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That said, there are those for whom a keto diet can actually feel easier, since it's straightforward on what the rules are and may lessen feelings of hunger. As a result, you could be missing out on cancer-fighting and heart-healthy nutrients and phytochemicals—especially if you're not being mindful of the healthiest keto-friendly options. You may also be hit with side effects like constipation because of lack of fiber. In fact, when children with epilepsy are put on the diet, they are required to take supplements, often including magnesium, potassium, selenium, sodium, and zinc, to keep nutritional requirements in balance.