How long have you been on keto? Seems like 6-7 months?
This may not be a popular opinion, but I’m all for better living through chemistry - until and unless you can get there on your own. For years I’ve taken blood pressure medicine, antidepressant and thyroid medicine. Even after 8 mo. of clean keto and being only about 30 lbs. from goal, I still need a blood pressure med. As far as antidepressants, I look at it like just correcting a chemical imbalance, not as a mood enhancer - and thyroid supplement, gotta have that.
Good luck with your appointments.