It’s a tried-and-true keto snack. Make sure it’s real mayo! Butter, ghee, coconut oil, and mayo are all good choices. Other hacks include using riced cauliflower or broccoli instead of rice or replacing regular flour with almond or coconut flour. Finally, you can spiralize zucchini into noodles instead of eating regular pasta, which is made with flour and contains carbs. If you DON'T have any bad habits then you are probably one of those people who can maintain keto or another eating plan for life. As far as doing the diet long-term, Dr. Tan says there’s already data on its safety: "We have data on children who have done the keto diet for 12 years or more, and they’re fine. "In our trial, we saw that when the blood levels of uric acid went up, it was only temporary," Dr. Tan says. The secondary outcomes were TAG, HDL-cholesterol (HDL-C), LDL-cholesterol (LDL-C), systolic and diastolic blood pressure, glucose, insulin, HbA₁c and C-reactive protein levels. In the long run, uric acid levels become stable, but there is an initial rise which may worsen active gout or trigger an attack of kidney stone colic.