One potential pitfall of improper long-term keto dieting is microbiome damage. If one isn't eating greens and such at all[0], the lack of other plant fiber cou

One potential pitfall of improper long-term keto dieting is microbiome damage. If one isn't eating greens and such at all[0], the lack of other plant fiber could starve certain beneficial microorganisms to small enough populations as to become ineffective. Having learned this, I now have a big-ass salad daily, generally, and I take a probiotic supplement. (Organic spinach is just $2/bag at Trader Joe's!) [0] e.g. if one subsisted on mostly processed food before keto, if they don't add some appropriate carbs (even ones they didn't previously eat with any frequency), the microbiome will suffer... and it is difficult to repair without carefully culled fecal transplants.