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. 
Common side effects of Saxenda® include nausea, diarrhea, constipation, headache, vomiting, low blood sugar (hypoglycemia), decreased appetite, upset stomach, tiredness, dizziness, stomach pain, and changes in enzyme (lipase) levels in your blood. Nausea is most common when first starting Saxenda®, but decreases over time in most people as their body gets used to the medicine. Tell your health care professional if you have any side effect that bothers you or that does not go away.
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!
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.
Any other bread addicts out there? The main thing that put me off trying out the vegan keto diet for the longest time, was the thought of giving up my daily bread fix! So you’ll know how happy I was to find this amazing healthy bread recipe that tastes better than the ‘real’ thing. And what’s even better is that its one of the best easy keto diet recipes to make!
“I reached my target weight just over a year after joining, and just before Christmas [my boyfriend] Luke asked me to marry him at Harry Potter Studios in London (I love Harry Potter)!” she told PEOPLE. “It was such an incredible feeling to be able to say ‘Yes!’ without even a second thought about my weight, and I can’t wait to go dress shopping.” 
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.
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!

“After having a baby, I just couldn’t get the weight off. I was eating out a lot and had developed some bad eating habits. My husband and I trained with Samantha and it’s been really fun. We’ve learned how to workout, how to eat healthy and enjoy it! I lost 5" on my waist, over 20 lbs. of fat and over 20" and my husband lost 5" on his waist and over 20 lbs.!
“If you have ever lost a substantial amount of weight then gained some back you probably have an idea of that devastating feeling of going backwards — I think those feelings were more painful at that time than when I was overweight,” Ruby wrote on Instagram, adding that it’s been helpful to practice mindfulness at this point in her journey. “I had to remember that a transformation is far deeper than physical.”  
The health benefits of vegan and vegetarian diets are well-documented; in fact, cutting meat out of your diet has been linked to many health benefits, including a reduced risk of cancer and heart disease. (5) Plus, just like regular keto, vegan keto results in some pretty impressive benefits as well, ranging from increased weight loss to improved heart health. (6)

Fasting may sound crazy, but it has its benefits. Intermittent fasting makes it easier to restrict your calories by limiting the amount of time you have to eat. This also makes it tough to over-eat at meals since you have less meals to get to your macros, which will greatly aid you in your weight loss journey. Fasting can help you enter ketosis sooner, especially if your fasting window is large.
“If you were only to do cardio and diet, you’d lose weight, but your metabolism would be compromised. Resistance training has a protein-sparing effect in that it doesn’t like for protein to be metabolized for energy. Cardio doesn’t make the same distinction — if you’re running and you’ve burned up all your carbohydrate stores, your body will start leeching from your fat and protein stores,” Sharp explains.
During the five months we’ve worked with Samantha I’ve - Lost over 40 pounds and 10 inches from my waistline - Gained a solid foundation in the mental and physical aspect of working out with weights - Learned how to push my body to new limits while becoming so much more in tune with my body’s needs - Learned how to manage my food to keep not only keep the weight off but also to keep my body functioning at peak athletic performance - Increased my average cycling speed by over 4 MPH
In our sandwich-with-a-side-of-bread culture, cutting carbs down to the wire trips many people up. “Exact numbers vary person to person, but in general, strict keto dieters need to consume less than 50 grams of carbs a day,” says exercise physiologist Michael T. Nelson, Ph.D. (miketnelson.com). “Some people need to go as low as 30 grams.” The Mod Keto approach allows two to three times as many, but it’s still very low-carb compared to the diet of the average American. (For reference, one banana, one apple, or a single slice of bread would put you over your daily carb allowance on a strict keto diet.) #ketones
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