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Nuts are also portable, making them one of the best keto friendly snacks. In fact, the origins of the ketogenic diet date back to 1921, when Russel Wilder, MD, of the Mayo Clinic, developed it as a more sustainable alternative to fasting for treating epilepsy. Other people go vegan for ethical reasons, believing animal consumption to be cruel and harmful to the environment. Not to scare you, but the ketogenic diet has been shown to increase the risk of disease complications, and even premature death.