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It’s true: The keto diet can help some people lose a significant amount of weight I’m looking at you, Jenna Jameson. But sometimes that weight loss comes with a cost—and when it comes to the high-fat, moderate-protein, low-carb keto diet, sometimes that cost is keto diarrhea. The reason, says Barbie Boules, R. That extra fat that the body doesn’t use comes out in your stools, making them, uh, more fluid than usual. To be clear: Boules doesn’t advocate or encourage the keto diet because of that high fat content. Another keto diarrhea culprit: Using non-nutritive sweeteners think: aspartame or Splenda or sugar alcohols like sorbitol or xylitol to replace real sugar on keto might also cause digestive troubles.