This PCOS Keto Chicken Alfredo - Spaghetti Squash Chicken Alfredo is a PCOS-friendly recipe with 450 calories, 35g protein, and 15g carbs per serving. Ready in 60 minutes. High in fiber (2g), which supports insulin sensitivity.
Nutrition per Serving
Ingredients
Instructions
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Preheat the oven to 400F/200C. Cut the spaghetti squash in half lengthwise and remove the seeds. Place the halves cut side down on a baking sheet and roast for 40 minutes.
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While the squash is roasting, season the chicken breasts with salt and pepper and cook in olive oil over medium heat until cooked through. Remove from the pan and set aside.
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In the same pan, add the garlic and cook until fragrant. Add the heavy cream and Parmesan cheese and stir until the cheese is melted and the sauce is smooth.
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Shred the chicken and add it to the sauce.
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When the spaghetti squash is done, use a fork to scrape out the strands and add them to the sauce. Stir until everything is well combined.
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Serve the chicken Alfredo over the spaghetti squash, garnished with fresh parsley.
Why this PCOS Keto Chicken Alfredo - Spaghetti Squash Chicken Alfredo works for PCOS
With 35g of protein per serving (about 31% of calories), this PCOS Keto Chicken Alfredo - Spaghetti Squash Chicken Alfredo sits at the top end of the 25-35g per-meal range that the 2023 International PCOS Guideline recommends for managing insulin resistance and supporting lean mass. Higher-protein meals also blunt the glucose response when carbohydrates are included, which matters for women with PCOS because chronic insulin elevation drives androgen excess and irregular cycles.
At 15g of carbohydrates per serving, this PCOS Keto Chicken Alfredo - Spaghetti Squash Chicken Alfredo is on the lower-carb end, which suits women with PCOS who have confirmed insulin resistance or who notice strong post-meal energy crashes. Pair lower-carb meals like this with a generous portion of non-starchy vegetables to keep fibre intake up.
Fat makes up about 60% of calories in this dish. Dietary fat plays a load-bearing role in PCOS because sex hormones are synthesised from cholesterol, and very-low-fat eating can suppress hormone production over time. The 2023 PCOS guideline does not specify a strict fat target, but most clinicians recommend at least 25-35% of calories from a mix of monounsaturated, polyunsaturated, and saturated sources.
Evening meals affect overnight insulin and morning blood sugar more than most women realise. Keeping dinner protein-forward and finishing eating at least 2-3 hours before bed gives your body time to clear glucose before the overnight fast, which improves morning fasting insulin readings.
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Frequently Asked Questions
Yes, this PCOS Keto Chicken Alfredo - Spaghetti Squash Chicken Alfredo recipe is designed to be PCOS-friendly. At 450 calories per serving with 35g of protein, it supports balanced blood sugar and hormonal health. It also provides 2g of fiber, which helps with insulin sensitivity.
This recipe takes about 60 minutes total. Prep time is 15 minutes and cook time is 45 minutes. It makes 2 servings, so you can meal prep for multiple days.
Per serving: 450 calories, 35g protein (31%), 15g carbs, 30g fat. Plus 2g fiber. PCOS meal plans typically aim for 30% protein, 35% fat, 35% carbs to support insulin sensitivity.
Yes, this recipe works well as a PCOS-friendly Dinner. At 450 calories, it fits within typical PCOS meal plan targets for Dinner. Pair it with other PCOS-friendly foods throughout the day for balanced nutrition.
This recipe can be part of a structured PCOS meal plan. It makes 2 servings, making it great for meal prep. For a complete weekly plan tailored to your PCOS type, take our free 60-second quiz at pcosmealplanner.com/pcos-quiz to get a personalized 7-day meal plan.
Cook Another PCOS-Friendly Dinner
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