“What is a keto diet?” you might ask. The keto diet plan involves eating lots of fat, a modest amount of protein, and tiny amounts of carbohydrates and sugar. Following a keto diet plan will eventually bring your body into a state of ketosis, where your body burns fat instead of carbohydrates for energy. This supports quick, but safe and healthy, weight loss!
I’ll admit I’m much more of a savory breakfast person. I love getting the day off to a great start with a delicious, filling recipe. This avocado is one of my absolute favorites. I’ll eat it practically any time of day and for any meal or snack. It’s got a great combination of tanginess from the balsamic, savory smoky, salty bacon flavor and the rich, smooth and satisfying avocado. Give this combination a taste and I promise you’ll love it too!
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.)
Besides getting plenty of healthy fats, watching your carbs is one of the most important factors here—and a lot of the go-to meals and especially snacks common for vegetarians and vegans are pretty carb-heavy. But excessive carbohydrates (even from veggies) aren’t part of a keto diet. Of course, refined carbs like sugar, flour, bread, cereal, chips, etc. are immediately off the table.
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.

The ketogenic diet is legit. It’s not a fad or a trend despite what Instagram hashtags may lead you to believe. And you know what? It’s not a vanity thing either. Yes, you’ll shed massive amounts of weight so you can fit into those jeans you can’t even look at right now, but the keto diet also improves your health. Studies have proven that the ketogenic diet reduces factors for diabetes, heart disease, stroke, Alzheimer’s, and epilepsy. Which makes perfect sense since it was developed for children with epilepsy in 1921. I’m passionate about the keto lifestyle because I lost over 90 pounds on the keto diet.
You guys have been asking for more low carb snack recipes, so Dessi came up with a homemade cracker that could be the best keto snack yet! These crackers take no time at all to make, are gluten free and vegan, and they are so much cheaper than buying specialty crackers at the store. I got so tried of buying Simple Mills crackers at the store, a 4-ounce bag was $5! This recipe costs a fraction of that and the crackers are gluten free. Make sure to check out some of Dessi’s other snack recipes like her keto biscotti and low carb gluten free bagels.
“Like many—and I know this dates me—Oprah was my original inspiration. However, the sense of accomplishment running gives me is my fuel. It is far more to me than a calorie burner, a meditation, or even a chance for alone time. It is now necessary to be my best--energized, focused, connected to my city, my dogs, and myself. (Here’s why you should try meditating while running, and how to do it.)”
I learned that I don’t need to be obsessive about exercise or my diet in order to lose weight. I learned how to balance the amount of food I eat with the amount of exercise that I do. I have so much more control of my body now. I feel empowered. I feel that I can continue to monitor myself and continue to lose weight. I’m looking forward to the day when I can fit into the size I wore in college! Thank you Samantha, for teaching me how to find balance.
“You will likely lose weight on this diet, and if that’s your only goal, then great,” says Bailey. “However, this diet is extremely hard to achieve and maintain. It eliminates a lot of really beneficial foods, such as whole grains and starchy vegetables. Based on a 2,000-calorie-per-day diet, one would need to consume 165 grams of fat, 25 grams of carbs, and 100 grams of protein. This is unrealistic and also very unhealthy for our bodies,” she says.

If you want to add a little variety of breakfast so it’s not always about eggs and you’re in the mood for some texture, this low-carb cinnamon cereal is the ideal keto breakfast to dig into. There’s something about plunging that round spoon into a cold, creamy bowl of milk and picking up crisp little squares that’ll transport you straight back to childhood. Make a big batch and store it in an air-tight jar so that the rest of the week’s breakfasts are a breeze. It’ll stay crunchy for about as long as a regular breakfast cereal.

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!

Cheese dip - You could make this spinach artichoke dip, this spicy sausage cheese dip (provided that you use a vegetarian sausage alternative, which are very good), a mexican 7-layer dip, or a personal pan pizza dip and then you can use keto breadsticks, keto tortilla chips celery, raw bell peppers, kale chips, Quest chips or cheese crisps to dip. Yum!!
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You may have heard by now that I finally wrote and published a “real” book called Keto for Life!!!  The reviews are in and people are loving it!  Already a best seller, you can learn more about what you’ll find inside Keto for Life by clicking here!  OR head over to Amazon to check out the reviews of Keto for Life before snagging a copy for yourself!
A lot of this initial weight loss is water. Your fluid levels fluctuate often and can change dramatically when you alter your diet. For example, when you start a low-carbohydrate diet, you deplete the stored glycogen in your muscles. When you lose this glycogen, you also lose the water it retains. As a result of this loss of water weight, you may experience a flatter-feeling tummy and the first pounds lost on your scale. Lose just 2 cups of water, and it results in a pound lost on the scale, but it's not actual fat loss.

"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
But, with tips from the internet, I learned that these noodles are best prepared by draining, rinsing, and then sauteeing until much of the liquid is cooked away from these spaghetti-like noodles. Once you’ve done that, you’ve got yourself a really great base for a vegan keto dinner. Now, with spaghetti comes sauce, and sauces are often laden with carbs from all their hidden sugars. Try making a tomato based sauce from scratch, or opting for a bruschetta mixture instead.
“I was 18 years old and 230 pounds. I was unhappy and realized after my freshman year of college that I needed to change my lifestyle. I come from a family of marathoners, but in 2012 when I told everyone I wanted to run my first marathon, I was told I couldn’t and wouldn’t do it—by family, friends, and even professors in front of my whole class. I took that adversity and have run the Marine Corps Marathon five years in a row, competed in six half marathons, and lost 83 pounds along the way.”
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.
Carbohydrate restriction can lead to quick water loss. When you lose water weight, you are likely to feel and look thinner. For some people, lost water weight can make the difference between two different clothing sizes. But losing water weight is different than losing fat. While cutting back on carbs is a smart approach to weight loss for many dieters, it needs to be part of a comprehensive program of healthy eating for sustained weight loss to occur.

In contrast to the typical, animal based keto diet with it’s high fat levels, a typical vegan diet often consists of a significant portion of grains and high calorie carbohydrates, often with a high carbohydrate to fat ratio. If we’re going to adapt a vegan diet to be keto friendly we need to really up our intake of a selection of higher fat vegetables etc. and cut down on carb heavy ones. Avocados and nuts are great sources of healthy fats to include along with nut and olive oils, and coconut (For more avocado recipes try this round up for some great ideas).


“Physiologically speaking, to lose weight, you have to burn more than you eat. It requires a 3,500-calorie deficit to lose a pound,” says Meg Sharp, director of personal training for the Cambridge Group of Clubs. “This can be done through either diet or exercise alone, but the human body is complicated. It’s a bit of an oversimplification that you can choose to either burn your calories or reduce their intake.”
We not only educate and advise clients about our products and services but are successful users as well. Our team members each have personal testimonies successfully using the various products we have available such as Phentermine, HCG diet, Dysport®, Restylane®, Lipo Plus, and Megaburn.  We can't wait to show you our own personal before and after photos. 

If you’re longing for carbs so badly that you feel your resolve to stay on the diet is breaking, it’s possible to trick your brain that you’re eating them by making approved foods look more like your starchy favorites. Cauliflower can be grated into “rice,” or boiled and mashed like potatoes. You can slice zucchini into noodles to (sort of) replicate pasta. See “Vegan Substitutions for the Keto Diet” below.


Vegetarianism itself is powerful for your health and nutrition, but also for environmental friendliness. The vegetarian diet has been correlated with decreased risks of cancer, heart disease, diabetes, kidney/gall stones, osteoporosis, and more. Meanwhile, reducing your meat (and dairy) intake is the single strongest way to reduce your carbon footprint. Talk about an awesome lifestyle. These are just scraping the surface of the many reasons to adopt a vegetarian diet.
“I was supposed to be a leader of soldiers, and I could barely pass the Army physical test,” Cines — who weighed 200 lbs. at her highest — told PEOPLE. “I was embarrassed. My soldiers looked up to me and I had to counsel them when they couldn’t meet the standards, and yet I myself couldn’t meet the standards. I just felt like a hypocrite and a fake.”

In Minneapolis, Minnesota, a survey revealed that 94 percent of residents would be willing to buy more fresh produce if it were stocked at local corner stores. In response to this, the city launched the Minneapolis Healthy Corner Store Program that requires convenience stores to stock fresh produce. This trend might be spreading to other areas in the coming years
Replace Dairy-Based Cheese with Vegan Cheese. There are plenty of vegan cheeses on the market right now. If you want to avoid soy (for the reasons we will discover later), then you can find coconut, cashew, and other tree-nut-based cheeses. My personal favorite vegan cheese-making companies are Treeline and Miyoko’s Kitchen. Their cheeses are some of the best I’ve ever tasted. In fact, many people think that they are better than traditional dairy cheese. If Treeline or Miyoko’s Kitchen doesn’t have the cheese you are looking for, then try Follow Your Heart’s vegan cheese. Follow Your Heart is another company that makes almost every type of vegan cheese you could ever want.
You’ve heard that eating from smaller plates can help you eat less, but did you know that using a larger fork can do the same? A recent study by researchers at the University of Utah found that participants eating with a larger fork - one that held 20 percent more food—at an Italian restaurant ate about 10 percent less than those who used a regular fork. Researchers believe a smaller fork makes us feel we aren’t making as much of a dent on our plate so we’ll take more forkfuls to satisfy our hunger. (Note: This only worked with large portions. When diners were served smaller meals, fork size didn’t affect their consumption). So next time you’re order a super-sized entree, ask for a bigger fork to help you eat less. And while you’re at it, stop when you’re satisfied—not stuffed.
You may have noticed that glycerin and HSH are both absent from this chart. In one 1990 study, researchers found that HSH corresponded to a glycemic increase that was 71% as strong as pure glucose. According to this website, the glycemic index for glycerin is only 5, which is significantly smaller than glucose's 100. Although the site doesn't cite a source, the table is a good guide for most sugars and sugar alcohols.
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.
There are other side effects as well when your body is first adjusting, like difficulty focusing, flu-like symptoms (keto flu), drowsiness, frequent urination, constipation, diarrhea, and reduced strength and physical performance. Most of these symptoms occur mainly in the first few days, while others can come and go depending upon how many electrolytes you are getting and your macronutrient intake.
I hope I’ve shown you that you can have a lot of fun exploring the ins and outs of vegetarian keto. There are tons of good foods and recipes out there just waiting to be tried. Shop local if you can, supporting local farmers is great for the environment. Don’t be afraid of meat substitutes. Go crazy with the cheese. Listen to your body. Most people, upon switching off from keto, say they feel sick after eating carbs, even once they reach their goal weight. Don’t get down if you mess up, just get back on the horse.
The right types of oils are great for a ketogenic diet because they’re entirely made of fat. MCT’s in particular are a type of fat that is metabolized quicker than most and broken down into useable energy. It also can easily cross the blood-brain barrier, which is why they are so beneficial to our mental clarity and performance. Perfect Keto made a convenient MCT Oil Powder just for this reason, and more can be found in our article Are MCT Supplements Worth Taking? Here are some more great options:
“It’s been a real confidence builder to realize that I can set goals and accomplish them. I was never athletic as a kid, and now as a person eligible for Social Security, I’m signed up for two 10 mile races and a half marathon in 2017—and I know I’ll finish them. As a matter of fact, running has improved my mental health as much or more as my physical health. Running is the one thing that I do just for me, which is needed in a life full of stress.”
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.”
Studies have shown that people who weigh themselves regularly are most successful at losing weight and keeping it off. When is the best time to weigh in? I advise my clients to step on the scale on Fridays and Mondays. People tend to stick to their healthy habits during the week and loosen the reins slightly on the weekend. Weighing in on Friday will reveal the results of your hard work during the week and encourage you to carry the habits into the weekend. If you’ve indulged over the weekend, your Monday weigh-in may reveal a few extra pounds and motivate you to get right back on track. Try keeping a chart to record patterns in weight fluctuation throughout the week, which will help you make smarter diet and exercise choices to meet your goals.
These pecan pie cookies check all the boxes. They're keto, low carb, vegan, paleo, and gluten-free! Not to mention that this is also a keto no-bake cookies recipe—could these cookies get any easier (or more delicious)? Probably not. This keto cookie recipe only requires 6 ingredients and also offers some flexibility and tips if you decide to switch up which type of nuts you use!
“If you are considering starting any kind of ketogenic diet, you should discuss it first with your doctor. The diet may be harmful if you have existing kidney, liver, or heart disease. If you have diabetes or high blood pressure and are on medications, you should be in close contact with your physician to monitor changes and adjust medications as needed,” Vizthum says.

One of the coolest things that intermittent fasting does is trigger a phenomenon in your body called autophagy. Autophagy is a process in which your body recycles and consumes its own cells and proteins in a healthy manner. Often it means that damaged cells are turned into energy for your body, which is the equivalent of cleaning out the depths of your kitchen cupboards. For more on this check out this article.

“The weight starting coming off,” she says. “I remember I lost 9 lbs. my first week. After I had lost 100 lbs., I started trying more adventurous exercise. I became fascinated by fitness and seeing what new things I could accomplish with my body. I do things that I never dreamed were possible like running races, lifting heavy weights, and completing a sprint triathlon.”
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!
When enjoyed in smaller portions, there’s such a low amount of net carbs that it can be a safe way to satisfy your sweet tooth, without kicking yourself out of your body’s state of ketosis. Enjoying a few here and there throughout your day is not as harmful as one would lead you to believe. In fact, with the amazing antioxidants and nutritional benefits of raspberries, I’d encourage it!
The benefits of a low-carb keto diet are also hard to pass up. It's one of, if not the strongest weight loss diet through ketosis. Keto may also improve acne, brain health, and seizure frequency, improve heart health, and combat type 2 diabetes, as well as assist with a host of other conditions. Others that adhere to the keto diet also self-report other benefits:

“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.”
My Weight-Loss Secret: "I had a treadmill in my garage that I'd been ignoring for years. I started walking on it for 30 minutes five days a week. Four months later, I'd dropped 20 pounds and added 1-minute jogging intervals. When my weight loss stalled, I started lifting weights three days a week as well. About two years later, I'd lost 90 more pounds. Now, I warm up with 5 minutes of walking and end with another 15 to 20 minutes."
While there are nutritional benefits associated with eating red meats and poultry in moderation, you can certainly still live a ketogenic lifestyle without them. In fact, looking at the bigger picture, the keto diet and vegetarian diet are more sustainable ways of dieting because they rely less on eating massive quantities of meat. Here are a few keto diet recipes you can try today:
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.

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. 


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.
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