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. 
Possible thyroid tumors, including cancer. Tell your health care professional if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rats and mice, Saxenda® and medicines that work like Saxenda® caused thyroid tumors, including thyroid cancer. It is not known if Saxenda® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people.
“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.
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.
Opt for low-carb and high-fat vegetables whenever possible. There's a range of low-carb fruit you can enjoy on your vegetarian ketogenic diet. You can also find a few high-fat examples with avocado being the most notable. Make sure to track your carb intake when making meals with these as it's easy to go overboard with carbs on a vegetarian ketogenic diet.
A study published in The International Journal of Obesity studied 420 overweight and obese adults and found those who ate their major meal after 3 p.m. — lunch for this Spanish cohort — lost less weight than those who ate earlier in the day despite similar calorie consumption and activity levels. Scheer, who co-authored the paper with professors Marta Garaulet, believes diet-induced thermogenesis, the increased energy expenditure after food intake, could be the reason for the results.
One thing you can rejoice about are hot drinks like coffee and tea. Both coffee and tea do not inherently have any sugar if made from scratch. Even coffee and tea K-cups tend not to have any sugar in them (and are, in fact, calorie free), but the other flavors of K-cups do. You can even order a black coffee at Starbucks or an Americano, which has only 3 carbs. Take a look at Starbucks’ menu organized by nutritional information too.
Hi Tom, thanks for your comment. Carrots and onions are okay in a keto diet as long as they are eaten in moderation. Obviously, I am not saying this chili should be eaten everyday if you are on keto. It is fine if you are having it once in a while and watching your carb intake throughout the day. The canned tomatoes I used do not have any added sugar or additives so that is okay. Thanks for your comment and I am in no way trying to lie to my viewers.

“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.!
By this point you’ve probably been hearing that buzzword around your neighborhood, family, social media or workplace – “keto”. The word is simply short for the ketogenic diet, growing incredibly in the last few years for its powerful ability to help one increase their brain clarity, increase their energy and all the while, decrease their body fat (read more about it here). Many are drawn to its high-fat low-carb ways that allow bacon and eggs to be a part of their regular intake. However, that makes it a challenging diet to adhere to when you’re part of a vegan or plant-based lifestyle. Good news is, it’s a misconception that this is a meat-based diet. The keto diet, while focused on taking in a low amount of carbs and high amount of fats, it’s also dependent on a steady flow of good proteins, as well. Vegans have been thriving for decades with protein alternatives to meat, and fat alternatives to dairy, therefore, the keto diet is no exception. Regardless, many feel lost when trying to even wrap their heads around doing a vegan keto diet, so we are taking a look today at some key foods that are both vegan, and keto diet approved!
When it comes to buying keto-friendly vegan options, make sure you are not getting any extra added sugar, hidden carbs, or unhealthy ingredients like hydrogenated oils. Also, pay attention to their fat and protein content. These vegan replacements will not contain as much fat or protein as conventional dairy and eggs. Make sure you are taking this into account when you are using these alternatives in recipes and tracking your macros.
Cancel, pause, or adjust your order at any time, hassle free. Your credit card will only be charged when your order ships. The discount applied every time is 15% off. Since it would be weird to subscribe to a kettlebell, the subscriptions and subscription discounts are only for things you'll need often, like supplements, foods, and personal care items.
Starchy veggies, such as potatoes and corn, are carb-heavy, which is a no-no on the keto diet. Still, as a vegetarian, you’re likely going to consume veggies for every meal. Aim for variety. Include leafy greens, broccoli, cauliflower, peppers, mushrooms, onions, asparagus, etc. “Sea vegetables are also great additions to your diet since they provide iodine and other key minerals,” says Dr. Axe. “For help with digestion and gut health, also try to include fermented veggies in your diet every day, such as kimchi, sauerkraut, etc.”
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!
“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.”
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Thanks for the info. I would be a bit concerned with some of the choices that you outlined. For example, the high amount of non fermented soy which is known to be an excitotoxin because of the release of high concentration of glutamates into the blood stream causing glutamate receptors around the body to fire until exhaustion. These types of foods are associated with a wide range of illnesses as well as helping cancers to spread more quickly around the body. As well your choice of things like canola oil have to be questioned as it is just a marketing ploy for what was known as rapeseed oil which is high in erucic acid which associated with high incidence of fibrotic heart lesions, known as Keshan’s disease, as well as disorders of the central nervous system, lung and prostate cancer, anemia, and constipation. Plus it is virtually impossible to find non GMO versions of canola oil. What is even more striking is your pushing of Splenda which is known to contribute to the development of diabetes!?! You leave me wondering as to whether you’re actually trying to help or are actually trying to market some of these products
“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.”
One thing many people miss when following a plant-based keto diet is fruit. Whether it’s in your morning smoothie, an afternoon pick me up, or after dinner as a sweet treat, fruit plays a big part in a vegan diet normally. But with this fruitless green smoothie bowl, you’re guaranteed not to miss the sweet stuff at all! Put this on your rotation of plant-based breakfast recipes and you’ll start the day with a boost of energy.
Savoring each bite of food, and paying attention to the taste, texture, and temperature, helps you eat less because you’ll be more in tune with your hunger and satiety levels. "Simply putting down your utensil between bites of food could prevent you from mindlessly 'shoveling in' more than you need," says Sara Haas, RD, and chef. Haas suggests that you take a bite and then let your fork relax next to your plate while you chew. Mindful eating gives the body time to signal that you're full and aids in digestion.
By monitoring the things you may be insufficient in, you could (and should) stack up on nourishment that is wealthy in those supplements, for example, cheddar for nutrient B12, eggs for nutrient D, and verdant greens like kale for calcium. On the off chance that you are occupied with attempting ketogenic diet without eating meat, Mass likewise suggests facilitating up on how strict of a veggie lover you are and eating fish on the off chance that you don’t as of now since it’s an incredible wellspring of omega-3s and protein.
Solution: Cheese, egg yolks, mushrooms, soy beverages, milks, and other breakfast foods all provide a small amount of Vitamin D. Additionally, direct exposure (not through a window) to sunlight generates Vitamin D in the body. There is always the supplement option - this supplement is a delicious apple flavor and melts under the tongue, which is why I buy it.
“A completely vegan or plant-based keto diet would require the elimination of all animal-derived foods (including all meat, fish, dairy, eggs, and other animal fats and products, like bone broth or butter), plus nearly all sources of carbohydrates,” explains Josh Axe, D.N.M., D.C., C.N.S., doctor of natural medicine, chiropractor, clinical nutritionist, and author. “This results in a limited diet that’s going to be hard to follow and [will be] repetitive.”
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.
You conscientiously check food labels, but do you pay attention to serving sizes? (You don't have to answer that.) Rachel Beller, M.S., R.D., and nutritionist on NBC's The Biggest Loser, calls for a "reality check" when it comes to reading serving sizes on packaging. "Many cereals have a serving size of half a cup or two-thirds of a cup, but no one sticks to a measly half a cup of cereal." She suggests limiting yourself to single-cup servings that don't exceed 200 calories. Make measuring cups your new BFFs, and resist the temptation to let em overflow.
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.

“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
This sugar-free macadamia shortbread cookie recipe is so lovely in its simplicity. Dipped in a sugar-free dark chocolate glaze and sprinkled with macadamia nuts, this keto twist on the classic holiday shortbread is a real beauty. This low carb shortbread is the perfect solution if you're feeling stuck between staying keto and craving your favorite holiday treats.
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.
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."

Although it’s just recently entered the limelight in the past few years, the ketogenic diet actually has a pretty extensive history that stretches back for centuries. Since at least 500 B.C., fasting has been used as a natural method to treat epilepsy. In the 1920s, the ketogenic diet was developed as a way to mimic the effects of fasting and aid in the treatment of seizures in children. (1)
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.
Walking is great exercise for weight loss, but it seems to be even more effective when done just after eating. A 2011 Japanese study found that walking immediately after a meal was more effective for weight loss than waiting up to an hour afterwards. Subjects who went for a brisk, 30-minute walk just after lunch and dinner lost more weight than those who waited to walk. And because walking is a low impact form of exercise, it shouldn’t cause any digestive distress.
The pumpkin pie spice in this keto cookie recipe offers a delicious fall twist. This yummy chocolate chip recipe comes together with 9 ingredients in about 30 minutes. Kyndra also offers some handy tips and tricks if you need help with ingredient substitutions, prepping your cookies so that they turn out perfectly, and even how to store them if you're planning on enjoying them later.
Removing just two teaspoons of sugar from your daily cup of coffee may not seem like a big deal, but it can save you 32 extra calories a day or three extra pounds a year, says Morgan. If you’re a coffeehouse fiend and make two trips a day, consider this: Skipping that afternoon latte could save you an extra 54,750 calories (more than 15 pounds!)—and almost a thousand bucks—by the end of the year.

Red Palm Oil. Being an incredible source of Vitamins A and E, red palm oil doubles as a vitamin supplement. It has a mild carrot-like flavor and a rich, buttery texture. You’ll find that cooking with it can enhance the flavor of your vegan meat, nuts, and seeds. Caution: When buying palm oil, however, you must be extremely careful because many of these products are made in a way that devastates the wildlife and their environment. If you do want to add red palm oil to your keto diet, make sure you only buy RSPO-certified or Certified Sustainable Palm Oil (CSPO) products.
This is often easier said than done. Committing to a healthy diet and fitness regimen can be a challenge, especially when you don’t see the meaningful results you're hoping for in a relatively short period of time. To keep you motivated and working toward your goal, we consulted the health experts for some of their best tricks for getting — and seeing! — results quickly. Whether you have five or 50 pounds to lose, these tried-and-true tips will encourage you to stick with it.  
Don't shy away from a handful of processed foods if they help you meet your macros. Normally, you'll hear that excluding processed food is the way to go on keto. And while that is a wise thing to do, it can cause trouble when you adopt a more restricted version of the ketogenic diet. Adding TVP, trans-free margarine, and canned goods can be a convenient way to get all the nutrients you need on your vegetarian ketogenic diet as long as it's low-carb and rich in healthy fats.
By monitoring the things you may be insufficient in, you could (and should) stack up on nourishment that is wealthy in those supplements, for example, cheddar for nutrient B12, eggs for nutrient D, and verdant greens like kale for calcium. On the off chance that you are occupied with attempting ketogenic diet without eating meat, Mass likewise suggests facilitating up on how strict of a veggie lover you are and eating fish on the off chance that you don’t as of now since it’s an incredible wellspring of omega-3s and protein.
If you have a tendency to overeat at cocktail parties, "choose a non-caloric beverage when first arriving, and delay eating anything until you've had a chance to look over all the choices," suggests Lorraine Matthews-Antosiewicz, MS, RD, a food and nutrition expert in New Jersey. By scoping out what's available, you can determine which indulgent treats you want to splurge on and which lean, filler foods will help fill you up. Holding a low-calorie beverage in one hand and a bag in the other will prevent you from mindlessly grazing. "Select one or two hors d'oeuvres that you really want and then wait until the cocktail hour is almost over before putting them on your plate, especially if a meal is to follow," says Matthews-Antosiewicz. You will have to set down what you are holding to fill your plate, which will keep you mindful about what, and how much, you're eating.
Are you a vegetarian who wants to start the keto diet, but is worried there won’t be enough options? The keto diet isn’t hard, even when you’re a vegetarian. You may think that you’re already cutting back on a lot of food, but there are plenty of choices to keep you going on a vegetarian keto meal plan. Keto vegetarian recipes are filled with good-for-you ingredients that help keep you satisfied and keep your body running.

So you've decided to take the plunge. Congratulations! The first thing you need to is to get an app so that you can closely count your carbs. There are a few to choose from. MyFitnessPal is certainly popular, and free, but there is also Cronometer, which is also popular, as well as some lesser known ones. Ultimately, the decision is personal preference.
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 diet of the moment is the ketogenic plan—people turn to it to lose weight, to manage chronic illness, or to find a healthier lifestyle. This high-protein plan focuses on meat, however. The goal is to eliminate carbs, jack up the protein, and force the body to burn fat for fuel (instead of its preferred source: carbohydrates). This phenomenon is called ketosis—but the meat focus prevents vegetarians from experimenting with the plan. Now there’s a vegetarian keto diet—dubbed ketotarian—that draws on nonmeat sources of protein. Here’s what you need to know about the vegetarian keto diet. Read the 13 things people get wrong about the keto diet.
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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