aThese results were from a 56-week trial of adults with excess weight (BMI ≥27) with at least 1 weight-related condition, or obesity (BMI ≥30), not including patients with type 2 diabetes. On average, 27% of people on Saxenda® and 34% on placebo did not complete the study. In the study, 62% of patients on Saxenda® lost ≥5% of their body weight (vs 34% placebo) and 34% lost ≥10% body weight (vs 15% placebo). Significant weight loss was only evaluated at 56 weeks, as per study design.

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. 

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!

The strategy can be a successful one: According to research published in the journal Diabetes & Metabolic Syndrome: Clinical Research & Reviews, the keto diet may burn 10 times as much fat as other diets. But that doesn't necessarily mean it's the best option for everyone—including vegetarians. (Look at how the keto diet transformed Jen Widerstrom's body.)
By monitoring the things you may be insufficient in, you could (and should) stack up on nourishment that is wealthy in those supplements, for example, cheddar for nutrient B12, eggs for nutrient D, and verdant greens like kale for calcium. On the off chance that you are occupied with attempting ketogenic diet without eating meat, Mass likewise suggests facilitating up on how strict of a veggie lover you are and eating fish on the off chance that you don’t as of now since it’s an incredible wellspring of omega-3s and protein.
But what if a vegetarian decides to go keto? Do people risk developing deficiencies and side effects by following a vegetarian ketogenic diet? More importantly, is this type of diet even sustainable? The short answer is yes – a keto vegetarian diet can be nutritious, sustainable, and healthy when you plan it right. It can also be satisfying enough to make you stick for the long haul.
Some people, however, go into the diet in hopes of controlling a chronic illness or just to ensure that they are eating more whole foods and fewer processed ones in their everyday lives. “How someone monitors their diet will depend on their desired health outcomes. Although there is usually quite a bit of initial weight loss, losing one to two pounds per week is ideal. Any more, and you’re likely not eating enough and the diet won’t be sustainable,” says Henry-Barron. Check out 14 amazing before-and-after pictures of people who followed the keto diet.

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.
The ketogenic diet is a high-fat diet, but it’s crucial to be smart about what types of fat you’re including. Filling up on fatty foods like processed faux meats may help you hit your goals for fat intake, but they can also negate the potential health-promoting properties of the ketogenic diet, so make sure you’re opting for more healthy keto friendly fats instead.
I have achieved all my goals and more…I have lost 35 pounds and have gone from a size 12/13 to a size 5/6. My waist size has changed dramatically – when I began seeing Samantha, I was squeezing myself into a size 32 waist in jeans. Now, I can easily fit into a size 27 which feels fantastic! I tell Samantha and Chris that they are the best thing that ever happened to me and I mean that from the bottom of my heart! I feel like a totally different person now than I did 6 months ago. I am actually excited for beach season this year and I cannot wait to go bathing suit shopping. I can’t remember another time in my life in which I had more confidence in my appearance. I have changed my lifestyle and my entire view on health and fitness. I love the food I eat and I am never hungry! I enjoy exercising now and have all the energy I need to get through the day and more. I feel that I am living to my true potential; I have a healthy body, mind and spirit. Samantha gave me the tools and guidance I needed to change my life and I embraced them whole-heartedly. I can say that, without a doubt, I feel 100% better than I did before I started with her. I start each day by looking at myself in the mirror and actually being HAPPY with the person I see looking back at me. Now, I look the way I have always wanted to look and my husband can’t believe the results either! I can honestly say that my results have surpassed even my expectations. Don’t spend another day feeling bad about yourself or your appearance. You have the power to change your life for the better and to maintain an active lifestyle. I will never allow myself to go back to my old habits. I am a new person thanks to Samantha and Chris at Pure Health & Fitness Studios!" --- Sara
According to a 2010 Cornell University study, you’ll eat about 20 percent less if you keep your serving dishes in the kitchen instead of on the dinner table. Researchers tested how eating habits would change if food was served from the kitchen, not the table. Participants ate less when the food was out of reach, and were more likely to choose fruits and vegetables when kept in plain sight.
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Weight loss doesn’t always mean cutting down on things. In fact, adding in more fruits and vegetables helps you stay fuller, longer, with less calories and more nutrition. To lose weight without feeling hungry, eat at least one serving of fruit or vegetables with every snack and two with meals, recommends Rachel Begun, a registered dietitian and food industry consultant in Rye Brook, N.Y.
Still, Mass is hesitant to recommend this way of eating. “I don’t see many benefits to going keto vegetarian,” she says. The major concern is nutritional deficiencies. As Medline Plus notes, vegetarians already are at risk of being deficient in vitamin B12, vitamin D, zinc, iron, calcium, omega-3 fatty acids, and protein. Keto then puts more restrictions in place, further increasing the likelihood of being deficient in some of these nutrients. For example, breakfast cereals, which are usually rich in vitamin B12, are not allowed on keto.

But what if a vegetarian decides to go keto? Do people risk developing deficiencies and side effects by following a vegetarian ketogenic diet? More importantly, is this type of diet even sustainable? The short answer is yes – a keto vegetarian diet can be nutritious, sustainable, and healthy when you plan it right. It can also be satisfying enough to make you stick for the long haul.


Snacks are very important when you are on the keto diet. It’s often the time between lunch and dinner when you can slip up and ruin your diet. These keto snack crackers can be stored in a zip-top bag for 5 days and are the perfect thing to munch on at work or school when you get a hankering. If you need more keto snack ideas, then check out our spinach and feta muffins and our low carb cheesy cauliflower tot recipe.

You know you probably shouldn’t, but sometimes you eat in front of the TV or computer. But do you know how much it affects your waistline? Studies show that we eat around 40 percent more when watching TV and we’re more likely to eat junk food while distracted. To lose weight without major sacrifice, power down your TV, computer or smart phone during dinner and concentrate only on your meal.
By eating the foods on the “Do Eat” list, you will be able to follow a vegan ketogenic diet and cover most of your nutritional bases. At first, however, it may be difficult to adapt to this new lifestyle with all of the low-carb and keto recipes that contain animal products. Luckily, there are some simple substitutions you can make that will allow you to “veganize” almost every keto recipe.
Another food you'll find to be a good source of protein on your vegetarian keto diet is cheese, which I'm sure you could have guessed. Cheese comes in a variety of of textures, tastes and colors, but don't let this delicious ingredient fool you -it'll help you hit your protein goals! One thing to note, however, is the varying carb count in different cheeses. It ranges from a low .10 net carbs per 1 oz serving of Gruyere cheese to a higher 1.5 net carbs per 1 oz serving of Swiss cheese. 
If you feel like everything is off limits, we're here to help. Yes, following a keto diet when you're vegan is difficult...but not impossible! You may not be living off bacon and eggs like some of your other keto friends, but with these avocado, almond butter, and coconut milk-filled recipes, your stomach will still be full and happy. And if you're vegan-ish, be sure to check out our vegetarian keto recipes too, for those times you want to slip in a little dairy.
"Before I finally made a phone call to Samantha, I had seen her articles and advertisements in our local paper for several years! During those years, I gained about 10 pounds each year with a combination of bad eating habits, a stressful job and no exercise. At the beginning of last year I went on a cruise with my mother and when I got back I looked at the photos we took. I could not believe the person in the photos was me - how had I become so out of shape? I thought I didn't have time to work out but Samantha convinced me that I had to make time and also make the changes in my eating habits to become healthy and lose weight. The time I have spent with Samantha has been one of the best investments I've made in my life - she has inspired me to eat healthier and how to work out effectively to lose the fat I needed to lose without losing muscle. She has shown me a way that I can follow for the rest of my life. I have gone from a size 14 to a size 4 in 7 months and I've lost over 138 inches all over my entire body! I feel better and have more energy than I have in years. I encourage you to give her a call today - don't waste another day! You can do it too with her help."
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.
In the vein of not being afraid to ask: connect with someone (a friend, neighbor, family member, coworker, etc.) that has a vehicle and ask to tag along on their grocery trips. They get to have a friend with you while you shop and you get a ride to the store, so it’s a win-win all around. People are eager and willing to help out, they just need to know how first!
Your best bet for low-carb vegan protein may be hemp seeds, which provides 30g protein and 8g fiber (NOT counted as carbs) in a mere half cup. Seitan, which is made from wheat, is another good choice and offers about 18g protein and 2g carbs every three ounces. Tofu and tempeh rank high as well (tofu has an 8:1 ratio of protein to carbs; tempeh is about 6:1).
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).
In the long term, dietitians warn that you could experience deficiencies in nutrients. “When eating a very low-carbohydrate diet, it is possible to become nutrient deficient because many of the food groups from which vegetarians get their nutrients (whole grains, legumes, root vegetables) are eliminated,” Davis notes. “So by eating vegetarian and keto, you could be at risk for nutrient deficiencies.” Learn about 11 hidden dangers of the keto diet.
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.)

Still, Mass is hesitant to endorse this way of consuming. “I don’t see many blessings to going keto vegetarian,” she says. The main challenge is dietary deficiencies. As Medline Plus notes, vegetarians already are liable to being deficient in vitamin B12, vitamin D, zinc, iron, calcium, omega-3 fatty acids, and protein. Keto then puts extra regulations in vicinity, further growing the probability of being deficient in a number of those vitamins. For instance, breakfast cereals, which are commonly rich in vitamin B12, aren’t allowed on keto.
Don't think we forgot about those eggs we skipped out on at breakfast! We are putting them to good use at lunch with an Asparagus and Jalapeno Frittata! Not only is this recipe high protein and deliciously simple, but it makes for an easy prep and clean up! All you have to do is combine the ingredients in an oven safe pan and bake. When did meal prep get so easy?!

If you have bad memories of being yelled at for not finishing everything on your plate, forget them. "Stopping before you're full is better for your health," says Ericka Stachura, R.D., a registered dietitian in Boston. That's because it takes 20 minutes for our stomachs to tell our brains that we're full; leaving food on the plate allows your brain to play catch-up. Also, when dining out, consider sharing an entree with a friend—portion sizes are often way larger than the recommended size for one person. You'll still feel satisfied. Promise.
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."
Warning: It is a good idea, with both these, to see how your body reacts to them. If you start feeling more sensitive to the cold, battle with constipation or very dry skin, you should limit consumption and possibly consider taking an iodine supplement. Soy might impair the functioning of your thyroid. It is wise to look for an organic source for all your soy products.
The vegetarian keto diet menu will include leafy greens and aboveground vegetables such as broccoli, asparagus, and green beans, as well as high-fat dairy, nuts, seeds, avocados, berries, sweeteners, oils, and fats. According to Vizthum, ketotarians should ensure that they fit plenty of nuts, seeds (including flax and chia), tofu, seitan, tempeh, eggs, cheese, cream, vegetables, avocados, olives, olive oil, canola oil, and butter into their diets for optimal results. You can make “treats” to help cravings, like chocolate avocado ice cream, from compliant ingredients.
These keto crackers have less than 5 net grams of carbs per serving and are the ultimate mid-day snack to help you stay on your low carb diet. You will need two cups of almond flour for this cracker recipe, Costco sells it for $4 per pound now, which is the best deal I have seen! Combine the almond flour, sunflower seed flour, salt, and rosemary in a large bowl for the dry ingredients. The entire cracker recipe is gluten free because we are using nut flours, which works great in this type of recipe.

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.

Scientists at the University of Toronto evaluated weight loss and facial attractiveness. Their findings, published in Social Psychology and Personality Science suggest that you need to lose about eight or nine pounds before others notice a difference in your face. That's the good news. The bad news is that you need to lose twice that amount before others find you more attractive.
That said, a recurring mistake among vegetarians who go keto is incorporating too many vegetable-based carbohydrates, without even realizing. You’ve got to be quite vigilant of all your carb and protein sources following a vegetarian keto diet meal plan, as most vegetarians tend to source their protein from foods like legumes and grains, which aren’t supported on the vegetarian keto diet. If you’re following a diet that’s strictly plant-based, then you’ll have to be even more mindful.
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