The kind of keto needed to actually impact epilepsy is so strict it’s nearly impossible to stick to it and live life. Particularly as an adult.
If you eat an apple you’ve eaten all the carbs you can have in a day.
That said, putting epilepsy aside I clearly function better as a human when I have less carbs. And I’m interested in these wearables coming to market [finally] that track ketones along with blood sugar.