Why is it unhealthy to lose 10-15 pounds a week?

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I do ketogenics.
Around 60% fat, the rest non starchy vegetables and protein.
I do it for medical reasons, but the Facebook group I'm a member of has some crazy weight loss testimonials on there.
I don't know how heathy it would be keeping your body in a state of ketosis.
When I feel I'm losing too much weight I do try to include some carbs/try to eat more.
I've never been overweight, more the opposite problem.