The downside to Keto is that you take in less fiber. I added these and have had zero issue since

Citrucel Fiber Therapy Caplets for Irregularity, Easy to Swallow Methylcellulose Fiber Caplets, 180 Count https://www.amazon.com/dp/B004RFF630/ref=cm_sw_r_cp_apip_yDbC6E4BbRd5W

Also, up vote for squatty potty! I use an ikea child's stool for the same features