Everyone is different.
Granted, I can't entirely separate the effects of ketosis in and of itself from an overall cleaner diet with more vegetables and fewer processed foods. It's possible that the same diet with butter swapped out for quinoa would have yielded a similar result.
As far as sweeteners, my go-to is liquid stevia, which I use about 1/5 a cup of daily. When I need a solid sweetener (e.g. for baking), I use inulin fiber sweetened with stevia and monk fruit, which creates a nicer texture than actual sugar IMO. I also have allulose on hand for specific use cases (e.g. caramelizing), but I can't really stomach it in large quantities.
The added benefit is that my diet is much higher in protein and lower in carbs, which definitely has helped me build and maintain muscle and reduce dad bod.
Again, just annecdata, but maybe individuals have differing nutritional profiles that work best for them?
The goal is to keep your microbiota as far as possible to a monoculture.
I am absolutely not an expert on this subject, but so far, my understanding is that there are not really "healthy" bacteria, there are only healthy mixes where different species balances and keep the other from growing.
About 10 years ago I switched overnight from a very meat heavy diet to mostly plant based (I still eat dairy products and one or two servings of fish per week).
Within a week I was shocked at how well my digestive tract was suddenly working. Before that I had no idea how broken it was.
All other factors aside, I could never go back to the slow, uncomfortable digesting process of a typical USA meat heavy diet.