Spaghetti Squash with Pine Nuts and Sage - PCOS-Friendly Recipe

Spaghetti Squash with Pine Nuts and Sage
Prep: 20 min
Cook: 6 min
Servings: 6
Lunch

Nutrition per Serving

95 Calories
2g Protein
9g Carbs
6g Fat
Spaghetti squash is a winter squash but it's actually considered a non-starchy vegetable. With 10 grams of carbohydrate per cup, spaghetti squash can help cut carbs when subbed in for pasta. It can also make a tasty side dish!

Ingredients

  • 1 medium (2 pounds) spaghetti squash, halved and seeded
  • 2 teaspoons olive oil
  • 1 onion, minced
  • 1 large shallot, minced
  • 2 garlic cloves, minced
  • ¼ cup pine nuts
  • 2 tablespoons freshly grated Romano cheese
  • 1 tablespoon minced fresh sage
  • ¼ teaspoon crushed red pepper flakes
  • Sea salt, to taste
  • Freshly ground pepper, to taste

Instructions

  1. Preheat oven to 400 degrees F. Place the squash halves cut side down on a parchment paper-lined baking sheet and roast for about 50 minutes, or until tender. 
  2. Meanwhile, heat the olive oil in a skillet over medium heat. Add the onion, shallot, and garlic and sauté for 4 minutes. Add in the pine nuts and cook for 2 minutes until the pine nuts are lightly browned. Set aside. 
  3. When the squash is cooked, turn over squash to cut side up. With a pasta rake or large spoon, scoop the flesh from the squash shell. The flesh will come out like strands of spaghetti. Add the squash to a large serving bowl and rake through the strands to keep them separated. Add in the pine nut mixture, cheese, sage, crushed red pepper flakes, salt, and pepper. Toss well and serve. 

How This Recipe Supports PCOS Management

Understanding the nutritional profile of what you eat is a powerful step in managing PCOS. Here is how the key ingredients in this Spaghetti Squash with Pine Nuts and Sage contribute to your health goals:

  • Olive oil: Anti-inflammatory properties make it especially beneficial for PCOS
  • Garlic: May help reduce cholesterol levels often elevated in PCOS
  • Onion: Support cardiovascular health and blood sugar regulation

PCOS Diet Principles in This Recipe

The PCOS diet focuses on three core principles: reducing inflammation, managing insulin resistance, and supporting hormonal balance. Every recipe in our collection is evaluated against these principles. This recipe excels in providing anti-inflammatory spices that target the chronic inflammation underlying PCOS, and healthy monounsaturated and polyunsaturated fats that support cell membrane health and hormone synthesis. As part of a balanced PCOS meal plan, we recommend pairing recipes like this with a variety of nutrient-dense foods throughout the week to ensure you are meeting all your micronutrient needs.

Meal Prep Tip: This Spaghetti Squash with Pine Nuts and Sage can be prepared ahead and stored in an airtight container in the refrigerator for up to 3 days. Meal prepping is one of the most effective strategies for sticking to a PCOS-friendly diet, as it removes the temptation to reach for processed convenience foods when time is short.

PCOS-Friendly Foods in This Recipe

This recipe contains the following foods that may benefit PCOS management: Nuts.

Nuts are a natural source of Inositol, a derivative of Vitamin B (which is often prescribed in the form of supplements for women with PCOS). Inositol can effectively control the symptoms of PCOS by reducing insulin resistance and improving insulin sensitivity.

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