Hello and welcome,
I don’t know if you’re considering Hormone replacement therapy but I know that can knock everything around a lot and I think the modern consensus is not to touch the stuff?
Actually any medication whatsoever can change the entire keto story. Dr Ken Berry rattles off a big list of meds…
All those berries and Stevia and stuff are on the the don’t touch list. Once we are firmly established in ketosis, for a couple of weeks at least, then we can think about adding them slowly.
In my humble opinion there are too many things going. Simplify, establish, then experiment slowly