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.
“I’ve been going to ‘get in shape’ for years now. Would start to, but never really saw any results. Samantha took this junk food junkie and showed me how eat healthy and so I would enjoy it! ** IN ONLY 16 WEEKS I'VE ALREADY LOST OVER 30" AND 30 lbs. OF FAT! ** I really can’t believe how easy the transformation has been. I only wish I had called Samantha sooner!” - Karen
Hi Sarah, depending on your goals it may be useful to utilize our macro calculator which you can find here: https://perfectketo.com/keto-macro-calculator/. You’ll enter all of your info, set a goal, and it will give you a good starting point of how much protein, fat, and carbs you should be aiming for in a day. I would definitely start off with this and than adjust as you go. Hope this helps!
“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.”
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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.
If you have bad memories of being yelled at for not finishing everything on your plate, forget them. "Stopping before you're full is better for your health," says Ericka Stachura, R.D., a registered dietitian in Boston. That's because it takes 20 minutes for our stomachs to tell our brains that we're full; leaving food on the plate allows your brain to play catch-up. Also, when dining out, consider sharing an entree with a friend—portion sizes are often way larger than the recommended size for one person. You'll still feel satisfied. Promise.
You don't ignore the calories in a giant muffin, but that specialty coffee may not always get the same consideration. Solid foods aren't the only hiding place for weight-gain culprits—liquids are diet derailers too. "A 20-ounce nonfat latte contains 200 calories, but the same size coffee with a splash of nonfat milk or soy milk has 25," Beller says. If you're still skeptical that drinks are wreaking havoc on your daily calorie allowance, journal them and you might be surprised.
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.
“Understand that it is a marathon, not a sprint. Some days may not be great but don’t beat yourself up. Also understand what works for you—maybe only for you. Tracking my food and running have been my unlock, but everyone must figure out what’s best for them. It could be meal prep, cutting out certain foods, doing more cross training... Whatever it is, do what you can practically manage, and also enjoy.”
Cutting out grains, rice, bread, and pasta will reduce your carb intake substantially, but you’ll also have to cut way back on nearly all fruits (exceptions are in the food list above, though even those should be eaten sparingly). Starchy vegetables like potatoes and yams are out, too. And the sugary dressings and sauces you may be so accustomed to that you don’t even question them anymore… well, start questioning them.

“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.!
Coconut butter comes in a jar as a solid substance, but when melted slightly in the microwave and mixed together, it has a taste and texture reminiscent of a frosting. In a room temperature environment, it becomes solid once again. Whether you simply enjoy it off the spoon, or as the icing on a keto cookie, this is one food that is not to be missed out on.
In the first week you lose a lot of water weight.  That is why you lose so much so fast.  I went off the diet and gained 7lbs over night...all water weight.  They say a good rule of thumb is to take what your weight lose is the first 5 days and add that to your weight...this will be your weight if you go off of the diet.  I lost 25lbs in a month.   #ketoconazole
“I have met the most amazing and supportive runners over the past year from all over the world who have become life long friends of mine. They helped me out and answered all the questions I had when I first started running. The highlight and most rewarding part of running for me is getting to run with my daughter Amanda. I have always supported her in her running over the years, but I never thought we would ever get to run together. Now, we run occasionally in the mornings, and do long runs together on weekends. The biggest highlight was running the Hershey Half together in October in 2:29 the day before my 56th birthday.”

Meat substitutes. Meat substitutes are often the punching bag of vegetarians and vegans, and I’m not really sure why. Some say that soy is a poison that gives you cancer and disrupts your hormones and things like that, but the science says otherwise. Meat substitutes are healthy, good for you, and a godsend for vegetarian keto. Gardein, MorningStar, Quorn, Boca, Beyond Meat, Lightlife, almost all of them are GREAT for low carb, high fat, high protein meals. I would not be able to do vegetarian keto without fake meat products.
First things first: When you hear that the keto diet emphasizes consuming fats over carbs, that doesn't mean fats from drive-through fries or something of that sort (as sad as that may seem). It means consuming fats from things like avocado, eggs, nuts, seeds, ghee, and coconut oil. These healthy fats fuel your body's energy in replacement of carbohydrates, contributing to the aforementioned possible benefits of the diet. That's why these foods are a good place to start when talking about all things vegetarian and keto and can be considered as the building blocks of many healthy vegetarian/keto recipes.
You know you probably shouldn’t, but sometimes you eat in front of the TV or computer. But do you know how much it affects your waistline? Studies show that we eat around 40 percent more when watching TV and we’re more likely to eat junk food while distracted. To lose weight without major sacrifice, power down your TV, computer or smart phone during dinner and concentrate only on your meal.
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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.
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!
The Ketogenic diet (or keto diet as it’s more commonly referred to as) is the latest diet craze that has taken the world by storm. But the keto diet isn’t a fad diet, far from it. The benefits of a well-balanced keto diet have been proven to have many health benefits – as well as the obvious one of losing unwanted weight. The keto diet works on a basis of low carb, high fat. Which while easy for some, can be more challenging if you have to work around other dietary restrictions.
The scale isn't always the best marker of your results given that it doesn't tell you what type of weight you're losing -- water, lean tissue or fat. If you weight train as part of your weight-loss plan, you may actually acquire lean muscle mass, which may show up on the scale as a gain. You will notice that your clothes fit differently, and your appearance is slimmer and more taut, despite what the scale says. The results of weight training may be apparent in the first few weeks after you start the program, but visible results will slow down as your body becomes more accustomed to the routine.

According to a new Cornell University study, people who ate smaller, portion-controlled lunches consumed about 250 calories less per day (that’s about two pounds a month) than those who ate as much as they wanted. Portion control doesn’t mean you’ll go hungry. Reward yourself with a snack for sticking to smaller meals, which can help shave off pounds without major sacrifice.
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.
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. 

This healthy chocolate chip cookie recipe has a texture that's almost comparable to shortbread! The recipe only requires 7 ingredients and stays vegan by avoiding eggs and butter. Using almond flour for the keto cookie dough keeps the texture buttery and light. This is a great choice if you're looking for an easy keto cookie that reminds you of a classic chocolate chip cookie recipe.
“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.”
Fresh vegetables. Veggies are full of fiber and nutrients, so if you enjoy them, your keto journey will be much easier. Some vegetables have tons of versatility, like cauliflower, which can be blended into a rice alternative, cut up and baked as fake wings, mashed to make “mashed potatoes,” etc. Other great veggies for keto are mushrooms, romaine lettuce, spaghetti squash, and broccoli. Paired with the seasonings and ingredients above, you can make some awesome meals.
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.
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.
As good as the recipe seems please don’t say it is keto. It isn’t. I don’t know if you are just trying to make keto a relevant keyword for ranking or what. This is a disservice to people who are on the diet. Carrots are completely against keto. So are sweet onions, all beans and legumes, canned tomatoes are loaded with sugar. Calling it meatless, vegan, or what have you is fine. But don’t call it keto chili. You are simply lying to viewers.
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.
Protein is likewise a large challenge. “Since the keto weight loss program is counting on protein and fats for your calorie consumption, you are slicing out many of the entire proteins you would be achieving — say from legumes and grains — on a normal vegetarian food plan,” Mass says. “On a keto weight-reduction plan, this supply of whole proteins is now basically eliminated.” Protein is critical to help the frame build bones, muscle tissues, and pores and skin, in line with Medline Plus.
Fat is important on the keto diet, but especially so if you are vegan or vegetarian. “Aim to get 75 percent or more of your calories from plant-based fats like coconut oil, coconut cream/butter, MCT oil, olive oil, avocado, and—in lesser amounts—nuts and seeds,” says Dr. Axe. “Keep nut and seed consumption to about 1/4 cup per day (or two tablespoons of nut butter), since these do provide some carbs and can also be hard to digest in large amounts.” To help with absorption of minerals, he recommends soaking or sprouting nuts first.
In the first week you lose a lot of water weight.  That is why you lose so much so fast.  I went off the diet and gained 7lbs over night...all water weight.  They say a good rule of thumb is to take what your weight lose is the first 5 days and add that to your weight...this will be your weight if you go off of the diet.  I lost 25lbs in a month.   #ketoconazole
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