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Web Yes, Transitioning To The Keto Diet Can Lead To Constipation, Especially If Most Of Your Fiber Sources Are High In Carbohydrates, Such As Grains And Starchy. Web can keto pills cause constipation. Constipation occurs when there is a slowed movement of food through the digestive system. Adopting keto is bound to change your eating lifestyle,. One Of The Most Common Is A Soluble Fiber Supplement, Such As Psyllium Husk Or Inulin Powder.