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. 

Keto baking is particularly difficult because many of our favorite recipes rely on traditional flour, sugar, and dairy as the main ingredients. Unfortunately, converting traditional recipes with keto and paleo ingredient substitutions doesn't usually work. This is because while almond and coconut flour certainly make delicious baked goods, the texture and binding properties are very different from traditional flours.
From restaurant menus to new products on store shelves, ketogenic foods are all the rage right now. The keto diet focuses on high-fat, low-carb foods that are low in sugar with a moderate amount of protein. And if you’re interested in giving this diet a try, you may be wondering what plant-based foods are keto-friendly and if it’s possible to be vegan on a keto diet.
“I love how our bodies are designed to respond to exercise. If I am willing to be consistent and work hard, I’ve learned my body can accomplish amazing things. I enjoy hard work and running as fast as I can, for as far as I can, in the most efficient way possible. Because I haven’t always enjoyed good health, I really appreciate being able to run and exercise. Each day I am able to run and be active fills me with gratitude because I personally understand how so many others aren’t as blessed.”

Despite the fact that MacDowell has stayed with it for so long, she concedes along these lines of eating can be extreme in social circumstances. “It’s not just the response of your relatives who will reveal to you eating that much fat will execute you, yet going out for hors-d’oeuvres and drinks with companions is testing,” she says. “You figure out how to function around it, yet there’s an expectation to absorb information without a doubt.”
So this winter has been a real doozy. I’m sure if you’re reading this from your balcony in LA you’re probably like “WTF is this chick talking about?” but for the rest of us east coasters or Canadians, the struggle has been REAL. Honestly, sometimes the only thing that gets me through the cold nights is a warm meal (sorry salad, you’re out). This is where this Vegan Keto Walnut Chili totally comes into play.
It’s hard to imagine breakfast without eggs and bacon, of course. For most of us, they’re a standard part of our morning repertoire. But frying bacon is messy and a challenge. The smell often lingers for hours, even days. Instead, try this easy, step-by-step method to show you how to cook bacon in the oven. Bake a big batch to crumble over vegetables enjoy in salads and of course, go alongside eggs in the morning.
When using flax seed in your vegan diet, you can use them for anything from a breading on roasted vegetables, to making even a sweetened or savory porridge. It’s an incredible binding agent that is often used as a substitute in vegan baking for eggs, which makes it a prime candidate for everything from a low-carb pizza crust to some homemade crackers (maybe to enjoy with some avocado slices?). Try making our quick & easy Flax Seed Porridge with the recipe here.

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


Janes, 28, can’t remember a time when she was ever small. “Not even in a baby picture,” she tells PEOPLE for the 2018 Half Their Size issue. “I was always overweight, and it continued through adulthood.” By then, Janes couldn’t fit on a normal scale. “I went to my friend’s family business where they weigh huge industrial tubs,” she recalls. “That’s how I found out I was 450 lbs.”
Protein is also a big concern. “Since the keto diet is relying on protein and fat for your calorie intake, you are cutting out many of the complete proteins you would be attaining — say from legumes and grains — on a regular vegetarian diet,” Mass says. “On a keto diet, this source of complete proteins is now essentially eliminated.” Protein is important to help the body build bones, muscles, and skin, according to Medline Plus.
Give this comforting keto bowl a try — it’ll not only satisfy cravings for something hearty but also has a lovely added pop of flavor from the charred veggies. Pre-coat the goat’s cheese and store it in the fridge for even quicker meal prep. You can also apply some of our handy tips here to other keto meals you make. Incorporating grilled veggies to salads is an easy way to upgrade what could otherwise be a rather sober meal.
Blue Diamond nut varieties - Blue Diamond nuts are notoriously low in carbs. Their typical salted almonds only have 2g net carbs per 24 nuts! Even their dark chocolate almonds only have 6g net carbs per serving. They have tons of other flavors as well, which makes for awesome variety in your snacking (a big problem for keto-goers) - you won’t get bored of this stuff.

Speaking of skiing…  I also need to begin exercising more frequently.  That will be my big push this month.  I’m already in a 5k preparation group at our church, but that’s only once a week and I’m not running.  I’m walking.  I’m supposed to walk 2 more days a week, but sometimes I let that slip.  I’m also planning to start the 15 minute T-tapp workout.  When I do this workout regularly, I drop inches like crazy.  In fact, I was just reading testimonials from last year’s T-Tapp 60 Day Challenge and saw where one lady lost over 50 inches from just doing that 15 minute video and some basic walking.  Craziness!  I’ll be starting the 60 Day Challenge again on the 20th of February.  Feel free to join me.. after all, you can get away with just 15 minutes a day… and some consistency!
My best advice for anyone who has been challenged with trying to loose weight is to invest the money in working with a personal trainer, because that will give you the jump start you need and trainers will push you like no one else will. Also, remember that healthy eating and exercise is a way of life and not a diet. You have to set goals for yourself and stick with them. Work out with a friend or make a new friend at the gym where you train because accountability is everything."
Regardless of whether or not you can process gluten, seitan is very high in carbs. I don’t touch it. Also, beans or any fruit other than a few berries. Certainly not a tennis ball worth of fruit and under no circumstances a hockey puck worth of carbs!! Also, if it weren’t for heavy whipping cream, cream cheese and butter, I’d have a terrible time getting the fat and calories I need, so 2 dice worth is no dice. If I followed this advice I would never be in ketosis. I think the author needs more experience.
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!
That relies upon. Mass says if going keto motivates an bad vegetarian to smooth up his or her carb game, it could be useful and lead to higher blood sugar manage. Plus, transitioning from a pasta-heavy eating regimen to one that’s wealthy in greens and healthful fat need to help someone drop unwanted pounds, she says. But for vegetarians who eat noticeably clean already and rely on wholesome carbs like quinoa and oats — which are restricted on the keto weight loss program — to assist them feel full, adopting low-carb keto might be overly restrictive.
“Before I started running and eating well, I was 205 pounds. While I was in grad school, my friends and I went out every night drinking, stayed out until the bars closed, and then went to Taco Bell before going home. I rarely cooked at home and often ate out. Looking back at what I ate then makes me realize just how unhealthy I was. I would cook a box of Kraft macaroni and cheese and eat the entire box or eat an entire frozen pizza and wash it all down with Dr. Pepper, and then go to Cookout or Taco Bell later—gross. I joined Weight Watchers in July of 2013 and now I weigh 133.5 pounds and I’ve been able to keep it off by exercising and maintaining my healthy eating.”
The latest nutritional research proves what you eat AND when you eat both contribute to weight loss. †† We created Rapid Results based on this revolutionary research. With Rapid Results we provide you with a plan that takes maximum advantage of your body’s natural fat-burning ability, so you lose weight faster, plus our consultants have completed new comprehensive training to deliver excellent weight loss guidance for results.
Hey Jamie, great to hear that you’re going keto!! As far as lentils go, what are the different types you’re referring too? In terms of the protein shake, yes you can definitely have a protein shake as long as it’s low in carbs and you are adding enough fat to it – having a bunch of protein at once could hinder your ability to get and stay in ketosis so you always want to pair protein with fat to minimize the blood sugar response.
Taking cues from your body on what to eat on a daily basis can help you eat less, says Jasia Steinmetz, a registered dietitian and author of Eat Local: Simple Steps to Enjoy Real, Healthy & Affordable Food. Next time you’re hungry, pay attention to what foods seem appealing to you—and why. Craving sweets, for example, may be a cue that you need energy. If you really want a Snickers, for instance, enjoy a bite-size. Don’t limit yourself—if nothing is off limits, you may find yourself craving nutritional food as well. “The vitamins and minerals that are so essential to the various functions of your body will come from a wide variety of foods, and choosing which foods appeal to you each day will help you tune into your body. Paying attention before, during and after you eat will help you respond to the positive feeling you get from eating healthfully and lovingly.”
You may already be exercising, but adding Tabata training to your routine may help speed up your weight loss. ‘Tabata’ intervals are quick, 20-second bouts of heavy exertion (to the point where your breathing is very labored), followed by 10 seconds of rest—repeating the cycle a total of 8 times. Whether you jump rope, ride your bike or do other cardio, studies have shown this magic formula seems to help your body continue to burn calories long after you finish your workout, says Gretchen Zelek, co-creator of Do or Die Fitness.
In addition to a plant-based keto diet being limited in nature, Dr. Axe explains that there’s also a high probability that someone on this diet would struggle to consume enough calories and essential fat-soluble vitamins. This could potentially lead to certain nutrient deficiencies and side effects, like fatigue, as a result. “If you’re at all open to the idea, I would highly recommend that you consider a vegetarian keto diet instead of a vegan keto diet. Include at least some animal products in your diet, such as pastured eggs or fermented cheeses or, even better, wild-caught fish like salmon,” he says. “These goods are great sources of protein, fat, choline and fat-soluble vitamins (like vitamins A and K) that are very difficult to get from plant foods alone.”
To prove to yourself that you are making progress—even when your weight stays the same—Dulan recommends doing a jeans test. Find a pair you’re aiming to squeeze into, and see how your body feels in them. As you clean up your diet and clock more sweat sessions, you’ll likely notice a gap between your belly and jeans because your body is becoming leaner—even if that isn’t immediately obvious when you step on the scale. 

Can Vegetarians Follow The Keto Diet? These Are The Foods You Must Include In Your Vegetarian Keto Diet!The aim of keto diet is to get your body to use fat instead of glucose as energy and fueling your body until the next meal. Some healthy foods to consume on a keto diet are starchy vegetables, coconut oil, cheese, sour cream, avocado, meat and poultry and high-fat dairy products.  By: DoctorNDTV  Updated: Jan 24, 2019 01:16 IST 3-Min Read 22 SHARES Though meat and poultry form an important part of the keto diet, vegetarians can also follow this diet.

“I felt ashamed of how I had changed from a veteran Army soldier into someone who I wasn’t proud to be,” Root, 35, tells PEOPLE for the 2018 Half Their Size issue. “When I transitioned out of the military, I was pregnant with my son, and that loss of structure meant I was eating what I wanted to with no regard, and being pregnant I just found myself eating a lot more than usual.”
Tell your health care provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Saxenda® slows stomach emptying and can affect medicines that need to pass through the stomach quickly. Saxenda® may affect the way some medicines work and some other medicines may affect the way Saxenda® works. Tell your health care provider if you take diabetes medicines, especially sulfonylurea medicines or insulin.
Hey Madison, you’ll want to check with your doctor on this first. I can say that eating lots of fibrous vegetables will aid in your fiber consumption and when you do eat meat, choosing the highest quality, fattier cuts will be key to getting all the beneficial nutrients you need. You could also try out our Greens Powder which will help with consuming a full spectrum of vitamins and minerals. You can check that out here: https://shop.perfectketo.com/products/perfect-keto-micros-greens-powder. Additionally, the scientific literature behind keto and seizure control is very extensive and many many people have found success with it. But like I said – it’s best to check with your doctor first.

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But that doesn't mean it's going to be easy. Because, at their core, a typical vegetarian diet and a traditional keto diet contradict one another. "The essence of a vegetarian diet is healthful carbohydrates, and keto diets are very low in carbs," says Sharon Palmer, R.D.N. And depending how strict a vegetarian diet you follow, you most likely avoid all meats, poultry, and fish—the main sources of protein recommended in a typical ketogenic diet, adds Sheth. Not to mention that many plant-based protein sources, such as beans and lentils, are high in carbs—so they'd be a no-go on a vegetarian keto diet plan.
​One word. Avocado. Just kidding! Well, your snack in this meal prep is an avocado, but there is so much more to say. The best part about this snack is that it can easily top your frittata at lunch or be thrown into your salad at dinner! It also lacks any preparation, except for the dreaded task of finding 5 perfect avocados that will be ripe enough to eat, but not over ripe. It's a fine line to walk, we know.
Another part of this is opting for frozen or canned foods over fresh. The frozen and canned options are going to last a lot longer than the fresh options, giving your more versatility if you accidentally make an impulse buy of something you don’t end up using before it goes bad. This goes against a lot of the popular culture right now, but it’s an underrated strategy of saving money
While grains and legumes are not allowed on keto, low-carb vegetables definitely are. You need to eat at least 3 servings of vegetables a day to meet your daily needs for vitamins, minerals, and fiber. Vegetables are also rich in health-benefiting phytochemicals that research shows reduce your risk of heart attack, cancer, and cognitive decline [6]. Examples of low-carb vegetables are:
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).
“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
“The original keto diet is extremely high in fatty meats, which is not good for our cardiovascular system,” says Melissa Bailey, RD, creator of the Nourished Fork. “The vegetarian version eliminates these meats and allows for more plant-based options, such as avocado and nuts and seeds. In general, the population is going towards a more plant-based, whole-foods diet, which is why the ketotarian diet is emerging.”

This is going to be tough, but always ask your server for help. Usually they’ll be more than happy to help you find what you need (especially since they’re expecting a tip). Look out for side/garnishing sauces or glazes, many of which will contain a lot of sugar. Most restaurants have their nutritional information online somewhere, so take a look at their options online before you go or on your phone while you’re there.
“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.”  
If you are a petite woman who is five feet tall, a ten-pound weight loss may mean that you've lost up to ten percent of your body weight. That amount of weight loss will be very noticeable and can change her clothing size up to two sizes. But if you are a very tall athletic woman, a ten-pound loss probably won't even be noticeable and may not change your clothing size at all.
On the other hand, keto and veganism don’t work very well together. As humans, we need to consume complete protein containing all nine essential amino acids (an “essential” nutrient can’t be made by the body and must instead be obtained through diet). Although animal protein provides all the essential amino acids in the amounts we need, plants only contain some of them.
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