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Fruits and berries: A keto guide

Most fruits and berries contain quite a lot of carbs. That’s why they taste sweet. They can be seen as nature’s candy.

In general, the sweeter or larger the fruit, the more sugar it contains. On a keto diet, while berries are fine in moderation, it’s best to avoid other fruits.1

Below is a visual guide. On the left are the best keto choices.
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Below is a visual guide. On the left are the best keto choices.

Berries

Keto berries
  1. The fewer carbs, the more effective it appears to be for reaching ketosis, losing weight or reversing type 2 diabetes.

    This is mainly based on the consistent experience of experienced practitioners, and stories from people trying different levels of carb restriction [weak evidence].

    One small study showed that in healthy volunteers, diets of 20 and 50 grams of carbs promoted ketosis with equal success. However, it is not known whether this would be the case in obese individuals or those with metabolic syndrome or type 2 diabetes.

    At this point, no randomized controlled trial (RCT) has tested the weight loss or health benefits of two low-carb diets of varying strictness head-to-head. But RCTs of strict low-carb diets appear to generally show better results, compared to RCTs of less strict low-carb diets.

    RCTs of low-carb interventions for weight loss

  2. Net carbs = total carbs minus fiber

  3. We define a keto diet as having less than 20 grams of carbs per day:

    How low carb is keto?

  4. You can check for yourself in the USDA Food Composition Databases that vegetables generally are as rich in vitamins, minerals, fiber, and other beneficial plant compounds as fruits, if not more.

  5. Nutrition facts for oranges, yellow bell peppers, green bell peppers and kale.

  6. Although somewhat controversial, current research suggests that we have little reason to fear saturated fat, including the type found in whole-fat dairy:

    Open Heart 2016: Evidence from randomised controlled trials does not support current dietary fat guidelines: a systematic review and meta-analysis [strong evidence]

    In fact, it seems that people eating higher-fat dairy products tend to have lower body weight, on average, and possibly fewer metabolic issues:

    European Journal of Nutrition 2013: The relationship between high-fat dairy consumption and obesity, cardiovascular, and metabolic disease [weak evidence]

  7. For some interesting research about this, see these references:

    International Journal of Primatology 1998: Changes in orangutan caloric intake, energy balance, and ketones in response to fluctuating fruit availability [very weak evidence]

    Dr. Christopher S. Bard: Why do humans crave sugary foods? Shouldn’t evolution lead us to crave healthy foods? [overview article; ungraded]

    Obesity (Silver Spring) 2013: Redefining metabolic syndrome as a fat storage condition based on studies of comparative physiology [overview article; ungraded]

  8. This may primarily apply for people with obesity and type 2 diabetes (insulin resistance), where studies have demonstrated that a low-carb diet can be helpful:

    PLOS ONE 2015: Dietary intervention for overweight and obese adults: comparison of low-carbohydrate and low-fat diets. A meta-analysis [strong evidence]

    Diabetes Research and Clinical Practice 2018: Effect of dietary carbohydrate restriction on glycemic control in adults with diabetes: A systematic review and meta-analysis [strong evidence]