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. 
According to dietitians, there are several types of people who should consider the keto diet. While many people look to the diet for weight loss, the keto plan has other potential health benefits. Those with epilepsy may see improvement on the diet; people with diabetes may also see drastic changes in their health. However, notes Diane Vizthum, a dietitian at the Adult Epilepsy Diet Center at Johns Hopkins, people with chronic health issues should be under the care of a doctor when starting these programs because of the need to monitor their medications. And, she added, anyone who is undertaking a new diet regimen should make his or her physician aware of it. Find out the 10 things doctors want you to know about the keto diet.
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
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.
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?!

Meat is a cornerstone of the ketogenic diet, but that doesn’t mean the diet is off-limits for the vegetarian population. As the high-fat, low-carb approach has grown in popularity, many vegetarians have wanted in on the hype and have found a way to make it work for them, tweaking the typical keto diet menu and food list to fit within their meat-free lifestyles.


This low carb, high protein vegan keto recipe is the perfect go-to when you’re looking for an afternoon snack that’s both filling and satisfying. Gluten-free and high in healthy fats, it’s also one of the easiest keto recipes you’ll come across. Just mix, spread, and bake – what could be simpler? Make several batches at once and keep them on hand for snacking emergencies!
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.
How it works: Intermittent fasting requires you to eat within a certain window of time and fast during the rest. There are several different methods for intermittent fasting, some of which are more restrictive than others. The 16:8 method, for example, requires you to eat within an 8-hour window and fast for 16 hours. You would only eat two meals a day, for example, your first meal starting at noon and your last around 8 p.m.
Stevia: Stevia has a glycemic index of zero, which makes it perfect for a keto diet. Additionally, it's not actually an artificial sweetener, it is a natural one. The liquid version is extremely strong which means that you don't have to use much to add the sweetness you need. Steer clear of any powdered version so as not to add extra carbs. The biggest issue with liquid stevia is that it can't be used in baking. That’s where allulose comes in!

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!


A 2017 study, published in the Journal of Nutrition, found meal timing had an impact on BMI. Researchers noted those with the lowest BMIs tended to fast for more than 18 hours between supper and breakfast, eat breakfast and plan for their largest meal first thing in the morning. (In comparison, those with shorter fasting periods between supper and breakfast, breakfast skippers and those who ate their largest meals at supper had higher BMIs).

Here, we’ve broken down our protein grocery list into animal and plant sourced — so depending on where on the plant-based eating spectrum you find yourself, you have ample choices available. If you go for soy products, try to stick to non-GMO and organic options, and pick ones that are fermented as they are even more abundant in nutrients (think organic tempeh).

Because different plant foods contain different types of amino acids, in excluding all animal products, vegans come to rely on a combination of grains, legumes, and seeds to get all of the essential amino acids their bodies need. Many of these foods are too high in carbs to be included on a keto diet, which is usually restricted to 20 grams of net carbs (total carbs minus fiber) per day. However, those who want to avoid all animal products can follow a lower-carb, non-keto vegan diet, such as the “Eco-Atkins” diet.
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.
If your starting weight falls into the obese range on the body mass index, it is not impossible for your weight to change up to 20 pounds in a single day. But that amount of weight loss may not be very noticeable on a larger frame. However, if you are a petite woman and you lose 20 pounds that amount of weight loss can be the difference between several clothing sizes. It would be nearly impossible (and terribly unsafe), however, for a tiny woman to lose that much weight in a day. If you are smaller, you are likely to have less weight to lose and it will come off a little bit slower. When your starting body size is larger, you are likely to lose more weight at a faster rate—especially in the early days of in your program. You should include flax seed oil in smoothies or fruit juices if you are working out to lose quick fat. The omega 3-rich element is high in fiber content, and it can decrease irregularity and water retention. It also helps in growing metabolism rate.
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