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. 
As, yes, the age-old question: but where do you get your protein? If you’ve been plant-based for any amount of time, you’ve likely heard this asked in at least five different ways. At least here in North America, it seems as though people really struggle to wrap their heads around the idea that you can get enough protein without eating meat, dairy or eggs. This issue becomes especially pronounced when we talk about vegan keto diets.
I am brand new to this concept! I just downloaded the app and transferred the vegetarian 2-week plan into my app settings. (Great app btw!). I noticed that the net carbs are really low. For example, day one is 10.3 for the day. I set a goal of ~20 based on what I am learning from app. Should I be concerned? I meet the calories for the day by not the protein or net carb goal.  Hope I am making sense!
One thing many people miss when following a plant-based keto diet is fruit. Whether it’s in your morning smoothie, an afternoon pick me up, or after dinner as a sweet treat, fruit plays a big part in a vegan diet normally. But with this fruitless green smoothie bowl, you’re guaranteed not to miss the sweet stuff at all! Put this on your rotation of plant-based breakfast recipes and you’ll start the day with a boost of energy.
The primary concern? Along these lines of eating is difficult to stay with on the grounds that it consolidates two prohibitive diets. Mass trusts the dangers exceed the advantages. In any case, on the off chance that you choose to attempt it, Mass alerts to approach the diet painstakingly, in a perfect world under the direction of a qualified enrolled dietitian who can enable you to pick your nourishments deliberately and guarantee you are enhancing the diet where required. Mass likewise proposes diminishing your carb allow steadily as opposed to going all out veggie lover keto medium-term so you don’t totally stun your framework.
You tell yourself you're not going to order dessert, but the minute you see the fudgy chocolate cake delivered to the table next to you, all your good intentions go out the door. To help you ward off temptations, Abbey Sharp, RD, a nutrition consultant in Toronto, recommends having a treat waiting at home. "Before you go out to eat, put aside a portion-controlled sweet for yourself at home, like a small cookie or a square of melted dark chocolate with fresh berries," says Sharp. Or try whipping up a dessert for the entire family, like a light angel food cake with fresh berries, that will give everyone something to look forward to. 

“As a mother of four children over the last 12 years I’ve not devoted much time to myself, and as a result I developed issues with weight. I’ve tried many things but the weight would always creep back on. I’d seen Samantha’s flyers for almost a year before I contacted her, it’s only been two weeks since our first meeting, and I’ve already seen so many changes in both my body and my lifestyle, ** I'VE ALREADY LOST 8 lbs.! ** She is a personal “Instructor”, teaching you how to weight-train and healthier eating as a lifestyle. Samantha not only shows you what’s given her success, but also explains the mechanics behind the exercise and food. She’s great!” * Lori
“The weight starting coming off,” she says. “I remember I lost 9 lbs. my first week. After I had lost 100 lbs., I started trying more adventurous exercise. I became fascinated by fitness and seeing what new things I could accomplish with my body. I do things that I never dreamed were possible like running races, lifting heavy weights, and completing a sprint triathlon.”

This keto cookie recipe is loaded with fat and protein but skips the baking process, for a recipe that's incredibly quick and easy. While the texture might be similar to your favorite oatmeal cookie recipe, there's not an oat in sight! With just 6 ingredients and 20 minutes of time, you can whip up these delicious healthy keto treat that also happens to be gluten-free, grain-free, nut-free, paleo, and vegan!

Salad bowl again, this time a little more decked out! Spinach & arugula base (covered in mct oil, apple cider vinegar & @bragglivefoods nutritional yeast!) topped with 2 radishes, 1/4 cup of raw broccoli, 1/4 cup of red cabbage, 1/2 avocado, a @fieldroast field burger and 1oz of @treelinecheese cashew scallion cheese! I have never been so in love with a salad 😍- Meal Totals: 641.7 cals / 43g fat /42.2g protein /18 Net Carbs
From restaurant menus to new products on store shelves, ketogenic foods are all the rage right now. The keto diet focuses on high-fat, low-carb foods that are low in sugar with a moderate amount of protein. And if you’re interested in giving this diet a try, you may be wondering what plant-based foods are keto-friendly and if it’s possible to be vegan on a keto diet.
Walking is great exercise for weight loss, but it seems to be even more effective when done just after eating. A 2011 Japanese study found that walking immediately after a meal was more effective for weight loss than waiting up to an hour afterwards. Subjects who went for a brisk, 30-minute walk just after lunch and dinner lost more weight than those who waited to walk. And because walking is a low impact form of exercise, it shouldn’t cause any digestive distress.
Besides getting plenty of healthy fats, watching your carbs is one of the most important factors here—and a lot of the go-to meals and especially snacks common for vegetarians and vegans are pretty carb-heavy. But excessive carbohydrates (even from veggies) aren’t part of a keto diet. Of course, refined carbs like sugar, flour, bread, cereal, chips, etc. are immediately off the table.
Although many people avoid eating meat due to concerns about animal welfare or the environment, others choose vegetarianism because they believe it is healthier. However, vegetarian diets are typically high in grains, legumes, and starchy vegetables, which aren’t appropriate for individuals with diabetes, who want to control their blood sugar without medication. Additionally, many people find that they are constantly hungry when following a low-fat, high-carb vegetarian way of eating.
MCT Oil. This oil is commonly derived from coconut oil and palm oil. It contains medium chain triglycerides, which are saturated fatty acids that skip normal fat digestion and go right to the liver where they are converted into ketones for fuel. Add it to your salad dressings, sauces, smoothies, fat bombs, and hot drinks like coffee or tea for a potent energy boost.
This chocolate treat recipe is delicious and also ridiculously simple to whip up. These almond haystacks only require 3 ingredients and 20 minutes to make. Easy peasy and the resulting flavor is delicious—sweet, salty, chocolaty, and (of course) crunchy. This is the perfect recipe if you're looking for a quick and easy chocolate treat that's just a little bit sweet.
The percent in carbs that will put you into ketosis is different for each individual. I don’t think there is an established scientific maximum amount that allows ketosis for all. In addition, the 43% in calories of fat of this meal plan is a long way from the 70% fat of a strongly ketogenic diet. However, the 29% protein is in line with a moderate protein ketogenic diet. To sum up, this meal plan is on the border of ketogenic at best. You would have to see if you can actually pink a urine stick on this diet. It’s an oxymoron to have a diet that is low carb and high carb at the same time!
They are ripping down the rain forest at 1 acre/second – to put cows there – or food for cows – so carnists can have (what they call) beef and dairy (which is all either milk meant for baby cows – or it is a product //like cheese – made from the milk that was meant for the baby cow. So – when worrying about the palm oil – think about all of this as well if you are still eating cheese or drinking the mothers milk from another species.
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MacDowell has been following the veggie lover ketogenic diet for a long time. She’d been a veggie lover for quite a while before that yet chose to attempt keto in view of weight reduction. Some examination recommends the ketogenic diet might be helpful, therefore: An investigation distributed in May 2013 in the British Journal of Nutrition found the ketogenic diet prompted more prominent weight reduction than a low-fat diet and could be valuable in battling corpulence.
In one study, eating a high-fiber, higher protein dinner (30% of total calories from fiber and 17% of total calories from protein) and less saturated fat helped adults fall asleep faster than those who ate meals that were lower in fiber and higher in saturated fat and sugar. The researchers found eating a high-fiber, higher protein meal was also associated with more time in slow wave, deep sleep, which is essential for memory consolidation and immune function. Eating more saturated fat, in contrast, led to less restful sleep and more nighttime arousals.
Takeaway: It’s possible to be vegan and do nutritional ketosis but you will need to do some research, planning/calculating, and self-experimentation to make sure you are meeting all of your requirements. You may also want to include a multivitamin containing vitamin B12 and a vegetarian omega-3 supplement (such as flaxseed oil or algal DHA such as ‘Neuromins’) to ensure you are meeting all of your nutrient needs!
Something like this green omelet is a perfect breakfast for a vegetarian keto diet! If you want to try another option, check out this breakfast casserole – just leave out the meat! This zucchini casserole is also a crowd favorite – simply omit the bacon! Eggs aren’t just for breakfast, so if you’re feeling a little devilish, give this deviled egg recipe a try – again, sans bacon. It’s eggs-actly what the doctor ordered.
In the first week you lose a lot of water weight.  That is why you lose so much so fast.  I went off the diet and gained 7lbs over night...all water weight.  They say a good rule of thumb is to take what your weight lose is the first 5 days and add that to your weight...this will be your weight if you go off of the diet.  I lost 25lbs in a month.   #ketoconazole
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