I am a 64 year old obese and disabled women. I have metabolic syndrome and lupus. Two fake knees inhibit most exercise. Walking is difficult. After a year and a half on keto, I got really Ill and stopped. I don't think keto was the cause, just my weight. A year later, I am better and I am back. All the drugs I take cause weight gain so I am back 25 lbs. Bigger! I must lose A lot of weight! I will lose a lot of weight!