I'm not saying ketogenic diets are the best or anything like that. I'm just saying that you won't go into serious ketoacidosis because of them.
The official recommendations haven't opened their eyes to ketogenic diets. For example, one of the biggest fears for ketogenic diets used to be (or even still is today) that the high amount of fat will cause deleterious changes in blood cholesterol. However, no trials I have seen have supported that.
I don't think you need strict medical supervision on a ketogenic diet. I've never heard of anyone getting seriously ill from it, and a lot of people are on the ketogenic diet (if people on ketogenic diets started dying one by one, we'd probably know about it). I think it's more a matter of official policy having to be very strict with new things where there has been/is a limited amount of research, simply because they need to be on the safe side in their recommendations. Also, of course, because a lot of the ketogenic diet crowd are fanatics and make claims that are not reasonable at all. something I believe has really slowed the process of getting the ketogenic diet accepted as an alternative by the different associations (like the AHA, etc).
I think more and more associations will have to open their eyes to ketogenic diets in the future because more and more research is showing good effects from it, specially in the areas of obesity, metabolic syndrome and diabetes II.
what do you mean by quantity issue? That certain vitamins and minerals might lack?
Please don't interpret this as me being a ketogenic diet preacher. I simply think the diet is misunderstood and that it has it's place, not that it's the ultimate diet or anything.