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TLDR: High fat bad (in Zebra fish at least).
So... keto = unhealthy?
If you are a zebrafish.
...and even then, only if their microbiome contains certain bacteria...and even then, only they carry a certain species of said bacteria.

Zebrafish without said bacteria "are resistant to high fat diet induced EEC silencing" per the abstract.

It's almost as if doing anything in excess isn't good for you.