Fact checkedExpert's opinion

Expert's opinion

The article is a subjective view on this topic written by writers specializing in medical writing.
It may reflect on a personal journey surrounding struggles with an illness or medical condition, involve product comparisons, diet considerations, or other health-related opinions.

Although the view is entirely that of the writer, it is based on academic experiences and scientific research they have conducted; it is fact-checked by a team of degreed medical experts, and validated by sources attached to the article.

The numbers in parenthesis (1,2,3) will take you to clickable links to related scientific papers.

Is Keto Gluten Free? Can I Eat Gluten On A Ketogenic Diet In 2024

Andrew Mathis

Updated on - Written by
Medically reviewed by Brittany Ferri, Ph.D.

is keto gluten free
It’s possible to reap the benefits of both keto and gluten-free diets by combining them. Photo: Shutterstock

A gluten-free diet disallows any gluten intake, usually because the person on the diet has celiac disease: an autoimmune disorder of the small intestine that causes gastrointestinal distress, gluten intolerance, or gluten sensitivity. A ketogenic diet is a low-carb diet that severely limits the intake of carbohydrates, favoring increased fat and protein. Since gluten is closely associated with wheat and other grains, which are major constituents of most people’s carb intake, the combination of keto with a gluten-free diet shouldn’t be too difficult since keto requires a very low-carb diet.

The problems here are twofold. First, both diets are difficult to keep: they require omitting some food that many people eat as staples, and they can take some getting used to. Also, some gluten-containing foods might be considered free of gluten and others not. We’ll detail here how to effectively combine the keto and gluten-free diets.

Is Keto Gluten Free?

Keto diets are not by definition gluten-free. Although they minimize the intake of carbs and therefore might minimize the consumption of gluten-containing foods, such as bread and pasta, you will have to specifically seek gluten-free foods to be sure you are not consuming any gluten. However, the keto diet will do some of that work for you by cutting down on carbs in the first place.

The goal of a gluten-free diet is to eliminate gluten from one’s diet by replacing grains that contain gluten with foods that don’t, such as rice and potato starch.

Keto And Gluten Free Diets: What Is Gluten?

is keto gluten free
Gluten is found in almost all carb-heavy foods, like bread and pasta. Photo: Shutterstock

Gluten is a combined form of the proteins prolamin and glutelin, which are found in cereal grains, including wheat, rye, and barley. It’s what gives bread, baked goods, and other starchy foods their “chewiness” and raw dough its “stretchiness.” Because of its specific properties, it’s frequently used in vegan meat substitutes, as well as a preservative in certain processed foods. Despite its myriad uses, however, gluten can be problematic for many people with gluten intolerance or celiac disease, causing serious illness.

Keto Diet Gluten Free: Great Benefits Of Going Gluten Free

If you are required to avoid gluten, you can combine the benefits[1] you’ll gain from diet with the benefits of a keto diet. The result is a diet program that will allow you to take advantage of the low-carb nature of the gluten-free diet and the high-fat, ketosis-inducing nature of the keto diet, which emphasizes carb restriction. Not only will you avoid the negative consequences of consuming gluten, such as the aggravation of celiac disease[2], but you can lose body fat and slim down a bit more easily. A gluten-free keto diet might make a big difference.

Who Should Follow A Gluten-Free Diet?

Wheat Allergy

Some percentage of the public has a wheat allergy, ranging from around 15% of people in central Europe to more than one-third in China[3]. Since their allergies are often not restricted just to gluten but to whole grain or some other constituent, people with a wheat allergy must avoid wheat entirely. A gluten-free diet can be an easy way to accommodate the need not to eat wheat and remove some of the guesswork involved in grocery shopping and daily life.

Celiac Disease And Non-Celiac Gluten Sensitivity

Celiac disease affects the small intestine and causes symptoms mimicking irritable bowel syndrome such as diarrhea, abdominal pain, loss of appetite, and in children, failure to thrive. Other forms of gluten sensitivity have more non-specific symptoms, such as brain fog[4], difficulty breathing, and other health problems. In severe cases, the symptoms can mimic Alzheimer’s disease. Since gluten is the major factor provoking symptoms of celiac disease, as well as gluten intolerance generally, almost everyone diagnosed with celiac disease will try a gluten-free diet at some point. Many will avoid gluten for life.

Increasing awareness of celiac disease and gluten intolerance generally has resulted in the greater availability of gluten-free products in restaurants and grocery stores, some with a gluten-free aisle. There you can find multiple food products, including gluten-free bread. Many labels will include indications that they are also keto-friendly foods. By choosing these keto-friendly products, you can stick to low-carb foods while being sure you eat gluten-free. Just be mindful to minimize your intake of packaged and processed foods.

Gluten Ataxia

One of the more alarming types of non-celiac gluten sensitivity, gluten ataxia is an autoimmune disease in which damage to the cerebellum – the part of the brain at the back of the head near the neck – causes severe enough damage to result in symptoms like difficulty walking, lack of coordination, and tremor. In some cases, these symptoms can be permanent. Therefore, treatment must be sought as soon as symptoms appear[5].

Keto Diet Vs. Gluten-Free: All The Differences

The gluten-free[6] and keto diet is both low-carb diets. They also share the elimination of a large number of foods rich in carbohydrates from daily diets. However, there are some key differences. For instance, as long as the percentage of carbs is kept low (usually 10-15%), a keto diet does allow the consumption of gluten, while a gluten-free diet requires eliminating gluten.

Additionally, there is no rationale while on a gluten-free diet to increase one’s intake of protein and fats, such as dairy products and meats, as keto requires. Rather, depending on one’s individual needs, a person on a gluten-free diet could replace that percentage of carbs in the diet with gluten-free carbs, or s/he could change the proportions of macronutrients in the diet to meet an individual goal.

Three Gluten-Free Keto Recipes

Gluten-Free Keto Margherita Pizza

is keto gluten free
Eating pizzas gluten-free is increasing in popularity. Photo: Shutterstock

The crust is what makes a pizza gluten-free. A normal crust is made of wheat flour. In contrast, there are several recipes out there for low-carb gluten-free pizza crusts. One popular version, called the “fathead” crust, uses a combination of mozzarella, cream cheese, almond flour, and egg. The mixture can be made into a crust on which the regular Margherita ingredients of tomatoes, basil, and more mozzarella can be added. 

Gluten-Free And Keto Lo Mein With Egg Pasta

As with pizza, the main culprits in lo mein to gut health and weight control are the noodles. For gluten-free keto diets, zucchini noodles can replace the wheat-based lo mein. Another recipe, closer to that for Margherita pizza, makes noodles of cream cheese, eggs, almond flour, butter, and a little salt. Once cooked, this base for noodles can be cut into strips, added to stir-fried meat and vegetables, and flavored with soy sauce and seasonings.

Crispy Gluten-Free Keto-Friendly Fried Chicken

If you like fried chicken because of the batter or breading used to coat it but want to cut the carbohydrates and gluten that are usually there, you can use almonds in these cases. Other alternatives include coconut flour or pork rinds. As long as you fry the chicken in oil, it should meet the requirements of keto, and the absence of wheat means it will not contain gluten.

Steps To Help You Start A Keto Or Gluten-Free Diet

Step 1: Determine Your Goals

If you have celiac disease, gluten intolerance, or some other kind of non-celiac gluten sensitivity, it is vital that you avoid gluten. If your goals also include weight loss, then you might combine gluten-free eating with a keto diet as a means of burning fat (in the form of ketone bodies) instead of blood sugar (ketosis) by restricting carbs of all kinds and eating high-protein diets.

Step 2: Do Your Own Research

Thorough research is important before beginning any diet. However, it is important to be careful. Many websites provide incorrect or oversimplified information. You will find more reliable information by searching sites associated with the government or institutions of higher learning. Databases such as Google Scholar and PubMed can be very helpful. If you have uncertainties, talk to a professional.

Step 3: Ease Yourself Into It

While you will need to stop gluten right away if you’re sensitive since both gluten-free and keto can be difficult to adjust to, consider shifting to your gluten and macronutrient goals gradually rather than all at once. You will feel less discomfort while adjusting to your new diet more easily. Also, be sure to have a keto diet foods list handy so you always know what you can and cannot eat.

Conclusion

Both the gluten-free and keto diets have specific benefits. For the former, these include weight loss, although it is also useful for controlling seizures. For the latter, the main benefit is alleviation of gluten intolerance. However, the two diets can be effectively combined to more easily cut carbohydrates by cutting out wheat and other gluten-containing grains and the foods made from them, like bread. The two diets can reinforce one another, resulting in a greater likelihood of success with both.

Frequently Asked Questions

Are keto diets gluten-free? 

Despite being low in carbs, keto diets are not by definition gluten-free.

How can I adjust my keto diet so that it is gluten-free? 

You can accomplish this goal by eliminating gluten-containing foods from your diet. Read labels carefully.

Can I exercise on a gluten-free keto diet?

It’s always a good idea to exercise regularly. Be careful on any low-carb diet not to push yourself too hard, particularly while adjusting to the new diet.


+ 6 sources

Health Canal avoids using tertiary references. We have strict sourcing guidelines and rely on peer-reviewed studies, academic researches from medical associations and institutions. To ensure the accuracy of articles in Health Canal, you can read more about the editorial process here

  1. Quan, L., Xu, X., Cui, Y., Han, H., Hendren, R.L., Zhao, L. and You, X. (2021). A systematic review and meta-analysis of the benefits of a gluten-free diet and/or casein-free diet for children with autism spectrum disorder. [online] 80(5), pp.1237–1246. doi:https://doi.org/10.1093/nutrit/nuab073.
  2. Nastaran Asri, Nazanin Taraghikhah, Reihaneh Baniasadi, Ishaq, S., Mostafa Rezaei-Tavirani, Sadeghi, A., Mohammad Javad Ehsani-Ardakani, Somayeh Jahani-Sherafat, Hamid Asadzadeh Aghdaei and Rostami-Nejad, M. (2022). The Effect of Gluten-Free Diet Duration on Body Mass Index of Iranian Patients with Celiac Disease. [online] 14(3), pp.323–329. doi:https://doi.org/10.34172/mejdd.2022.290.
  3. Du, Z., Li, L., Liu, J., Xu, Y., Cui, L. and Yin, J. (2023). Clinical profiles of patients with wheat-induced anaphylaxis at various ages of onset. [online] 16(4), pp.100767–100767. doi:https://doi.org/10.1016/j.waojou.2023.100767.
  4. Mahsa Arzani, Soodeh Razeghi Jahromi, Ghorbani, Z., Fahimeh Vahabizad, Paolo Martelletti, Ghaemi, A., Sacco, S. and Mansoureh Togha (2020). Gut-brain Axis and migraine headache: a comprehensive review. [online] 21(1). doi:https://doi.org/10.1186/s10194-020-1078-9.
  5. Newrick, L., Hoggard, N. and Marios Hadjivassiliou (2021). Recognition and management of rapid-onset gluten ataxias: case series. [online] 8(1). doi:https://doi.org/10.1186/s40673-021-00139-z.
  6. Melini, V. and Melini, F. (2019). Gluten-Free Diet: Gaps and Needs for a Healthier Diet. [online] 11(1), pp.170–170. doi:https://doi.org/10.3390/nu11010170.
Andrew Mathis

Written by:

Andrew Mathis, PhD

Medically reviewed by:

Brittany Ferri

Andrew E. Mathis was born and raised in the Philadelphia area and, with the exception of an eight-year sojourn in New York, has always lived there. He entered the publishing industry as a graduate student, joining the startup team of NJ.com before working for several years in STM publishing, including stints in the fields of engineering, risk management, and medicine. Since completing his Ph.D. in 2000, Andrew has taught at Villanova, Temple, the University of the Sciences, and several other colleges. His book The King Arthur Myth in Modern American Literature was published in 2002. He has also taught and published in the field of Holocaust historiography and has served as a board member of the Holocaust History Project.

Medically reviewed by:

Brittany Ferri

Journal of Physical Education and Sport

Trusted Source

Go to source

SciELO - Scientific Electronic Library Online

Trusted Source

Go to source

African Journals Online

Non-profit Platform for African Journals

Trusted Source
Go to source

Journal of The American Board of Family Medicine

American Board of Family Medicine

Trusted Source
Go to source

Informit

RMIT University Library

Trusted Source
Go to source

European Food Safety Authority

Science, Safe food, Sustainability

Trusted Source
Go to source

OrthoInfo

American Academy of Orthopaedic Surgeons

Trusted Source
Go to source

American Academy of Family Physicians

Strengthen family physicians and the communities they care for

Trusted Source
Go to source

Agricultural Research Service

U.S. Department of Agriculture

Trusted Source
Go to source

The American Journal of Medicine

Official Journal of The Alliance for Academic Internal Medicine

Trusted Source
Go to source

National Institute on Alcohol Abuse and Alcoholism

Database From National Institute Of Health

Trusted Source
Go to source

Lippincott Journals

Subsidiaries of Wolters Kluwer Health, Inc.

Trusted Source
Go to source

National Institute on Aging

Database From National Institute Of Health

Trusted Source
Go to source

Translational Research

The Journal of Laboratory and Clinical Medicine

Trusted Source
Go to source

Cell

An All-science Publisher

Trusted Source
Go to source

Journal of Translational Medicine

BioMed Central

Part of Springer Nature
Go to source

Federal Trade Commission

Protecting America's Consumers

Trusted Source
Go to source

National Human Genome Research Institute

Database From National Institute Of Health

Trusted Source
Go to source

Food Production, Processing and Nutrition

BioMed Central

Part of Springer Nature
Go to source

BMC Gastroenterology

BioMed Central

Part of Springer Nature
Go to source

ACS Publications

A Division of The American Chemical Society

Trusted Source
Go to source

Annual Reviews

Independent, Non-profit Academic Publishing Company

Trusted Source
Go to source

PubChem

National Center for Biotechnology Information

National Library of Medicine
Go to source

PLOS Journals

Nonprofit Publisher of Open-access Journals

Trusted Source
Go to source

Thieme E-books & E-Journals

Peer-reviewed & Open Access Journal

Trusted Source
Go to source

European Journal of Agriculture and Food Sciences

Peer-reviewed International Journal Publishes

Trusted Source
Go to source

Royal Society of Chemistry Publishing Home

Chemical Science Journals, Books and Database

Trusted Source
Go to source

Frontiers

Publisher of Peer-reviewed Articles in Open Acess Journals

Trusted Source
Go to source

De Gruyter

German Scholarly Publishing House

Trusted Source
Go to source

Hindawi

Open Access Research Journals & Papers

Trusted Source
Go to source

Oilseeds and Fats, Crops and Lipids

EDP Sciences

Trusted Source
Go to source

Cambridge Core

Cambridge University Press

Trusted Source
Go to source

FoodData Central

U.S. Department Of Agriculture

Trusted Source
Go to source

Journal of the American Heart Association

Peer-reviewed Open Access Scientific Journal

Trusted Source
Go to source

National Center for Complementary and Integrative Health

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

The Americans with Disabilities Act

U.S. Department of Justice Civil Rights Division

Trusted Source
Go to source

Journal of the Academy of Nutrition and Dietetics

Organization of Food and Nutrition Professionals

tr
Go to source

Sage Journals

Database From Sage Publications

Trusted Source
Go to source

National Institute of Drug Abuse

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

The ClinMed International Library

A Repository and an Open Access Publisher for Medical Research

Trusted Source
Go to source

The Royal Society Publishing

United Kingdom's National Academy of Sciences

Trusted Source
Go to source

APA PsycNet

Database From American Psychological Association

Trusted Source
Go to source

The Pharma Innovation Journal

Peer-reviewed And Refereed Journal

Trusted Source
Go to source

Asian Journal of Pharmaceutical Research and Development

Peer-reviewed Bimonthly Journal

Trusted Source
Go to source

British Pharmacological Society

Journals - Wiley Online Library

Trusted Source
Go to source

American Psychological Association

Scientific and Professional Organization of Psychologists

Trusted Source
Go to source

AAP Publications

Database From American Academy of Pediatrics

Trusted Source
Go to source

Karger Publishers

Academic Publisher of Scientific and Medical Journals and Books

Trusted Source
Go to source

Cambridge University Press & Assessment

Database From Cambridge University

Trusted Source
Go to source

National Institute of Mental Health

Database From National Institute Of Health

U.S. Department of Health and Human Services
Go to source

MDPI

Publisher of Open Access Journals

Trusted Source
Go to source

Bulletin of the National Research Centre

Part of Springer Nature

Trusted Source
Go to source

The New England Journal of Medicine

Massachusetts Medical Society

Trusted Source
Go to source

Economic Research Service

U.S. DEPARTMENT OF AGRICULTURE

Trusted Source
Go to source

MedlinePlus

Database From National Library of Medicine

U.S Department of Health and Human Services
Go to source

National Institute of Health

An agency of the U.S. Department of Health and Human Services

Trusted Source
Go to source

Trusted Source

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

The BMJ

Weekly Peer-reviewed Medical Trade Journal

The British Medical Association
Go to source

The British Psychological Society

The British Psychological Society is a charity registered in England

Database From Wiley Online Library
Go to source

National Heart, Lung, and Blood Institute

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

PubMed

Database From National Institute Of Health

U.S National Library of Medicine
Go to source

DailyMed

Database From National Institute Of Health

U.S National Library of Medicine
Go to source

Google Scholar

Go to source

Science.gov: USA.gov for Science

Government Science Portal

Go to source

ResearchGate

Social Network Service For Scientists

Find and share research
Go to source

American Heart Association

To be a rentless force for a world of longer, healthier lives

Go to source

BioMed Central

Research in progress

Go to source

JAMA Network

Home of JAMA and the Specialty Journals of the American Medical Association

Go to source

Springer Link

Database From Springer Nature Switzerland AG

Springer - International Publisher Science, Technology, Medicine
Go to source

ODS

Database from Office of Dietary Supplements

National Institutes of Health
Go to source

Federal Trade Commission

Bureaus of Consumer Protection, Competition and Economics
Go to source

Trusted Source

Database From U.S. Department of Health & Human Services

Governmental Authority
Go to source

Oxford Academic Journals

Oxford University Press

Trusted Source
Go to source

Taylor & Francis Online

Peer-reviewed Journals

Academic Publishing Division of Informa PLC
Go to source

WHO

Database from World Health Organization

Go to source

Journal of Neurology

Peer-reviewed Medical Journal

American Academy of Neurology Journal
Go to source

ScienceDirect

Bibliographic Database of Scientific and Medical Publications

Dutch publisher Elsevier
Go to source

Wiley Online Library

American Multinational Publishing Company

Trusted Source
Go to source

Centers for Disease Control and Prevention

U.S. National Public Health Agency

U.S Department of Health and Human Services
Go to source

Trusted Source

Database from U.S. National Library of Medicine

U.S. Federal Government
Go to source

U.S. Food & Drug Administration

Federal Agency

U.S Department of Health and Human Services
Go to source

PubMed Central

Database From National Institute Of Health

U.S National Library of Medicine
Go to source
Feedback

Help us rate this article

Thank you for your feedback

Keep in touch to see our improvement