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. 
“What is a keto diet?” you might ask. The keto diet plan involves eating lots of fat, a modest amount of protein, and tiny amounts of carbohydrates and sugar. Following a keto diet plan will eventually bring your body into a state of ketosis, where your body burns fat instead of carbohydrates for energy. This supports quick, but safe and healthy, weight loss!
There are other side effects as well when your body is first adjusting, like difficulty focusing, flu-like symptoms (keto flu), drowsiness, frequent urination, constipation, diarrhea, and reduced strength and physical performance. Most of these symptoms occur mainly in the first few days, while others can come and go depending upon how many electrolytes you are getting and your macronutrient intake.
Plate sizes have certainly changed over the years, increasing in diameter just like our waistlines. Our great grandmother's dinner plates looked like today's salad plates. “We're all visual, and it's so much easier to eat the right portion and feel satisfied when we eat on smaller plates,” says Cheryl Harris, MPH, RD, holistic nutrition coach in Virginia. If you’re eating in a restaurant that's using plates the size of manhole covers, try ordering your own salad or appetizer and sharing a main dish. When dining out alone, ask the server to wrap half your dish in a doggy bag before it's served, and enjoy the rest on a smaller appetizer plate — you'll never know what you're missing!
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"I started working with a weight-loss coach at Healthy Fit for Women in Woburn, MA. The key was slowly making changes in the way I ate, which eventually led to permanent habits. I used to think I was eating 'healthy' foods, but my portions were way too large, not to mention packed with sugar. I started eating breakfast, then tried to eat five small meals a day, every three hours, instead of larger ones later in the day."
Despite the vegetarian diet's links to weight loss, it is possible for vegetarians to be overweight. That's because vegetarian diets, with their focus on fruits and vegetables, tend to be more carb-heavy and fat-deficient than other diets. Science has shown that overloading on carbs and sugars can lead to weight gain, and considering protein's positive effects on satiety and metabolism, skimping on the nutrient can also cause pounds to pile on.
Often a vegetarian diet is perceived as one packed with carbohydrates and twinned with the struggle of eating enough protein, so it’s normal that some vegetarians may feel trepidation when encountering the ketogenic approach to nutrition. Is it possible to enter a state of ketosis and get the same results on a vegetarian keto diet as someone on an omnivorous diet? The answer is yes — especially if you’re still consuming some animal-sourced products as a lacto-ovo vegetarian.
You may have heard by now that I finally wrote and published a “real” book called Keto for Life!!!  The reviews are in and people are loving it!  Already a best seller, you can learn more about what you’ll find inside Keto for Life by clicking here!  OR head over to Amazon to check out the reviews of Keto for Life before snagging a copy for yourself!
For an overall view of what a successful vegetarian keto diet meal plan looks like, you have to consider your three main macronutrients first: Healthy fats, carbs, and protein. Because you're not eating meat, you'll have to turn to other sources for fat. Plus, "since some of the vegan meats on the market will contribute some carbs, you'll have to be extra careful about limiting portion sizes," says Sharp. "This means that the majority of your fat calories will need to be coming from foods like nuts, seeds, eggs, and oils."
If eating at restaurants feels like engaging in an atomic battle with your willpower, understanding menu terms will make picking the healthiest dish worlds easier. Next time you're choosing a meal, avoid anything described as batter-fried, pan-fried, buttered, creamed, crispy, sauteed, or breaded. Instead, skip straight to dishes that are baked, braised, broiled, grilled, poached, roasted, or steamed. Start being more conscious of what you're ordering when you eat out and enjoy the bikini body that follows.

After her first pregnancy with her daughter in 2003, Cloutier hit 301 lbs., and was ready for a change. “I didn’t want to die,” she says. “I wanted to watcher grow up and give her healthy habits.” By working out with a trainer and choosing healthier meals, she successfully lost 151 lbs., and maintained a healthy weight through her second pregnancy in 2008. 

Andrew Heffernan, C.S.C.S., is an award-winning health and fitness journalist whose work appears regularly in Men’s Health and Experience Life. He is the co-author of two fitness books—The Exercise Cure and Your New Prime—and is a frequent top-five finisher as an age-group triathlete and competitive obstacle-course racer. Andrew lives in Los Angeles with his wife and two children. Visit him at andrewheffernan.com.

If you were doing a more conventional ketogenic diet previously and relying on animal foods, you may have only counted the protein in those foods toward your allotment for the day because they are complete sources. In other words, the protein in animal products contains all the essential amino acids that your body needs from food and in substantial amounts. This is a rare find in plant foods, and the reason that bodybuilders have historically kept track of the protein they eat from chicken, beef, and fish, but don’t consider the amount they take in from vegetables, grains, and nuts. The thing is, though, while they may be less bioavailable than animal foods, plant proteins are still usable by your body and still count toward your total—and if you’re going to forgo animal products entirely, you’ll need to get them in to support muscle, performance, and general health. Otherwise, you’ll be protein deficient.
Anybody here who doesn’t love mac and cheese? We thought so! This creamy, cheesy pasta radiates a deep sun yellow as a result of the turmeric, mustard, and cheddar cheese. It looks startlingly similar to the boxed variety you’ll feel like you’re really naughty when, actually, you’re enjoying a bright and warm keto dinner. The recipe is pretty straightforward, and you can put the cheese sauce together while the cauliflower is cooking.
Another challenge, Vizthum adds, is not falling into the trap of eating foods that may be compliant but aren’t actually healthy. “As with any diet, the label itself does not make it healthy. The labels of ‘vegan,’ ‘vegetarian,’ ‘keto,’ ‘gluten-free,’ and many others include a range of food choices that fit the standards of the diet but aren’t necessarily healthy,” she warns. This is especially true of processed foods that may carry these labels.
This way of consuming is hard to stay with because it combines two restrictive diets. Mass believes the dangers outweigh the advantages. But if making a decision to attempt it, Mass cautions to technique the food regimen cautiously, preferably below the guidance of a certified registered dietitian who will let you select your ingredients strategically and ensure you are supplementing the weight loss program in which wanted. Mass also shows lowering your carb intake regularly instead of going complete-blown vegetarian keto overnight so you don’t completely surprise your device. Finally "fake" weight loss results aren't just a problem of water fasting. Most quick weight loss diets on the market today take advantage of this as well.
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