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gluten free paleo aip chicken saltimbocca

Chicken Saltimbocca (GF, DF, Paleo, AIP-friendly)

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Chicken Saltimbocca is a classic Italian dish where chicken cutlets are wrapped in fresh sage and prosciutto, then browned in a skillet, and topped with a rich and lemony pan sauce. Saltimbocca can also be made with pork or veal cutlets, but chicken is so easy to source and works especially well here. 

We make this version all the time at home and it's always a showstopper. In fact, the Italian translation of "Saltimbocca," is, "It jumps in the mouth!" 

Watching the way my family scarfs this down, I would say that's pretty accurate! LOL

But the best part about this recipe for us Thyroid Thrivers is that it is gluten-free, dairy-free, Paleo, and AIP-friendly. I'm so excited to cook it for you in this episode of Thyroid-healthy Bites!

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Making Saltimbocca Gluten-free

The original Saltimbocca recipe given to me by one of my cooking buddies featured wheat flour, which not only put a nice crisp crust on the chicken cutlets but also served to thicken the luscious pan sauce. My son, who requests this meal for his birthday dinner, calls the pan sauce, "Lemon Gravy," which is a fairly accurate description. 

Now, there are a lot of gluten and grain-free flour alternatives out there to choose from. Unfortunately, most of them are too grainy, flavorful, prone to scorching, or devoid of "thickening power" to work well here.

For a while, we made Chicken Saltimbocca without flour, which was okay, but it just wasn't the same.

It wasn't until I started using cassava flour that I knew I had finally found the perfect gluten-free replacement for this recipe. 


What is Cassava and is it Okay for Hypothyroidism?

Cassava, sometimes called yuca, is a starchy root vegetable native to South America. It has a mild, slightly nutty flavor, and can be dried and ground into a very, very fine-textured flour. In fact, when you open the bag, watch out because you might get a little white cloud of super-fine cassava flour in your face if you're not careful! 

Cassava also happens to be gluten-free, lectin-free, low-FODMAP, Paleo, and AIP-friendly! My paleo, autoimmune, and AIP recipe writing buddies LOVE cassava, but it does have one caveat... 

It would be absolutely perfect for Thyroid Thrivers, if not for one thing: Cassava is goitrogenic, meaning that it can inhibit thyroid function. But don't let that scare you off! Like so many other nutritious goitrogenic foods (like broccoli, kale, or sweet potatoes just to name a few) most experts feel cassava is not an issue unless you're consuming it in excessive amounts or as a dietary staple. Using it for the occasional recipe like this one doesn't fall into that category.  

Personally, I go through maybe one bag of cassava flour a year, so I don't worry about it, but I do pay attention to how much cassava I'm eating on the whole, including cassava tortillas and cassava tortilla chips. Like all goitrogenic foods, I simply try not to overdo it. But like my other autoimmune recipe buddies, I too treasure cassava as a gluten-free solution to things like holiday gravy, roux-thickened soups or stews, or this succulent Saltimbocca. It's all about balance. 

My 2 favorite brands of cassava flour:


Chef's Tips:

  • Cassava flour works perfectly for things like thickening gravies or stews, for dredging and frying, or even for making a roux. It also works perfectly for the technique used in this Saltimbocca recipe of browning meat or poultry in a skillet with a nice light crust and then deglazing the browned bits from the pan with liquid to make a pan sauce. 
  • When cooking with wine, rest assured that almost all the alcohol cooks off. If you're on a strict healing diet like elimination-phase AIP, you can omit it and replace with a little extra lemon juice. To learn more, read my post on, "Cooking with Wine the Thyroid-healthy Way."
  • To make this recipe AIP: Omit the pepper, replace the ghee with additional extra virgin olive oil, and replace the 3 tablespoons of white wine with 1 additional tablespoon of lemon juice. These instructions are included in the printable recipe (below). NOTE: Ghee and black pepper are AIP Reintroduction Phase 1, and wine is Reintroduction Phase 2. 



What is Prosciutto di Parma?

Prosciutto is a salt-cured pork product, made by rubbing a hind leg quarter of pork with salt and letting it dry age for months or even years. While there are many brands of prosciutto available, and many of them decent, none really compare to genuine Prosciutto di Parma, from Parma, Italy.

Yes, that's the same region that produces true, raw milk, Parmigiano-Reggiano cheese. In fact, the pigs in Parma are fed the whey from the cheesemaking process, giving true Prosciutto di Parma its unmistakable sweet and nutty flavor.

It's astounding, really, that such complex flavor comes from just 2 ingredients: pork and premium Italian sea salt. And the processing? Fresh mountain air, and time. That's it.

Finally, after all that fresh air and time, it just needs to be shipped off to your local grocer and sliced so thin you can read the newspaper through it (I'm only slightly kidding about that).  

Sure, you can substitute another brand of prosciutto in this recipe, but be sure to check the ingredients for things you may be avoiding like nitrates, nightshade spices, or other preservatives. 

You can often find Prosciutto di Parma at the deli counter, and also at Costco. 


Thyroid-healthy Highlights: 


Suggested Accompaniments:


Show Links:



Chicken Saltimbocca

Chicken Saltimbocca

Yield: 4
Prep time: 25 MinCook time: 30 MinTotal time: 55 Min
Gluten-free, Dairy-free, Paleo, AIP-friendly


  • 4 boneless, skinless pasture-raised chicken breasts
  • 16 fresh sage leaves
  • 8 large slices of Prosciutto di Parma (about 6 ounces)
  • 1/2 cup plus 1 teaspoon cassava flour
  • 2 tablespoons extra virgin olive oil
  • 2 tablespoons grass-fed ghee (sub. olive oil for strict AIP)*
  • 3 tablespoons dry white wine (sub. 1 extra Tbsp. lemon juice for strict AIP)*
  • 1 cup chicken bone broth
  • 2 tablespoons fresh lemon juice (about 1 lemon)
  • fine sea salt, to taste
  • freshly ground pepper, to taste (omit for strict AIP)*


  1. Lay chicken breasts flat on a cutting surface. Place one hand flat atop the breast, and carefully slice through the middle to create 2 fairly equal-sized cutlets. Repeat with remaining breasts so you end up with 8 thin cutlets. 
  2. Optional Step: Lay a sheet of plastic wrap atop chicken and pound with a meat mallet to about 1/3-inch thickness. This makes the chicken nice and tender, but you can save time by skipping this step. 
  3. Sprinkle both sides of chicken cutlets generously with fine sea salt and freshly cracked pepper (omit pepper for strict AIP). Press 2 sage leaves onto each cutlet, and wrap each cutlet in a slice of prosciutto, pressing to adhere. 
  4. Place 1/2 cup cassava flour on a pie plate and season with salt and pepper (omit pepper for strict AIP). Lightly dredge chicken cutlets in flour mixture, shaking off excess. 
  5. Place a large skillet over medium-high heat and add 2 tablespoons each of olive oil and ghee (use 4 tablespoons olive oil for strict AIP). 
  6. Once oil is hot and shimmery, add 2 to 3 chicken cutlets to the skillet, cooking 3 to 4 minutes per side or until crisp, lightly browned, and cooked through. Place cooked chicken cutlets on a serving platter and tent loosely with foil to keep warm. Working in batches, repeat until all cutlets are cooked. 
  7. Add chicken broth to the skillet, scraping up any browned bits from the bottom of the pan. Bring to a boil and let bubble until liquid is reduced by half. 
  8. Mix 1 teaspoon cassava flour with lemon juice and add to reduced broth. Stir to combine. Add white wine (replace with 1 tablespoon extra lemon juice for strict AIP) and let simmer until sauce has thickened slightly. Remove from heat. Taste and adjust seasoning, as desired. It should taste rich and lemony. Spoon sauce over chicken and enjoy!


Ghee and black pepper are AIP Reintroduction Phase 1. White wine is AIP Reintroduction Phase 2.


Nutrition Facts



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