I have been doing low carb and intermittent fasting for over 2 years. M-F I only eat from 7-9pm, weekends from noon-8pm. It’s really changed my life. Years of blood sugar spikes and crashes are gone. I did 3 days on the JMT recently with 10+ mile, 4-5K gains at 9-11K feet elevation eating the same low carb diet and I did not feel any ill effects compared to lower elevation hikes. Typical day is coffee with butter in morning, cheese and nuts at noon, tuna, cheese, peanut butter and low card bar at dinner.
Even during long day hikes I don’t feel the need to eat before noon. I think it’s worth pointing out though you can outpace the conversion of fat to energy. Just because you are fat adapted doesn’t mean you can run/hike at very high output indefinitely. During two hikes with some pretty big elevation gains where I was attempting to see how far/fast I could hike fasted I hit the wall really hard. First hike was 5 hours in, 10 miles over 5.5K gain with 40lb pack. It comes on fast. One minute you feel fine the next it’s as if you are submitting Everest. Each step seems nearly impossible. Breathing, thinking all become very difficult. Second time was recently, about 4 hours/12 miles in on a fast hike during a steep climb-the wheels just fall off. It’s a horrible feeling.

