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As delicious as that sounds, Steak n' Shake is not the best restaurant you'll want to seek out if you're trying to follow a strict keto diet. In fact. Is it possible to eat at McDonald's on a keto diet? Yes! There are many low carb Keto options on the McDonalds menu. Here are 17 best Keto McDonald's foods. Keto at Steak n Shake Keto Fast Food, Healthy Fast Food Options, Healthy KETO AT STEAK AND SHAKE So you're headed to Steak and Shake but want.