Keto Smoothie Recipe with Avocado, Chia Seeds & Cacao

Keto smoothie recipe - Dr. Axe

Have you heard about the ketogenic diet? It’s possibly the best diet for weight loss, and it can even reverse insulin resistance, reduce cardiovascular risk factors and possibly even kill cancer cells, according to recent research. (1) No wonder more and more people are starting to go “keto.”

My keto smoothie is an easy way to get started. It includes protein foods and healthy fats, while being very low in carbohydrates. All of the ingredients in this smoothie are nutritious, heart healthy and keto-friendly — plus, they’re delicious!

Keto smoothie ingredients - Dr. Axe

What Does “Going Keto” Mean?

“Going keto” means putting your body into a state of ketosis, which is a metabolic state that occurs when most of the body’s energy comes from ketone bodies in the blood, rather than from glucose (or sugar).

On the keto diet, you are tricking your body into thinking it’s fasting by eliminating glucose that is found in carbohydrate foods. Your body begins burning fat for energy rather than carbohydrates, so after going keto, most people lose excess body fat rapidly, even when consuming lots of fats and adequate calories through their diet.

The ketogenic diet, like any other low-carb diet, works through the elimination of glucose. Our bodies normally run on glucose for energy, but once glucose is no longer available from food sources, we begin to burn stored fat for energy instead. This process will not only help you to shed those extra pounds, but it also helps to control the release of hormones like insulin, which plays a role in the development of diabetes and other health problems.

Keto smoothie step 1 - Dr. Axe

How to Make a High-Protein, Low-Carb Keto Smoothie

A keto smoothie is made up of healthy fats and protein, all foods that are naturally low in carbohydrates. Using a high-powered blender, add in these heart-healthy, keto diet–friendly foods.

My keto smoothie recipe starts with 1 to 1¼ cups of full-fat coconut milk as the base. Coconut milk contains a beneficial fat called lauric acid, a medium-chain fatty acid that’s easily absorbed and used by the body for energy. It serves as a great keto diet food, and it actually helps to lower cholesterol levels, improve blood pressure and prevent heart attacks or a stroke. (2)

Next add in 1 tablespoon of chia seeds (soaked in 3 tablespoons of water for 10 minutes), which contain essential fatty acids, plus vitamins A, B, E and D and minerals including iron, magnesium, niacin and thiamine. And then add 1 tablespoons of your favorite nut butter to the mix, whether it’s almond butter or even sunflower seed butter. (I recommend that you avoid peanut butter.)

Keto smoothie step 3 - Dr. Axe

For the next ingredient for this keto smoothie, you have a choice of either 2 teaspoons of cacao nibs or cocoa powder, or 1 scoop of chocolate bone broth protein powder. Protein powder made from bone broth is packed with protein, low in carbs and low in sugar. You can get the healing power of bone broth easily by adding it to your keto smoothie.

Keto smoothie step 4 - Dr. Axe

Cacao nibs or powder is also healthful and packed with nutrients that fuel the body. Eating cacao nibs will actually improve muscle structure and enhance nerve function due to its nutritional content. (3)

Keto smoothie step 5 - Dr. Axe

The last two ingredients for my keto smoothie are ½ frozen avocado and 1 tablespoon of coconut oil. Adding avocado to this smoothie will give it a delicious creamy texture and its an excellent source of healthy fats, which is especially important when you’re going keto.

Keto smoothie step 6 - Dr. Axe

Now all you have to do is blend the ingredients until they are well-combined, adding water if necessary, and you’re done! If you want to add some bulk to the texture of your keto smoothie, or if you don’t have a frozen avocado on hand, add in some ice, too.

Top your keto smoothie with cacao nibs and cinnamon, and enjoy!

Keto smoothie recipe - Dr. Axe

Today and tomorrow, I’m hosting a free presentation all about what I’ve created to be the fastest and most authoritative way to become a Certified Essential Oil Coach.

And you’re invited! Click Here to Register

Whether you’re in pursuit of essential oil mastery or you want to build an essential oil business, this is a must-see presentation. Plus, I’ve set aside a half hour to answer your questions.

Like I said, no charge and you can register here.

Keto Smoothie Recipe with Avocado, Chia Seeds & Cacao

Total Time: 5 minutes
Serves: 2


  • 1–1¼ cups full-fat coconut milk
  • ½ frozen avocado
  • 1 tablespoon nut butter of choice
  • 1 tablespoon chia seeds, soaked in 3 tablespoons of water for 10 minutes
  • 2 teaspoons cacao or cocoa powder OR 1 scoop of chocolate bone broth protein powder
  • 1 tablespoon coconut oil
  • ice (optional*)
  • for topping: cacao nibs and cinnamon
  • ¼ cup water, if needed


  1. Add contents into a high-powered blender, blending until well-combined.
  2. Top with cacao nibs and cinnamon.

Josh Axe

Get FREE Access!

Dr. Josh Axe is on a mission to provide you and your family with the highest quality nutrition tips and healthy recipes in the world...Sign up to get VIP access to his eBooks and valuable weekly health tips for FREE!

Free eBook to boost
metabolism & healing

30 Gluten-Free Recipes
& detox juicing guide

Shopping Guide &
premium newsletter


Leave a Reply

Your email address will not be published. Required fields are marked *


  1. Viana on

    This smoothie is packed with fat from coconut milk, 2 tbsp. Of nut butter, and 1 tbsp. Of coconut oil. How will this aid in weight loss?

  2. Kelin on

    I’m a type 1 diabetic and have always been taught that ketosis is harmful to me. Can I still follow a ketogenic diet?

    • Cathleen on

      Hi Kelin. Ketosis is not dangerous for diabetics, including Type 1 diabetics, is not dangerous. It’s ketoacidosis that is. If you are interested in researching the ketogenic diet, look for sources like Dr. Keith Runyon, Katie Coleman, and Richard Dikeman. Best wishes!

    • David Solberg on

      No, Type 1 (not Type 2) diabetics should be EXTREMELY careful with a ketogenic diet. This isn’t just the standard “consult your doctor.” This is a diet that can kill a Type 1 diabetic, and very likely isn’t right for you.

      Normal people, even Type 2 diabetics, aren’t going to get into ketoacidosis (which is very dangerous, unlike ketosis) because their bodies can easily make hormones to regulate everything to a healthy level. Ketosis is a healthy level of ketones in the blood – think of a warm, pleasant shower; ketoacidosis is extremely high level of ketones – think of a shower of boiling water.

      For normal people, having more ketones (ketotis) is associated with lots of healthy benefits, including stable, healthy blood glucose. For a Type 1 diabetic, ketoacidosis is usually the body in a desperate state with extremely high blood sugar.

  3. Patty on

    Good afternoon Dr. ask! Do you get your collagen powder from grass fed cows that have not been shot up with her moans or antibiotics?

    Thank you for your help.

  4. S. Barbee on

    Would you recommend using this smoothie as one of the daily smoothie meals? I drink two smoothies per day. I use plant based protein with coconut milk, strawberries, blue berries, and raspberries, CLA, beet root power, Flax Seed Meal, and Chia Seeds for the 1st one. I would like to try this one for my second meal. Thanks

  5. Mimi on

    I follow the keto principles to an extent and use the keto sticks successfully as a guide so I believe I understand the principal–unless I’m missing something here. Although never obese, I needed to lose 20 pounds which I have with a cheat day eating my favorite croissants, fudge brownie and 2 glasses of wine in the evening, and I’m still losing at least a pound a week. Having said that, is it advised for one person not to drink this smoothie? Dividing it in 2 is only 4 ounces of coconut milk and a quarter of an avocado so it is not a meal replacement but a snack — is that the idea? Please clarify what are the repercussions if I drank these supposed two servings at once?

  6. Bunny on

    Where’s the nutritional data? I am amazed at how many sites do not include nutritional values. Even your bone broth surprised me. No list of ingredients, no mfg name, no address or contact info. I’m disappointed.

  7. Howard Gans on

    I made this shake this morning and added some stevia extract to it. Delicious!

    I understand the concept that fat doesn’t make one fat, but at the end of the day, more calories in than out will produce weight gain. Is it possible to post the calories?

    • Tamara Bonfante on

      Love your recipe, LOVE keto, but just worked out the macros for this recipe and it is almost my entire fat allowance for the day, over on my 20g carb allowance and protein is 11.45g, so still plenty room for protein. The macros I worked out for this are 11.45g protein 89.6 g fat and carbs 22.8 g.

  8. Tamara Bonfante on

    Love your recipe, LOVE keto, but just worked out the macros for this recipe and it is almost my entire fat allowance for the day, over on my 20g carb allowance and protein is 11.45g, so still plenty room for protein. The macros I worked out for this are 11.45g protein 89.6 g fat and carbs 22.8 g. Have I worked that out correctly?

  9. Carrie on

    How do I make a more flavorful Keto smoothie? I tried this and love all the ingredients but I find it to be rather bland tasting. Any way to get some zip or even a little sweetness? Also, this is too think for a standard 1-serving Bullet-type blender. I’ll cut the ingredient portions or need to use a larger blender.

  10. Shauna on

    Making this in 5 min !! Yum thx
    3 weeks KETO and looking for new Recipes
    Could anybody please send me the macro breakdown as I am keeping track !!
    Mucho gracias xo

  11. Charlotte on

    Do you have or can you recommend a cookbook or website with quick & easy keto recipes? Also, do I need to use a calculator to figure out how many grams of fat/protein/carbs I’m allowed each day?

    • Cindy M. on

      Everyone looking for a nutritional breakdown, if you use the Cronometer app,l you can plug in any recipe or food and get the nutritional breakdown and it will log it for you. I just got it myself and it is a wonderful tool for the keto journey.


More Recipes