Special Diet Information

Coumadin® (Warfarin)
This recipe is safe for Coumadin (warfarin) users.

This recipe contains cheese and some of those who are lactose intolerant may be able to tolerate it.

This is a low sodium recipe.

GERD / Acid Reflux
No specific GERD triggers.

Gluten Sensitivity
This recipe is NOT safe for those who are sensitive to gluten. Here's the Gluten-Free Fettuccine Alfredo recipe!


"Tomatoes and oregano make it Italian; wine and tarragon make it French. Sour cream makes it Russian; lemon and cinnamon make it Greek. Soy sauce makes it Chinese; garlic makes it good." -Alice May Brock, Owner of Alice's Restaurant

The refrigerator light goes on...

Keep in mind a serving of any pasta is two ounces. I prefer to use the best quality Parmesan cheese and grate it fresh. By using the best quality ingredients you don't need as much to get maximum flavor. By reducing the amount of fat in a recipe there's less risk of provoking GERD symptoms.

The garlic is a partial reflux trigger, but using roasted garlic may help you to eat foods with that great garlic flavor and not have heartburn.


Fettuccine Alfredo - GERD / Acid Reflux / Coumadin-Friendly Version

Servings: 2 | Serving size: 2 ounces pasta with sauce

Cooking Time: 30 Minutes

This recipe can easily be multiplied; leftovers are fair.

This recipe also requires making Roasted Garlic.

Here's the standard Fettuccine Alfredo recipe.

Serve with Parmesan Squash or Pan Grilled Broccoli or Pan Grilled Asparagus or Healthy Caesar Salad or Roasted Beet and Fennel Salad or Yellow Squash and Onions or Zucchini Salad

1 tsp extra virgin olive oil
2 cloves roasted garlic (minced)
2 tsp all purpose white flour
3/4 cup 2% milk (chilled)
1 ounce semi-soft goat cheese
1 ounce Parmigiano-Reggiano (grated)
4 quarts water
4 ounces whole wheat or gluten-free fettuccine
1 Tbsp parsley (minced)

Heat the olive oil in a ten-inch non-stick skillet over medium heat and add the roasted garlic. Cook very slowly and stir frequently. Do not allow the garlic to brown or it will become bitter.

Add the flour slowly and cook for about one minute. Stir continuously to blend the oil and flour. The mixture will be like coarse corn meal. Cook gently so the mixture doesn't brown.

Slowly add the cold milk whisking to keep the sauce from forming clumps. Blend in all of the milk until the sauce is smooth and begins to thicken.

Add the goat cheese and whisk as it melts. When the sauce is smooth add the Parmigiano-Reggiano and whisk as it melts until the sauce is creamy. Reduce the heat to very low.

In a large pot heat the water to a boil. Add the fettuccine and cook until just tender (about 12 - 15 minutes for dried pasta). Drain well and then add the pasta to the sauce, tossing to coat thoroughly. Sprinkle the minced parsley over the top and serve.

Nutrition Facts

Serving size: 2 ounces pasta

Servings: 2

Amount Per Serving

Calories 389 Calories from Fat 107
% Daily Value
Total Fat 12g 19%
    Saturated Fat 6g 30%
    Monounsaturated Fat 5g
    Trans Fat 0g
Cholesterol 23mg 8%
Sodium 337mg 14%
Total Carbohydrates 53g 18%
    Dietary Fiber 5g 20%
    Sugars 5g
Protein 20g
Vitamin A 7% Vitamin C 11%
Calcium 36% Iron 16%
Vitamin K 33 mcg Potassium 354 mg
Magnesium 107 mg