Your home and work environment. If you are surrounded by people who consume a typical American diet at home and work, you may have a harder time sticking to this plan. Most common foods (starchy carbohydrates like bread, pasta, rice, baked goods) are not included in a ketogenic diet. Cravings for these foods may be difficult and even intolerable at times.
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I have helped numerous clients succeed in significant weight loss journeys that involve losses of over 20-30 kg in body fat over the space of 1-2 years or more. I actually find such longer term journeys more rewarding as they allow me to teach my clients about the impact of nutrition and lifestyle habits on their physiology. This not only helps them, but also helps those closest to them as well.