For the best texture, choose sturdy lettuce leaves such as inner romaine leaves or large butter lettuce leaves that can comfortably hold the tuna salad without tearing. If you prefer a richer salad, add more avocado or a bit of extra mayonnaise, keeping in mind that this will increase the fat and calorie content while still staying keto. To meal prep, store the tuna salad in an airtight container and keep the washed and dried lettuce leaves wrapped in paper towels in a separate container, then fill the cups just before serving. You can customize the flavor by adding a pinch of smoked paprika, a few chopped dill pickles made with no added sugar, or a spoonful of Dijon mustard, being sure to check labels to keep carbs low. These lettuce cups pair well with sliced cucumber, cherry tomato halves in moderation, or a simple green salad dressed with olive oil and vinegar for a complete keto-friendly meal.