Conveniently located to Johnson City, Kingsport, and Bristol in Gray, TN just off Interstate 26 at the Bobby Hicks Highway exit 13. We are right beside of Taco Bell. We always have a nurse practitioner or physician available in house when we are open. No special "clinic" hours here. If our clinic is open, we are ready to assist our clients with whatever needs they may have. 
Here's a keto, dairy-free and egg-free recipe for shortbread cookies. Yes, you read that right. Keeping this keto cookie recipe dairy-free means that it's one of the rare keto shortbreads that skips on butter! Cristina points out that chocolate and hazelnut are a match made in heaven and I couldn't agree more. This recipe is delicious, easy, and comes together in approximately 30 minutes. Perfect if you're whipping up a last-minute batch for an upcoming cookie exchange!
“If you are considering starting any kind of ketogenic diet, you should discuss it first with your doctor. The diet may be harmful if you have existing kidney, liver, or heart disease. If you have diabetes or high blood pressure and are on medications, you should be in close contact with your physician to monitor changes and adjust medications as needed,” Vizthum says.
We know we ought to snack on carrot sticks, but when the potato chips looks so good every time you open the cupboard, sometimes a girl's willpower just isn't enough. Do yourself a favor and hide the sweets, or at least make them so unreachable that they're a huge annoyance to retrieve. Debi Silber, M.S., a registered dietitian in Long Island, N.Y., suggests: "It's all about out of sight, out of mind. Try giving your tempting treats to guests when they leave or asking your friends to hide them."
“I have had people I’ve known for years but haven’t seen in awhile not recognize me. I love that. I love the way I feel, the way clothes fit, and being able to shop in regular clothing stores. Mostly I stay motivated for the years, days, hours and minutes I’m hopefully putting on the end of my life. I’ve got two adult daughters and amazing wife, and I want to be here with them for as long as possible.”
Cutting out grains, rice, bread, and pasta will reduce your carb intake substantially, but you’ll also have to cut way back on nearly all fruits (exceptions are in the food list above, though even those should be eaten sparingly). Starchy vegetables like potatoes and yams are out, too. And the sugary dressings and sauces you may be so accustomed to that you don’t even question them anymore… well, start questioning them.

This noodle dish from SuperGoldenBakes looks stunning and colourful, with a delicious peanut sauce for a hit of healthy fats. Smoked tofu is a delicious alternative to meat, with a richness that some people miss when switching to a vegetable based diet. Spiralized vegetables are a really flexible way to turn just about any dish into a keto friendly one, it’s definitely worth investing in a good spiralizer!


MacDowell has been following the vegetarian keto diet for six years. She’d been a vegetarian for a long time before that but decided to try keto with weight loss in mind. Some research suggests the keto diet may be beneficial for that reason: A study published in May 2013 in the British Journal of Nutrition found the keto diet led to greater weight loss than a low-fat diet and could be useful in fighting obesity.
If you are a petite woman who is five feet tall, a ten-pound weight loss may mean that you've lost up to ten percent of your body weight. That amount of weight loss will be very noticeable and can change her clothing size up to two sizes. But if you are a very tall athletic woman, a ten-pound loss probably won't even be noticeable and may not change your clothing size at all.
This is a 5 day 1512 calorie meal plan designed to help you enter a state of vegetarian, fat burning ketosis! In this meal prep we provide you with a vegetarian keto breakfast, lunch, dinner and snack! But, it doesn't stop there. We've also included supplemental materials to help you fine tune the meal prep to your body and macros! Here's a quick run down of what we've got for you:  
Since the intake of meat and other animal by-products which constitutes the percentage of protein intake is a no go, you have to focus more on fat intake. You should, however, be mindful of the vegetables you take in. In order to source for proteins, vegetarians consume foods like legumes, grain sprouted bread, apples, bananas, oranges etc. which are high in carbs, and so extra caution is advised.

Several years ago, I decided that I wanted to begin bicycling again. I was out of shape and had fond memories of my “fit” days in high school when I used to ride my bike everywhere (even after I bought my first car). Back then, my bicycle was not only a means of transportation, it was something fun to do to stay healthy. I went out to the local bike shop and purchased a new road bike, intent on restoring my body to the slim and fit self I remembered so well. Unfortunately, after several years of riding I had actually managed to gain weight and my cycling hadn’t really improved at all (still as slow as when I first started again).
For anyone following any vegan diet, and athletes especially, the question always comes up: “How do you get enough protein?” Nelson recommends about 0.7g of protein per pound of your goal body weight as a baseline daily intake for active people—and most nutritionists recommend up to one gram per pound if you’re weight training. (Goal body weight means the amount you want to weigh—not the number that currently comes up on the scale. So, if you weigh 205 pounds but remember looking and feeling your best when you weighed 175, eat 0.7g of protein x 175, or about 120 grams daily.)
“Before I started running and eating well, I was 205 pounds. While I was in grad school, my friends and I went out every night drinking, stayed out until the bars closed, and then went to Taco Bell before going home. I rarely cooked at home and often ate out. Looking back at what I ate then makes me realize just how unhealthy I was. I would cook a box of Kraft macaroni and cheese and eat the entire box or eat an entire frozen pizza and wash it all down with Dr. Pepper, and then go to Cookout or Taco Bell later—gross. I joined Weight Watchers in July of 2013 and now I weigh 133.5 pounds and I’ve been able to keep it off by exercising and maintaining my healthy eating.”
“I lost most of my weight (200 lbs.) in about 18 months so I have had to stay busy to keep it off,” he says. “I am extremely competitive and have an amazing network of friends and the From Fat To Finish Line (FFTFL) community. I like to join training groups and training clubs because of the friendships and accountability it creates. It would be easy for me to blow off a 10-mile run at 5:30 on a Friday morning, but I know I have two friends meeting me, who I would never let down.”
My weight loss has definitely slowed like it normally does after the first 2 weeks, but I also think I was getting a little too comfortable with my cheat days.  I let them happen more frequently than I should have.  So now, going into the month of February, I’ll be more diligent about not cheating unless it’s the right day, rather than just deciding on a whim to have a cheat day, just because I wanted what everyone else was having.  I’m going to be traveling to Breckenridge, Colorado for a ski trip this month, so I’m sure that the trip will be difficult on me.  At least, I’ll probably burn a lot of it while I’m skiing.
In this study, each experiment that tested a sugar alcohol against glucose was collected and grouped in order to find an average consensus. Notice that glucose's glycemic index is 100, which makes for easy comparison (table sugar is about 63, for example). As an example of the comparison, look at the first line of the table. You can see that 4 studies compared erythritol with glucose, and the studies found that erythritol had a glycemic index response of zero, on average. This means that of all known studies up to 2003, erythritol did not cause any increase in blood sugar. Xylitol, however, did increase blood sugar, but only has a glycemic index of 13. It is clear that sugar alcohols have some effect on blood sugar, the extent to which is unclear.
Since the intake of meat and other animal by-products which constitutes the percentage of protein intake is a no go, you have to focus more on fat intake. You should, however, be mindful of the vegetables you take in. In order to source for proteins, vegetarians consume foods like legumes, grain sprouted bread, apples, bananas, oranges etc. which are high in carbs, and so extra caution is advised.
As good as the recipe seems please don’t say it is keto. It isn’t. I don’t know if you are just trying to make keto a relevant keyword for ranking or what. This is a disservice to people who are on the diet. Carrots are completely against keto. So are sweet onions, all beans and legumes, canned tomatoes are loaded with sugar. Calling it meatless, vegan, or what have you is fine. But don’t call it keto chili. You are simply lying to viewers.
Vegans consume no animal products. Like vegetarians, they don’t eat meat, poultry, or fish, but they also avoid dairy, eggs, and other foods that contain even trace amounts of animal ingredients. Most vegans won’t eat gelatin (made from bones), casein (a milk protein), and fish oil supplements, or refined sugar (some brands of which use cow bones as a whitening agent).
Be wary of packaged vegan and vegetarian meat substitutes: While these might be good substitutes for meat in terms of fat and protein, they might also contain a high amount of carbs. Be sure to check the carb content per serving, and consider the ingredients. Is it full or preservatives and fillers? Better meat substitutes would be any of the proteins mentioned above as well as portobello mushrooms or eggplant.
My Weight-Loss Secret: "I was too embarrassed to go to the gym, so I committed to walking three times a day for 10 minutes before breakfast, lunch and dinner. Sometimes I'd just walk in place in front of the TV. After a year, I'd lost about 40 pounds through a combo of diet and exercise. Then I got pregnant with my son. I kept walking, and eight months after he was born, I'd lost 63 more pounds. I've kept off the weight for nine years, and today, I still walk about two miles, three days a week."
“I’ve been going to ‘get in shape’ for years now. Would start to, but never really saw any results. Samantha took this junk food junkie and showed me how eat healthy and so I would enjoy it! ** IN ONLY 16 WEEKS I'VE ALREADY LOST OVER 30" AND 30 lbs. OF FAT! ** I really can’t believe how easy the transformation has been. I only wish I had called Samantha sooner!” - Karen
“The most rewarding part of running for me is the feeling of accomplishment that comes with it, and pushing myself beyond what l ever thought was possible. It has been rewarding to see a transformation in my body, and to feel a transformation mentally and emotionally. My husband sporadically runs and he used to tell me that I should run, too. At the time, I was more than 100 pounds overweight, and that seemed like a ridiculous thing to say. I recall telling my husband back then that, ‘I will never run.’ I laugh now because he rarely runs, and I run all the time.”
Use all of these to meal plan some vegetarian keto recipes! Be creative with your meal plans. As far as recipes go, try to re-imagine the foods you used to eat with a low carb perspective. This can go a long way. Instead of nachos, make a taco salad with some meat substitute grounds. Make a pizza using cauliflower crust. Make a grilled cheese using a keto bread recipe. The possibilities are endless once you get on board.
What’s more, it could be particularly startling for vegans. Fortification Lauderdale, Florida– based Jaime Mass, RDN, author of Jaime Mass Nutritionals, LLC, says vegans usually moved toward becoming “pasta-tarians.” Instead of supplanting meat with sound plant-based nourishments and entire grains, many loads up on pasta, saltines, and other carb-overwhelming things. Changing to keto could be troublesome for these pasta-tarians, yet it could likewise be useful in helping them cut back on handled carbs.
A challenge that you may face is keeping your carbohydrates below 30 grams per day because by nature, these plant-based protein products contain 2-10 grams of carb per serving. But these products are also higher in dietary fiber (aka low-digestible carbs) which has a reduced effect on blood glucose levels (Grabitske, 2008). This may give you a little more flexibility with the number of carbs you can eat while still maintaining ketosis (e.g. up to 50 grams per day), but this will require tracking to be sure.

Jay Te thank you for pointing out the health concerns of some of the recommendations on the site. I have to admit that a red flag went off for me but still is unsure of piecing together a healthy meal plan for vegetarians or pescetarian. I have to admit I wasn’t impressed with the meal plans here on my own account of not liking several of the ingredients. Can you recommend a healthy list that is not in contradiction to health risk for others like me? Thank you.
“My biggest hurdle was the shame I felt from being a fat man running. In the beginning, I only ran on a treadmill because I was too ashamed to run outside. I thought I looked like an oaf or an ogre. As I got to know the regular patrons of the gym, they complimented me on my consistency in training and the changes in my appearance. That’s when I realized that the only person who felt any shame about my appearance was me.”

Use all of these to meal plan some vegetarian keto recipes! Be creative with your meal plans. As far as recipes go, try to re-imagine the foods you used to eat with a low carb perspective. This can go a long way. Instead of nachos, make a taco salad with some meat substitute grounds. Make a pizza using cauliflower crust. Make a grilled cheese using a keto bread recipe. The possibilities are endless once you get on board.
Too much stress could be thwarting your weight loss efforts. “Cortisol is the stress hormone in your body that glues itself onto fat and keeps it on your hips, abs and thighs,” says Jillian Moriarty, a certified yoga instructor and owner of Happily Ever Active in Wayzata, Minn. To decrease cortisol and decrease fat, try this quick time out every day (especially when stressed), recommends Moriarty. Sit comfortably, close your eyes, and choose a mantra such as ‘relax’ or ‘let go’ and repeat it in your mind as you take slow, deep breaths for about 10 minutes.
Study author Nicholas Rule is an associate professor and Canada Research Chair in Social Perception and Cognition at the University of Toronto. In a release, he explained that they investigated facial adiposity (the amount of fatness in your face) because it is a "robust indicator of one's health." He went on to provide some good news for women. "Women's facial attractiveness may be more sensitive to changes in weight," said Rule. "This just means women attempting to lose weight need to shed slightly fewer pounds than men for people to find them more attractive."

Another part of this is opting for frozen or canned foods over fresh. The frozen and canned options are going to last a lot longer than the fresh options, giving your more versatility if you accidentally make an impulse buy of something you don’t end up using before it goes bad. This goes against a lot of the popular culture right now, but it’s an underrated strategy of saving money

Although fat makes a low-carb diet filling, studies show that protein is the most sating macronutrient by far. A common mistake for low-carbers is that they eat less protein in fear that they will go out of ketosis (as a result of gluconeogenesis). However, the truth is that you'd have to eat significantly more protein consistently to disrupt ketosis.
Blue Diamond nut varieties - Blue Diamond nuts are notoriously low in carbs. Their typical salted almonds only have 2g net carbs per 24 nuts! Even their dark chocolate almonds only have 6g net carbs per serving. They have tons of other flavors as well, which makes for awesome variety in your snacking (a big problem for keto-goers) - you won’t get bored of this stuff.
Zucchini noodes (zoodles!) are a bit of a staple on the keto diet, when I first started cutting out carbs pasta was one of the biggest thing’s I missed. Pre-keto I would love making pasta as a quick and easy weeknight dinner, but actually the zucchini version is so much better, with more flavour and quicker too. This dish can be put together in under 10 minutes! #keto diet
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