well before, so I wanted to give it a try on a plant based diet. It is more work initially, but yes it is possible and I love it.

  • Matt S
    I’d steer her in the direction of the AIP (autoimmune paleo) diet rather than ketosis. The key to autoimmune conditions is healing the gut, eliminating foods that are triggers, and managing stress. Adding keto to a vegetarian diet may be a source of stress.
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I agree with Matt about piling an added stress on top of the stress of being veg in the first place.

As to Randy’s point about it working for him, OK, but you were someone who already knew a lot about the keto diet and had lots of experience with it. Here we are taking about a keto newbie who already has an auto-immune condition.

An AIP protocol would be going in the direction of keto (generally lowering carbs) but it also focuses on food quality and figuring out if you have food sensitivities. These are issues that need to be addressed first.

The most gut healing food around is bone broth. I wonder if a vegetarian could be persuaded to add some bone broth to her diet for the sake of her health.

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