Why Buttermilk is Not a Keto-Friendly Beverage
For those on a ketogenic diet, the primary goal is to minimize carbohydrate intake to induce a state of ketosis, where the body burns fat for fuel instead of glucose. A single eight-ounce glass of buttermilk can contain 12 grams or more of sugar, which comes from the milk sugar lactose. This is often half or more of an individual's total daily carb allowance, making it an impractical and inefficient choice for a daily drink. The carbs from buttermilk are readily absorbed, leading to a spike in blood sugar and insulin levels that can quickly stop ketosis. Beyond its carbohydrate load, modern cultured buttermilk is also often lower in fat compared to other dairy products, which contradicts the high-fat, moderate-protein, and low-carb macronutrient ratios required by the keto diet.
The Composition of Buttermilk
It is easy to be confused about buttermilk, especially since pure butter is a keto staple. However, modern cultured buttermilk is typically made by fermenting low-fat or skim milk with a bacteria culture. The fermentation process gives it a tangy flavor but does not eliminate the natural sugars. In contrast, traditional buttermilk, the liquid leftover after churning butter, was also lower in fat but still contained enough milk sugar to be unsuitable for keto in large quantities.
Using Buttermilk in Moderation for Keto-Friendly Recipes
While drinking a glass of buttermilk is a no-go, using it as an ingredient in a recipe is a different story. The key is portion control and considering the total carb contribution per serving of the finished dish. For example, a small amount of buttermilk used as a marinade for fried chicken or as an ingredient in biscuits is divided among several portions. In such cases, the carbohydrate impact per serving is often negligible and won't throw you out of ketosis. You should, however, always calculate the macros for your specific recipe to be certain. Using a small amount for flavor enhancement is a far cry from consuming it as a beverage.
The Rules of Thumb for Buttermilk on Keto
- Calculate macros carefully: Always divide the total buttermilk carbs by the number of servings to ensure each portion fits your daily limit.
- Flavor over volume: Use buttermilk for its tangy taste and leavening properties, not for its bulk.
- Choose the right recipes: Dishes where buttermilk is a minor component, like marinades or dressings, are better than those where it's a primary liquid ingredient.
Excellent Keto-Friendly Buttermilk Substitutes
Fortunately, there are many simple and effective substitutes that replicate the tang and texture of buttermilk without the high carb count. These alternatives use low-carb ingredients to create a similar acidic effect, making them perfect for keto baking and cooking.
How to Make a Simple Keto Buttermilk Substitute
- 
With Heavy Cream and Acid: A popular method is to add one tablespoon of white vinegar or lemon juice to one cup of heavy whipping cream. Let the mixture stand for 5–10 minutes until it thickens and curdles slightly. This creates a perfect tangy and creamy keto version suitable for most recipes. 
- 
With Plain Yogurt or Sour Cream: Thinned plain Greek yogurt or sour cream also works well. Mix about ¾ cup of plain, full-fat Greek yogurt with ¼ cup of heavy cream or water to achieve a similar consistency to buttermilk. 
- 
With Unsweetened Nut Milks: For a dairy-free option, combine one cup of unsweetened almond milk or coconut milk with one tablespoon of lemon juice or vinegar. Stir and let sit for 5-10 minutes. 
Buttermilk vs. Keto Substitutes: A Nutritional Comparison
| Item | Net Carbs (per cup) | Key Advantage | Keto Suitability | 
|---|---|---|---|
| Traditional Buttermilk | ~12-15g | Tangy flavor | Unsuitable for drinking | 
| Heavy Cream + Acid | ~5-7g | Creamy texture, low carbs | Excellent | 
| Greek Yogurt + Cream | ~8g | Probiotics, tangy flavor | Excellent | 
| Unsweetened Coconut Milk + Acid | ~5-8g | Dairy-free, high fat | Excellent | 
| Unsweetened Almond Milk + Acid | ~1-2g | Very low carb, dairy-free | Excellent | 
Health Benefits of Using Keto Substitutes
Choosing keto-friendly buttermilk substitutes not only helps maintain ketosis but also offers additional health benefits. For instance, using full-fat Greek yogurt provides beneficial probiotics that support gut health. Fortified almond and coconut milks offer a good source of vitamins, such as Vitamin E and Vitamin D, which are important micronutrients often needed on a keto diet. Furthermore, heavy cream provides a high-fat content that aligns perfectly with ketogenic macro goals, offering satiety and a rich texture to dishes.
Conclusion: Making the Right Choice for Your Keto Diet
In conclusion, the answer to "can you drink buttermilk on keto?" is a clear no, primarily due to its high carb and sugar content. However, this does not mean you have to abandon buttermilk-flavored foods entirely. By using it in minimal amounts for specific recipes or, better yet, opting for one of the excellent keto-friendly substitutes, you can still enjoy a similar taste and texture without compromising your dietary goals. For those needing a recipe solution, creating a homemade heavy cream-based mixture with an acid is a simple, effective, and delicious alternative. For a more detailed guide on keto dairy options, the Diet Doctor's guide is a great resource: Keto and Low Carb Dairy: The Best and the Worst.