Preheat your oven to 350 degrees. Spray a baking dish or baking sheet with cooking spray and set aside.
In a small skillet heat the olive oil over medium heat. Add onions and garlic and cook until onions are translucent. About 3 minutes.
In a large bowl mix together the turkey, breadcrumbs, egg, ketchup, Worcestershire sauce, salt, black pepper, and onion-garlic mixture. Form into a loaf and set on the baking sheet.
Top with the BBQ sauce and bake for 1 hour or until an instant read thermometer registers 165 degrees. Let stand for 5 minutes before slicing.
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Notes
Please note that the serving size for this recipe is 5 ounces (by weight).