Cut back on nuts if you find your weight loss is stalling, and make them an occasional indulgence. The nuts in the middle are not the best keto options, but you can probably get away with a few and still remain in ketosis. Some of us enjoy eating dry-roasted, salted nuts so much that we end up going overboard with them. If this is you, limit yourself to one handful, or simply avoid them. Alcoholic ketoacidosis develops when you drink excessive amounts of alcohol for a long period of time.