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Dining out / Italian

Keto at an Italian Restaurant

Doable for keto3 to order1 to ask about4 to skip

Italian menus look like a minefield of pasta, but the secondi (the meat and fish courses), the antipasti and the salads are naturally low in carbs. Order the protein, swap the starch for vegetables and let the bread basket pass.

Order this

Antipasto, grilled fish or chicken, steak or veal with vegetables, caprese, green salad.

Skip this

Pasta, risotto, bread, pizza, breaded cutlets (parmigiana, milanese), sweet balsamic glaze.

Say this

“Could you sauté the protein with vegetables instead of pasta?”

The menu, dish by dish

Antipasto platterOrderCured meats, olives and cheese; skip the bread.
Caprese saladOrderTomato, mozzarella and basil; ask for no balsamic glaze.
Chicken or veal piccataAsk firstOften dredged in flour; ask for it unbreaded.
Grilled branzino or salmonOrderWith sautéed vegetables.
Pasta, gnocchi, risottoSkip40 to 70 g of net carbs per plate.
Chicken parmigianaSkipBreaded and served with pasta; ask for it grilled with mozzarella.
Bread and olive oilSkipAsk for olives instead.
Tiramisu or cannoliSkipAsk for espresso.

Where the carbs hide

  • Flour dredging on piccata, marsala and scaloppine
  • Breadcrumbs in meatballs, stuffed peppers and baked clams
  • Sugar in some marinara sauces and in balsamic glaze
  • Polenta and farro sides served under the protein
At the bar

What to drink

A glass of dry red or Pinot Grigio, or a dry martini. Skip the Aperol spritz and limoncello.

Carbs in every drink

Five rules that work almost anywhere

  1. Protein first.
  2. Swap the starch for vegetables or a salad.
  3. Sauces on the side.
  4. Send the bread basket away.
  5. Drink dry.

Menus and recipes vary by restaurant, so ask when you are unsure. Not medical advice; see our health disclaimer.

Quick answers

Is italian food keto-friendly?

It can be, with a few swaps. Italian menus look like a minefield of pasta, but the secondi (the meat and fish courses), the antipasti and the salads are naturally low in carbs. Order the protein, swap the starch for vegetables and let the bread basket pass.

What can I order at a italian restaurant on keto?

Antipasto, grilled fish or chicken, steak or veal with vegetables, caprese, green salad.

What should I avoid?

Pasta, risotto, bread, pizza, breaded cutlets (parmigiana, milanese), sweet balsamic glaze. Hidden carbs to watch for: flour dredging on piccata, marsala and scaloppine; breadcrumbs in meatballs, stuffed peppers and baked clams; sugar in some marinara sauces and in balsamic glaze; polenta and farro sides served under the protein.

What should I ask my server?

Try: “Could you sauté the protein with vegetables instead of pasta?” Keep requests short and friendly; kitchens handle substitutions all the time.

What should I drink?

A glass of dry red or Pinot Grigio, or a dry martini. Skip the Aperol spritz and limoncello.

Take it with you

The pocket guide for eating out

The free Keto Dress Code: restaurant strategy, wedding and holiday plans, and a drink carb chart.

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