The problematic thing for me at night is benign prostatic hypertrophy. Making me get up 2-3 times at night to pee. I got rid of it last year after I did a 5-day water/coffee-only fast. After my stroke it came back as a side effect of one of my hypertension meds. However, the keto diet is really improving it. I hope to be up once only pretty soon. I've had to get up once sine I was in high school. I'm good with it. Besides I like to check out the house in the middle of the night.