The ketogenic, or keto, diet is a very low carb, high fat eating plan on which carb intake is often restricted to less than 20–50 grams per day.
As such, many high carb foods are considered off-limits on this diet, including certain types of grains, starchy vegetables, legumes, and fruits.
However, some fruits are low in carbs and can fit into a well-rounded keto diet.
Some are also high in fiber, an indigestible type of carb that doesn't count toward your total daily carb count. That means they contain fewer net, or digestible, carbs. This is calculated by subtracting the grams of fiber from the total grams of carbs.
Here are 9 nutritious, tasty, and keto-friendly fruits.
Though avocados are often referred to and used as a vegetable, they're biologically considered a fruit.
Thanks to their high content of heart-healthy fats, avocados make a great addition to a ketogenic diet.
They're also low in net carbs, with around 8.5 grams of carbs and nearly 7 grams of fiber in a 3.5-ounce (100-gram) serving (1Trusted Source).
A 3.5-ounce (100-gram) serving of avocado contains around 1.5 grams of net carbs. They're also high in vitamin K, folate, vitamin C, and potassium.
Watermelon is a flavorful and hydrating fruit that's easy to add to a ketogenic diet.
Compared with other fruits, watermelon is relatively low in net carbs, with around 11.5 grams of carbs and 0.5 grams of fiber in a 1-cup (152-gram) serving (2Trusted Source).
That said, depending on your daily carb allotment, you may need to adjust your portion sizes to fit watermelon into your diet.
Watermelon is likewise rich in a variety of other vitamins and minerals, including vitamin C, potassium, and copper (2Trusted Source).
A 3.5-ounce (100-gram) serving of avocado contains around 1.5 grams of net carbs. They're also high in vitamin K, folate, vitamin C, and potassium.
Strawberries are nutritious, delicious, and brimming with health benefits.
Low in carbs and high in fiber, strawberries can fit seamlessly into a low carb or ketogenic diet.
In fact, a 1-cup (152-gram) serving of strawberries provides just 11.7 grams of carbs and 3 grams of fiber (4Trusted Source).
Plus, like other types of berries, strawberries are loaded with antioxidants, such as anthocyanins, ellagic acid, and procyanidins (5Trusted Source).
Each cup (152 grams) of strawberries provides 8.7 grams of net carbs. They also contain a host of antioxidants, as well as vitamin C, manganese, and folate.
Lemons are a popular citrus fruit used to flavor drinks, meals, and desserts.
Lemons can be a great addition to the ketogenic diet, with approximately 5.5 grams of carbs and 1.5 grams of dietary fiber in each fruit (6Trusted Source).
Lemons are also high in several other nutrients, including vitamin C, potassium, and vitamin B6 (6Trusted Source).
Lemons can be a great addition to a ketogenic diet, with 4 grams of net carbs in each fruit. They also contain pectin, a type of fiber associated with several health benefits.
Despite being used as a vegetable in many meals and recipes, tomatoes are botanically classified as a fruit.
With a significantly lower carb count than many other fruits, tomatoes are easy to fit into a balanced ketogenic diet.
One cup (180 grams) of raw tomatoes contains about 7 grams of carbs and 2 grams of fiber (8Trusted Source).
Tomatoes provide only 5 grams of net carbs per 1-cup (180-gram) serving. They also contain antioxidants like lycopene, beta carotene, and naringenin.
In addition to being one of the healthiest berries, raspberries are a great addition to a low carb or ketogenic diet.
In fact, 1 cup (123 grams) of raspberries provides only 7 grams of net carbs, as this serving size has around 15 grams of carbs and 8 grams of fiber (12Trusted Source).
Each serving also offers a good amount of vitamin C, manganese, vitamin K, and copper (12Trusted Source).
What's more, raspberries are high in antioxidants that can decrease inflammation and reduce your risk of chronic disease (13Trusted Source).
A 1-cup (123-gram) serving of raspberries contains only 7 grams of net carbs. These berries are rich in vitamin C, manganese, vitamin K, copper, and antioxidants.
Peaches are a type of stone fruit known for their fuzzy skin and sweet, juicy flesh.
They're relatively low in net carbs, with 14.7 grams of carbs and 2.5 grams of fiber per cup (154 grams) (14Trusted Source).
By moderating your portion size and pairing peaches with other low carb foods, you can fit this tasty fruit into a healthy keto diet.
According to a study in 1,393 people, regularly eating peaches along with other fruits and vegetables high in flavonoids and stilbene may even be linked to improved triglyceride and cholesterol levels, both of which are risk factors for heart disease (15Trusted Source).
One cup (154 grams) of peaches provides 12.2 grams of net carbs. This stone fruit also offers a wealth of other nutrients, including vitamin C, vitamin A, potassium, and niacin.
The cantaloupe is a type of muskmelon closely related to other varieties of melon, such as watermelon and honeydew.
Each serving of cantaloupe is relatively low in net carbs, with just 12.7 grams of carbs and 1.5 grams of fiber per cup (156 grams) (16Trusted Source).
Plus, just a single serving provides a hearty dose of folate, potassium, and vitamin K (16Trusted Source).
It's also one of the best sources of beta carotene, a type of plant pigment that plays a central role in immune function and eye health (17Trusted Source).
Still, depending on your daily carb allowance, you may want to opt for a smaller portion size to fit cantaloupe into your diet.
With 11.2 grams of net carbs in each cup (156 grams), cantaloupe can be incorporated into a well-planned ketogenic diet. Cantaloupe also contains folate, potassium, vitamin K, and beta carotene.
9. Star Fruit
Also known as carambola, star fruit is a vibrant, star-shaped tropical fruit native to Southeast Asia.
Although star fruit is not as common as many other types of fruit, it's a popular choice for those on a ketogenic diet due to its low carb content.
In fact, a 1-cup (108-gram) serving of star fruit contains just 7.3 grams of carbs and 3 grams of fiber (18Trusted Source).
Star fruit is also packed with vitamin C, copper, potassium, and pantothenic acid (18Trusted Source).
A 1-cup (108-gram) serving of star fruit contains just 4.3 grams of net carbs. Star fruit is also a good source of vitamin C, copper, potassium, and pantothenic acid.
The Bottom Line
Although fruits are often considered off-limits on the ketogenic diet, plenty of low carb fruits can be incorporated into the diet.
In addition to being low in net carbs and high in fiber, many of these fruits offer a wealth of other important vitamins, minerals, and antioxidants that support overall health.
Enjoy these fruits in moderation alongside a variety of other low carb foods as part of a well-rounded ketogenic diet.
By Jennifer Ann Thomas
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Average monthly sea surface temperature (in degrees Celsius, red scale) and average continental rainfall in South America (in millimeters/month, blue scale) from 1981 to 2016. Sea surface temperatures and precipitation are generally higher around the equator. On the left, the area where El Niño – Southern Oscillation (ENSO) occurs; dotted lines indicate the Intertropical Convergence Zone (ITCZ) in January and July, responsible for transporting heat and humidity from the oceans around the tropics.
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Officials at the highest levels are discussing the possibility of caving in on controlling the coronavirus and instead letting it run rampant throughout the United States until we reach "herd immunity," the point where the virus effectively runs out of people to infect. More than 6,200 scientists, health professionals, and research organizations say this is inhumane and have signed a memorandum rejecting herd immunity as a legitimate strategy.
Herd Immunity’s Unacceptable Toll<p>Resumption of normal life in the United States under a herd immunity approach would result in an enormous death toll by all estimates. Former CDC director Tom Frieden <a href="https://www.washingtonpost.com/opinions/tom-frieden-herd-immunity-wrong-solution-coronavirus/2020/10/16/acb4ae8a-0fe6-11eb-8074-0e943a91bf08_story.html" target="_blank">estimates</a> that another 500,000 people would have to die to achieve 60 percent herd immunity. "And that's the best-case scenario," Frieden wrote in a <em>Washington Post</em> op-ed. "The number of deaths to get there could be twice as high."</p><p>Frieden said that is the best-case scenario because no one really knows if the <a href="https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/herd-immunity-and-coronavirus/art-20486808" target="_blank">actual percentage needed</a> to see the virus peter out is to have it <a href="https://thehill.com/opinion/healthcare/521834-covid-19-vaccine-barriers-efficacy-availability-and-acceptability" target="_blank" rel="noopener noreferrer">infect</a> more like <a href="https://www.washingtonpost.com/health/2020/08/31/herd-immunity-covid-19/" target="_blank" rel="noopener noreferrer">65, 70,</a> or even <a href="https://www.vox.com/21451282/herd-immunity-explained-covid-19-pandemic" target="_blank" rel="noopener noreferrer">75 percent</a> of the population. Even if immunity could be miraculously achieved at 50 percent, an estimate <a href="https://www.nature.com/articles/s41577-020-00451-5" target="_blank" rel="noopener noreferrer">published</a> in <em>Nature Reviews Immunology</em> places the range of sacrifice somewhere between 500,000 and 2.1 million deaths.</p><p>That makes it little wonder that Anthony Fauci, the most respected scientist advising the Trump administration on the pandemic, called herd immunity for the coronavirus "total nonsense." Fauci is backed up by the likes of National Institutes of Health Director Francis Collins, who said herd immunity is a "dangerous" and "fringe" component of epidemiology. Ashish Jha, dean of the Brown University School of Health <a href="https://www.bostonglobe.com/2020/10/20/nation/scores-mass-scientists-doctors-sign-open-letter-against-herd-immunity-proposal/?outputType=amp" target="_blank" rel="noopener noreferrer">called</a> herd immunity "junk science."</p><p>The head of the World Health Organization (WHO), Tedros Adhanom Ghebreyesus, <a href="https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---12-october-2020" target="_blank" rel="noopener noreferrer">said this month</a> that the only acceptable form of "herd immunity" is achieved through vaccination. "Herd immunity is achieved by protecting people from a virus, not by exposing them to it," the secretary general said. "Never in the history of public health has herd immunity been used as a strategy for responding to an outbreak, let alone a pandemic... Allowing a dangerous virus that we don't fully understand to run free is simply unethical. It's not an option."</p>
Herd Immunity Is the National De Facto Strategy<p>Somehow, none of that has culled herd immunity from being considered as a legitimate approach for fighting COVID-19. Rather, the Great Barrington Declaration has much in common with the Trump administration's approach to the coronavirus, which has led to more people dying from COVID-19 in the United States than in any other nation on Earth.</p><p>A de facto herd immunity approach is the only thing that can explain the push by governors of so many states to <a href="https://blog.ucsusa.org/derrick-jackson/the-push-to-relax-covid-19-protections-exposes-age-old-racial-wounds" target="_blank">reopen</a> bars, restaurants, beaches, bowling alleys, and gyms in states even as the virus has raged and case numbers have been increasing. It is the only thing that can explain the federal designation of meatpackers as essential workers and state demands that teachers go back into classrooms despite outbreaks and deaths related to those professions.</p><p>It also explains how so many of the nation's most respected scientific voices have been silenced. Despite the virus's current "uncontrolled spread" in 34 states and Puerto Rico, according to October 21 <a href="https://www.covidexitstrategy.org/" target="_blank" rel="noopener noreferrer">tracking</a> by CovidExistStrategy.org, the White House has pushed aside Fauci, Coronavirus Task Force Coordinator Deborah Birx, Surgeon General Jerome Adams, and Robert Redfield, the head of the Centers for Disease Prevention and Control.</p><p>In their place, the administration has handed the pandemic podium to <a href="https://www.washingtonpost.com/politics/trumps-den-of-dissent-inside-the-white-house-task-force-as-coronavirus-surges/2020/10/19/7ff8ee6a-0a6e-11eb-859b-f9c27abe638d_story.html?utm_campaign=wp_to_your_health&utm_medium=email&utm_source=newsletter&wpisrc=nl_tyh&wpmk=1&pwapi_token=eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJjb29raWVuYW1lIjoid3BfY3J0aWQiLCJpc3MiOiJDYXJ0YSIsImNvb2tpZXZhbHVlIjoiNWE1ZDQ3N2M5YmJjMGYyNmNiMTViMmI0IiwidGFnIjoiNWY4ZGZhZmQ5ZDJmZGEwZWZiNGViMzQyIiwidXJsIjoiaHR0cHM6Ly93d3cud2FzaGluZ3RvbnBvc3QuY29tL3BvbGl0aWNzL3RydW1wcy1kZW4tb2YtZGlzc2VudC1pbnNpZGUtdGhlLXdoaXRlLWhvdXNlLXRhc2stZm9yY2UtYXMtY29yb25hdmlydXMtc3VyZ2VzLzIwMjAvMTAvMTkvN2ZmOGVlNmEtMGE2ZS0xMWViLTg1OWItZjljMjdhYmU2MzhkX3N0b3J5Lmh0bWw_dXRtX2NhbXBhaWduPXdwX3RvX3lvdXJfaGVhbHRoJnV0bV9tZWRpdW09ZW1haWwmdXRtX3NvdXJjZT1uZXdzbGV0dGVyJndwaXNyYz1ubF90eWgmd3Btaz0xIn0.MyoXrwQD-PwWqdbb70_JfrI_fxHO0be_O_tpTTMXBgE" target="_blank" rel="noopener noreferrer">Scott Atlas</a>, a radiologist and conservative pundit with <a href="https://blog.ucsusa.org/derrick-jackson/public-wants-science-based-policies-for-covid-19" target="_blank" rel="noopener noreferrer">no background</a> in infectious disease science or epidemiology in measuring disease prevalence. Inhumanely ignoring the more than half of U.S. adults having a pre-existing condition that could compromise them for COVID-19, he blithely praises herd immunity, <a href="https://blog.ucsusa.org/derrick-jackson/public-wants-science-based-policies-for-covid-19" target="_blank" rel="noopener noreferrer">saying,</a> "We can allow a lot of people to get infected. Those who are not at risk to die or have a serious hospital-requiring illness, we should be fine with letting them get infected."</p><p>He <a href="https://thehill.com/homenews/administration/521688-birx-confronted-pence-about-atlas" target="_blank" rel="noopener noreferrer">pooh-poohs</a> expanded testing, saying, "you are destroying the workforce." Twitter recently took down one of Atlas's tweets for falsely claiming, "Masks work? NO" and then lying that the WHO says widespread mask use is "not supported." The first sentence of the WHO's <a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/when-and-how-to-use-masks" target="_blank" rel="noopener noreferrer">webpage</a> on masks says, "Masks are a key measure to suppress the spread of COVID-19 and save lives."</p><p>Atlas denies that the White House has a "wide-open strategy of achieving herd immunity." But there's little doubt that the White House is wide open to the idea. Last week, Atlas <a href="https://www.foxnews.com/transcript/trump-adviser-calls-nbc-town-hall-brazen-display-of-media-duplicity" target="_blank" rel="noopener noreferrer">appeared</a> on Fox News <a href="https://www.wsj.com/articles/white-house-touts-document-calling-for-herd-immunity-approach-to-covid-19-crisis-11603051550" target="_blank" rel="noopener noreferrer">to say</a> the thrust of the Great Barrington Declaration "is exactly aligned with the president." That was seconded by a senior administration official who <a href="https://www.washingtonpost.com/health/covid-herd-immunity/2020/10/10/3910251c-0a60-11eb-859b-f9c27abe638d_story.html" target="_blank" rel="noopener noreferrer">told reporters</a> in a conference call that the Great Barrington Declaration "is endorsing what the president's policy has been for months."</p><p>The freezing out of scientists on the Coronavirus Task Force reached deep space levels this week (a metaphoric minus 455 degrees Fahrenheit), with multiple buckets of ice dumped on Fauci. Atlas diminished Fauci as "just one person" on the force, offering only a "limited approach." President Trump called Fauci a "disaster," <a href="https://www.washingtonpost.com/politics/trump-fauci-campaign-biden/2020/10/19/30b2fe58-1226-11eb-82af-864652063d61_story.html" target="_blank" rel="noopener noreferrer">claiming,</a> "People are tired of hearing Fauci and these idiots, all these idiots who got it wrong."</p>
Many Thousands of Lives Can Still Be Saved<p>Atlas's malpractice already merits his dismissal. He should be forced to step down because his disregard for science will surely lead to incalculable disaster if a herd immunity approach becomes official government policy. Calls for his ouster have already begun even from inside the task force. <a href="https://www.washingtonpost.com/politics/trumps-den-of-dissent-inside-the-white-house-task-force-as-coronavirus-surges/2020/10/19/7ff8ee6a-0a6e-11eb-859b-f9c27abe638d_story.html" target="_blank">According</a> to the <em>Washington Post</em>, Birx went to Vice President Mike Pence to suggest removing Atlas. All Pence reportedly did was ask Birx and Atlas to work out their problems on their own.</p><p>There is no time left for such discord within the task force and for discordant messages to come from the White House on how people should protect themselves from COVID-19. The thousands of scientists and public health professionals who signed the John Snow Memorandum say "it is critical to act decisively and urgently," to launch a "robust" response on the level of New Zealand, Vietnam, or Japan—all of which have shown success in containing the virus and keeping the numbers of cases and deaths relatively low.</p><p>The approach that has been proven effective starts with face coverings and social distancing and reducing the temptation we all will feel during the oncoming winter holidays to have extended family gatherings. Researchers from MIT and the Vancouver School of Economics <a href="https://www.medrxiv.org/content/10.1101/2020.05.27.20115139v6.full.pdf" target="_blank">estimate</a> in a working paper that, if the United States had established a national mask mandate in mid-March, between 19,000 and 47,000 lives could have been saved by the end of May. Now that the nation's death toll approaches a quarter million lives lost, and is <a href="https://covid19.healthdata.org/united-states-of-america?view=total-deaths&tab=trend" target="_blank" rel="noopener noreferrer">projected</a> to reach nearly 400,000 by February 1, according to the Institutes for Health Metrics and Evaluation at the University of Washington, the institute estimates we could avoid 74,000 new deaths with universal mask use.</p><p>Importantly, masks protect others, including the most vulnerable among us. This week, the <em>Washington Post</em> reported how coronavirus outbreaks among college students partying in unmasked packs in LaCrosse, Wisconsin was found to have <a href="https://www.washingtonpost.com/health/2020/10/21/la-crosse-wisconsin-covid-outbreak-nursing-home-deaths/?utm_campaign=wp_to_your_health&utm_medium=email&utm_source=newsletter&wpisrc=nl_tyh&wpmk=1&pwapi_token=eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJjb29raWVuYW1lIjoid3BfY3J0aWQiLCJpc3MiOiJDYXJ0YSIsImNvb2tpZXZhbHVlIjoiNWE1ZDQ3N2M5YmJjMGYyNmNiMTViMmI0IiwidGFnIjoiNWY5MWU3YjU5ZDJmZGEwZWZiNTE3OGNmIiwidXJsIjoiaHR0cHM6Ly93d3cud2FzaGluZ3RvbnBvc3QuY29tL2hlYWx0aC8yMDIwLzEwLzIxL2xhLWNyb3NzZS13aXNjb25zaW4tY292aWQtb3V0YnJlYWstbnVyc2luZy1ob21lLWRlYXRocy8_dXRtX2NhbXBhaWduPXdwX3RvX3lvdXJfaGVhbHRoJnV0bV9tZWRpdW09ZW1haWwmdXRtX3NvdXJjZT1uZXdzbGV0dGVyJndwaXNyYz1ubF90eWgmd3Btaz0xIn0.6Ep-AvkJkNqGTE08UsekVlNWR01vYzQe-qg5BPruSQM" target="_blank" rel="noopener noreferrer">led to 19 deaths so far of people over the age of 60</a>. Before that, the city had gone without a single pandemic death in its nursing homes.</p><p>That is on the heels of the wedding in Millinocket, Maine that resulted in an outbreak that <a href="https://bangordailynews.com/2020/09/19/news/eight-deaths-now-tied-to-millinocket-area-wedding-outbreak-including-seven-at-nursing-home/" target="_blank" rel="noopener noreferrer">killed eight elderly people</a>, none of whom attended the event, and the 500,000-person Sturgis, South Dakota motorcycle rally that is <a href="https://www.washingtonpost.com/health/2020/10/17/sturgis-rally-spread/" target="_blank" rel="noopener noreferrer">now tied</a> to the massive coronavirus outbreak in the Upper Midwest and Mountain States. The Germain IZA Institute of Labor Economics estimates that the illness generated from the rally <a href="https://www.iza.org/publications/dp/13670/the-contagion-externality-of-a-superspreading-event-the-sturgis-motorcycle-rally-and-covid-19" target="_blank" rel="noopener noreferrer">will cost</a> the nation $12.2 billion in health care costs.</p><p>Atlas and the proponents of the Great Barrington Declaration have not yet said why this is just fine. That is why they must be unmasked for the charlatans that they are.</p>
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