Lipedema, TTC & weight issues

As with a lot of women here I have always been overweight. Lowest weight I ever got to being 5'7" was 160lbs. I have a disorder called lipedema where portions of my body are disproportionate and have diseased tissue that swells and becomes painful. Changes in phases to this disease normally happens during hormone changes like puberty, pregnancy and menopause. My partner and I have been recently trying (going on 6 months) and now that my weight has crept over the 200lb mark I'm wanting to go back to keto (used it previously to lose 40+ lbs). Has anyone done vegetarian keto? Willing to make an accountability buddy/cheerleader? Have a similar story?