In summary, it is both safe and reasonable to consume sugar alcohols. If you're looking to buy sugar alcohols, try to prioritize finding ones that have a low glycemic index so that you don’t get kicked out of ketosis. Erythritol is available from multiple suppliers on Amazon. The next in the pecking order would be mannitol, but it's not widely available. Xylitol is another option on Amazon. Do some research on them and find the one that works best for you!


A study published in The International Journal of Obesity studied 420 overweight and obese adults and found those who ate their major meal after 3 p.m. — lunch for this Spanish cohort — lost less weight than those who ate earlier in the day despite similar calorie consumption and activity levels. Scheer, who co-authored the paper with professors Marta Garaulet, believes diet-induced thermogenesis, the increased energy expenditure after food intake, could be the reason for the results.
“The day I met Samantha, it changed my life. Before I met her, I felt invisible because of the continuing frustrations I had with my weight. Now I don’t feel invisible anymore! ** I WAS BUSTING OUT OF A 14, BUT NOW I CAN EASILY FIT INTO A SIZE 6! ** I was consumed by negative feelings about myself. I would fight myself all day long between eating, starving and binging; caught in a circle of guilt. Thoughts of food were obsessive, food was my consolation. My very first visit with Samantha changed my life. She had so much energy and this amazing belief in her own ability to help me be successful. She made me believe that I too could realize my personal goal, with a lot of hard work. I have lost 30 pounds and 50” in 12 weeks! It’s not just about reaching a number on the scale. I have changed inside; the way I think about food and myself. I’m a different, more confident person now with tons of energy. I have never felt healthier in my life. I have never been more motivated. Nothing tempts me. The old me always gave into temptation. The new me is excited to be alive and feeling good. My clothes are too big! I had to go shopping! And . . .the best part is I don’t feel invisible anymore!” - Laura 52
"I am amazed at how much I was able to accomplish in such a short amount of time when I had the right tools with Samantha's program and I got really focused. I was really motivated in this private studio of all women and I was inspired to do my absolute best. I FEEL AMAZING! And at 54, I am in the BEST SHAPE OF MY LIFE! Thank you for this great program, Samantha!" Ann

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“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
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!
The best option is to, of course, read your nutrition labels thoroughly and track your nutrients using one of the apps mentioned here. For vegetables or foods that you pick up at the farmer's market or other food that lacks nutritional information, this spreadsheet covers the carb count for a huge number of foods and drinks. This spreadsheet will save you so much time.
“Eat only in the food-appropriate areas of your home like at the kitchen or dining room table,” recommends Mary Miriani, an American College of Sports Medicine certified Health and Fitness Specialist in Naperville, Ill. Sitting down at the table to eat (instead of in the car, standing at the kitchen counter or sitting at your desk) means you are more likely to focus only on eating and pay more attention to the visual cues that help us decide when we are full. According to research, being able to see all that you have eaten (evidenced by the remnants of food on the table) could help you eat up to 27 percent less at meals.
This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
Of course, one of the big complaints about a keto diet is that—like a vegan approach—it’s very restrictive and can be hard to stick to. That’s why we like to make people aware of a slightly less rigid approach we call Mod Keto that offers much of the same benefits as a strict keto diet but is much easier to follow long-term. With Mod Keto, carbs are raised to about 20% of your total caloric intake, protein to 20–40%, and fat is reduced to 40–60%. While not technically ketogenic (your body will probably not produce appreciable ketones at these levels), the higher protein and carb allowance supports workouts and activity better while still stabilizing blood sugar and promoting fat burning.
My Weight-Loss Secret: "I realized my daughter's middle school was one mile away. So, I started walking her there instead of driving. At the beginning, I wasn't able to keep up. I'd wave Brenda on and go back home. Each day, I went a little farther and was eventually able to make the whole trip. After four months, I was down 40 pounds and could walk without huffing and puffing. Today, my health measures are in normal ranges and I've shaken the 'victim' mentality. In other words, I felt like life was running me instead of me running my life. I now believe that if I can work hard enough to change my health, then I can apply that discipline to other areas. It's been going well—I devote time each day to my novel and other writing aspirations!"
“Instead of the hours each day I would spend reading news feeds, journal articles, and book chapters for work and pleasure, I switched to listening to audio books, podcasts, and spoken news while briskly walking the paved trails in the large park behind my house. I relied heavily on a great smartphone app called Umano that professionally narrated long form news stories that I would have read at my desk anyway. (Sadly, it was recently acquired and shut down.) Using a Fitbit and the MapMyWalk app, I pushed myself to walk farther and more often. By August 2014, I was walking 10,000 to 12,000 steps a day.”
Nuts. Nuts are a fat-rich and healthy addition to any diet. I tend to favor macadamia nuts and cashews over any other nut because they have the highest amount of healthy monounsaturated fats and the lowest amount of inflammatory omega 6 fats. Make sure, however, that you know the carb content of these nuts. Consuming too many cashews, for example, can easily kick you out of ketosis.
Several studies, for example, have shown that both vegetarians and vegans are prone to deficiencies in B12, calcium, iron, zinc, the long-chain fatty acids EPA & DHA, and fat-soluble vitamins like A, D, & K2. Vegans and vegetarians may also suffer from hormonal issues if their bodies aren’t producing enough cholesterol and if plant compounds called goitrogens are impairing their thyroid function.
In summary, it is both safe and reasonable to consume sugar alcohols. If you're looking to buy sugar alcohols, try to prioritize finding ones that have a low glycemic index so that you don’t get kicked out of ketosis. Erythritol is available from multiple suppliers on Amazon. The next in the pecking order would be mannitol, but it's not widely available. Xylitol is another option on Amazon. Do some research on them and find the one that works best for you!
Are you looking for a good, go-to recipe for breakfast sausage? The problem with sausage in the store is all the additives, preservatives, sweeteners and other ingredients you can’t pronounce. Instead, I like to buy ground pork and create my own sausage using a blend of herbs and spices. The flavor is amazing, and you’ll feel much better about what you’re eating when you use natural, whole and healthy ingredients.

“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.” #keto
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