Do you have microbiome dysbiosis? A keto diet might improve things (eg lower LPS production), but long term can diminish microbial diversity. I’m not saying keto is bad at all - it’s just that microbial diversity is an important predictor in GI health and one should keep an eye on that too.
Yeah i mean i know that keto isnt great, but it has changed my life to some degree. When in ketosis, i feel like i have "agency", otherwise i am this foggy headed, sloth
https://www.metabolicmind.org is a non profit, with many MDs and PHDs dedicated to researching the link between metabolism and mental health, with a focus on keto diets.