Hi @avmcbellar, I didn't exercise regularly while I was on the keto diet. Actually I didn't start doing regular exercise until early last year just prior to my right knee replacement and I just continued doing it on a daily basis. I have an elliptical and recumbent bike combo exercise machine that I was using mostly the bike before the knee replacement but then started using the elliptical 30 minutes or so a day. I recently bought a Sand Dune Stepper (https://www.sanddunestepper.com/) which I'm now using 30 to 60 minutes a day in 15 minute increments along with the elliptical. I don't get crazy with the cardio part but do it enough to get my heart rate slightly elevated.