I was only on it for a week, made all my organs hurt, and had loads of other symptoms, acute muscle pains over my lower ribs, and raised my blood sugar levels.
When I looked up the symptoms on the leaflet/www it said lactic acidosis. So I took myself off it and told them why. But I was left with kidney aches and had my first ever UTI/kidney infection a few weeks later. When I saw Doc he agreed to my having stopped it due to what it caused.
I think I take enough fats, cheese, full fat greek yoghurt, butter, olive oil, nuts. I didn't want to raise my fats too much & cause pancreas inflammation.
Have thought about what you said though, and think I might try and up my fats a little more with some avocado