Now accepting new clients

  • Articles
  • Plans & Pricing
  • Trusted Partners
    • Designs for Health
    • Audacious Nutrition
    • PNOĒ
    • Metagenics
    • Fullscripts
  • Patient Portal
  • About
WORK WITH ME
WORK WITH ME
  • Articles
  • Plans & Pricing
  • Trusted Partners
    • Designs for Health
    • Audacious Nutrition
    • PNOĒ
    • Metagenics
    • Fullscripts
  • Patient Portal
  • About

How to do Keto the Healthy Way!

November 22, 2021
Vin Petronelli MSN, ARNP, FNP-BC, TCRN

Macronutrient Breakdown

70ish % healthy fats, (easier to do then you think but we will get to that)

20 ish % protein, (there is an exact calculation but you don’t really need that right now)

10% or less of carbohydrates (primarily incidental carbs that are fiber sources, but we will get to that too!).

The number that is used in research is usually less than 50g of Carbs/day. Some people are more sensitive so you may need to go a bit lower.

Here is a basic shopping list:

Fats:

  • Extra Virgin Olive Oil
  • MCT oil (Medium chain triglyceride- derived from Coconut oil)
  • Coconut Oil
  • Avocado Oil
  • Grassfed Butter
  • Ghee Butter
  • Natural butter from grass fed free range cows ONLY
  • Heavy cream from grass fed free range cows ONLY
  • Avocados
  • Coconut (shredded unsweetened coconut goes great in a shake with peanut butter and almond milk)
  • Bacon (yes this is considered more of a fat source, as close to organic, free range, nitrate free, paleo as possible)

Mixed, fats/carbs/proteins

  • Macadmia nuts
  • Almonds (dry roasted or raw, salted or unsalted)
  • Nut butters – ALL NATURAL and as much organic as possible: Cashew, Peanut butter, Almond butter
  • Nut Milks: Almond, Cashew milk, hazelnut, walnut (try to get the kind without fillers and sweetners)
  • Dark Chocolate- True dark Cocao (80% or more ONLY)
  • Seeds: Sunflower/pumpkin/flax/chia

Proteins (and fats):

The source of Meat is CRAZY SUPER IMPORTANT Forget the “lean meats”, opt for the fatty version, dark meat, 80% ground beef/bison… AS LONG AS THE SOURCE IS GOOD. Should be free-range, grass fed.

  • Chicken (free range ONLY) but the recommendation is to eat the skin. Chicken thighs are a little fattier than chicken breast.
  • Beef (FREE RANGE , GRASS FED ONLY)
  • Pork (Free Range, humanely raised)- This goes great in a crock pot with bone broth and veggies
  • Canned Sardines in Extra Virgin Olive Oil
  • Fish (wild caught)
  • Eggs (free range, grass fed ONLY)
  • Shrimp, Scallops (Wild caught as much as possible, especially shrimp)
  • Bone Broth- Beef, chicken or turkey.
  • Liver/organ meat if you can handle it.

Carbs:

None ☺

All kidding aside, you will get all the carbs you need from all the vegetables in the form of fiber. You can basically have ALLLLLLL the vegetables you want as long as you don’t bread them.

Spinach, zucchini, mushrooms, kale, green leafy vegetables ….etc. Also, no starchy “technically it’s a vegetable” stuff either. No potatoes, yams, sweet potatoes. Some in betweens: Carrots and beets- just to a minimum.

A mixed Salad loaded with egg, sunflower seeds, tuna salad and olive oil makes a great meal.

Carb Sources

  • Blueberries. This is actually a MUST. Studies show they have brain protective power.
  • Stick to mostly berries, Strawberries, blueberries, raspberries, blackberries. But no more than ¼- ½ cup a day.
  • Dark Chocolate: 80% or more

Stay away from sugary fruits: Mangos, bananas, apples, oranges, watermelon, cantelope….etc.

MINIMIZE Vegetable oil. DO NOT EAT ANY CORN OIL, CANOLA OIL, SUNFLOWER OIL, RAPE SEED OIL, or SAFFLOWER OIL. These are HIGHLY processed and extracted using a dangerous combination of heat and chemicals. They are essentially poison and HIGHLY inflammatory. Be aware that these seed oils are used in many food items. You will find them used in dips, packaged foods, chips (even good ones) and in salad dressings.

Alcohol

You can drink alcohol, but must avoid sugar mixers. Keep to a minimum. Tequila, vodka, bourbon/whiskey…all have 0 carbs. BUT they have alcohol which is converted to sugar so try not to drink any alcohol for a solid 2-3 weeks when you first start, but it is OK once you get adapted to Keto. Wine is ok in moderation, approx. 1-2 glasses won’t kick you out of ketosis but again, avoid for the first 3-4 weeks.

The Number 1 Rule

Stay away from beer or anything with sugar, fructose, dextrose, cane sugar, High Fructose Corn syrup, or any other fancy name they call sugar all together.

Odds and Ends

Sneaky sources of Carbs:

  • Nuts/Seeds- Just need to limit
  • Granola
  • Starchy/sugary vegetables:
    • Carrots, beets, Spaghetti squash, zucchini, egg plant
  • Salad dressings, dips, sauces

Other notes

MCT oil- Do not put in Styrofoam cup

The liquid version can upset your stomach, start with about ½ tsp and gradually increase to 1 tbsp per day over the course of a few weeks.

Some things that can knock you out of ketosis:

  1. Stress- Increases stress hormones and causes liver to produce/release glucose
  2. Too much protein- Induces gluconeogenesis- Liver production/release by the Liver Lack of
  3. Sleep/inconsistent sleep. Similar response as stress.

Intermittent Fasting Protocol

Sounds scary but its not! Here is my suggestion. You want to build up so that you are fasting for about 16-hours a day.

Pick a “window” and try to stick to it. Here is a suggested schedule.

Week 1. Fast from 8pm- 8am. Eat from 8am-8pm

Week 2. Fast from 8pm-10am Eat from 10am-8pm

Week 3. Fast from 8pm-noon Eat from 12 noon- 8pm… Ongoing

As you get more “fat adapted’ this gets easier because you don’t get the glucose rise/fall through the day that creates the cravings. Your body can get forever without food because it seamlessly switches to ketones for energy.

During your “eating window” you do not need to worry about eating every 2-3 hours. Just eat what you want from the above lists. Your body will tell you when you ate too much. At first, you may not be able to tolerate too much fat all at once, but as you go, you will adapt.

Net carbs vs Total Carbs:

This can get confusing. You will see packages that advertise for low number of Net Carbs even when the Total carbs is high. Basically, you take the Total Carbs in something and subtract the dietary fiber. This gives you the NET carbs. Here is the general rule. Vegetables don’t count for carbs so just don’t count them. They are mostly water and fiber. Other than that, for the first 21 days, count TOTAL carbs. Once you get down below approximately 25-50g of TOTAL carbs for 21 days, you can start to count Net carbs. This will give you a little more breathing room. The ONLY exception is true dark chocolate. You are allowed to subtract the dietary fiber from that because it is a true super food.

There are some “keto” stuff out there like “keto cookies” and “keto brownies” and “keto this or keto that”. I would stay away for at first. Then, they can help you satisfy a craving, but you need to be on point the first 21 days.

Some quick suggestions:

  1. CLEAN OUT THE PANTRY - The first week can be very difficult. The less temptation the better.
  2. Macadamia nuts are the perfect keto ratio of Macros for Fats, Protein and Carbs. Make this your “go to” snack at first.
  3. Drink Lost of water. You may feel constipated or bloated at first. Water helps keeps maintain bowel motility.
  4. Some herbs that keep things moving include Fennel, Senna and Cascara Sagrada. Try a tea or supplement if you feel constipated.
  5. Add an electrolyte supplement if you do not feel well. Add liberal amounts of Himilayin Sea Salt.

 

REFERENCES


Mark Sisson
Book: The 21 day Keto Reset Diet

Dom D’Agostino-
Website
Podcasts

Dave Asprey -
Bullet Proof

Dr. Jaime Seeman
@doctorfitandfabulous 

Ben Pakulski
@Ketomuscleintelligence 

Dr Peter Attia
@Peterattiamd
Website
Podcast also featuring Dom D’Agostino

Dr. Rhonda Patrick

General Nutrition, Ketogenic Diet

Keep Learning

Explore some of my most recent publications detailing the benefits and methods to apply longevity science to your everyday life.

The importance of training zones for health, fitness, and performance

You may have heard of heart rate training zones and how elite athletes, and more recently a growing number of recreational athletes, use them to guide their training. This blog explains why they are important for your training and how each one can help your body evolve and grow based on your training and competition goals.

How to do Keto the Healthy Way!

The ketogenic diet is a polarizing topic. Learn more about the dos and don’ts of the Keto diet through BioDynamic Health.

Get Better Sleep

Sleep issues REALLY affects our our entire body and every organ system. Here is a general sleep routine that I have found to help clients, patients and my own family.

Holistic approach to health

“Working with Vin was easy, and so helpful to get me on the right track quickly! I was able to have specific labs done that answered my pre existing questions, and he addressed several deficiencies that helped me quickly turn a corner on some chronic symptoms I was dealing with. I appreciate his willingness to look at the big picture and take a holistic approach to our health. “

- E.F.

Highly recommend!

"Vin is amazing! He took the time to assess my needs and goals offering tailored recommendations and answering all of my questions with patience and clarity. I felt comfortable and informed throughout my experience which is invaluable considering this is a medical issue that I have been dealing with for a very long time. Multiple doctor visits and consultations that lead me nowhere. I can finally feel relief and comfortable in my body, while eliminating prescription medications and working towards a more natural way of living my new “norm”. Also to mention he made it extremely easy to schedule an appointment with him during non normal working hours, due to working long over night hours. Can't thank you enough! I Highly recommend!

- Sam K.

Goes above and beyond

“Vin goes above and beyond the normal patient care routine. On top of being organized, flexible, and easy to talk to, he makes sure to walk you through his tailored plan of care with you. He ensures you understand the results of your tests and answers any questions you have. After my tests came back, he put together a thorough, thoughtful plan for me to help me achieve my health goals. Can't recommend his service enough!”

- Matt

Thorough and informative

“I'm grateful to have Vin as my Healthcare Provider, he strives to be as healthy as possible, and wants the same for his patients. He is caring, thorough and takes the time to explain what's best for you.”

- Trey

I couldn't be happier

“I couldn't be happier with a healthcare provider! Vin helped me identify a food sensitivity and thyroid issue that was holding me back from my health and weight loss goal. Since working with him, I have less joint pain, my sleep has improved and I am down 20lbs! He really cares about his patients and I highly recommend working with him!”

- Mari

Evidence based care

"Vin takes the time to listen to your concerns. He looks comprehensively at your familial, historical, and current health, to deliver evidence based care. If you want to find the root of your health condition rather than treat a symptom, reach out to Vin."

- Beth

Let's Work Together

I'd love discuss your health and wellness goals. Use this form to send me an inquiry.

  • Articles
  • Plans & Pricing
  • Patient Portal
  • About
  • Contact

Copyright © 2025 BioDynamic Health. All rights reserved. Powered by Dandy Digital

Copyright © 2025 BioDynamic Health. All rights reserved.
Powered by Dandy Digital

  • Articles
  • Plans & Pricing
  • Trusted Partners
    • Designs for Health
    • Audacious Nutrition
    • PNOĒ
    • Metagenics
    • Fullscripts
  • Patient Portal
  • About
  • Articles
  • Plans & Pricing
  • Patient Portal
  • About
  • Contact

PLEASE READ ALL PRODUCT LABELS AND ASK YOUR PROVIDER REGARDING ANY SIDE EFFECTS OR POSSIBLE INTERACTIONS. PLEASE NOTIFY YOUR PROVIDER IF YOU ARE PREGNANT, BREAST FEEDING, OR PLAN TO BECOME PREGNANT.

The treatment plan is not designed to cure or prevent any disease. They are for general health maintenance only and designed to improve health based on the best available research. Botanicals, supplements, and herbs are not evaluated by the Food and Drug Administration. I do have an affiliation and financial relationship with Designs for Health, Metagenics, and Fullscripts. This allows BDH to provide discounts to our clients with a small commission to keep our prices low so we can help as many people as possible. However, Biodynamic health only uses these products because we believe they use extremely high quality ingredients and 3rd party testing for purity and accuracy of the label.

Copyright © 2025 BioDynamic Health. All rights reserved.
Powered by Dandy Digital