Ketosis is probably our rudimentary "wintersleep mode". Rudimentary as we are basically tropical animals (look at our lack of fur).
We should not eat for ketosis. But we can eat (restricted to fat and protein) and still stay in ketosis, which is marketed as the keto diet and is not well tested in long term studies. You are a guinea pig when you do this long term.
For me I went keto because I had a problem with sugar addiction going back since childhood. I managed to maintain a healthy weight through exercise etc but as I aged I felt that my bodies ability to handle sugar was decreasing, and it had significant impact on my energy levels, physical appearance and digestion.
Keto not only simplified my diet but massively improved my digestion, and helped me form more awareness of risks of sugar.
Regarding no long term studies.. its hard to believe much these days I rely on body feedback. Years ago the American diet was supposed to be healthy, look how that science turned out.
I'm glad it works for you. I'm not keto hating, I just find people advising to do it long term to be on the quacky side (there simply is no such evidence).
> Years ago the American diet was supposed to be healthy
The result of lobbying. True nutrition experts knew all along.