How the keto diet and intermittent fasting boost sports peformance – Business Insider

For athletic performance, eating a keto or high-fat diet to become a better fat-burner might help people recover more quickly and perform at a higher level.
— Read on

Low carb, high fat nutrition (LCHF) helps with so many areas of our life and health from reversing diabetes to improving athletic performance. Find out more in our DPC program where physicians work hand in hand with nutrition educators including a registered dietitian and personal trainers at our 24/7 gym called VitalSigns to benefit our patients. Call our offices to find out more.

Where are you headed?

dead-end-sign-cul-de-sac-hopeless-163728.jpegAre you headed the wrong way in your health?

Do you know what is at the end of your road?

Are you worried that diabetes or a heart attack is waiting for you, but you really don’t know how to avoid it?

Trinity Direct Primary Care helps patients understand where they are going and change direction.  We have spent the last 25 years building the area’s premier medically based wellness program called VitalSigns.

Every week we start a new Vital Foundations class that can set you on the journey to better health by teaching you the basic principles needed to exercise safely and eat well.

Every month we offer a new Vital Launch class that takes a small group of patients through a 10 week program which has been proven to reverse disease, promote weight loss, reduce the burden of medications, and restore health and vitality to patients.

Why walk another day down the wrong road?  Contact Dr. McColl or Dr. Hone today to ask about Vital Launch.  Also you can stop by the VitalSigns Gym at 2531 Willow Point Way, Knoxville, TN 37931 to meet the staff and receive a one week free membership.

Article: Evidence surrounding the use of low carbohydrate, high fat diets for the prevention and treatment of CVD, type 2 diabetes, and obesity is accumulating.

Here’s a great article by Drs. Demasi, Lustiq, and Malhotra on the association concerning low carb high fat diets (like the one taught by Trinity and VitalSigns) and their ability to reverse (ie, cure) insulin resistance, type 2 diabetes, and obesity.  The purported risk of increased cardiovascular disease is shown to be not fully understood.

Clinically, I see dramatic improvements in the health of my patients when they adopt the low carb diet I teach.  They lose dramatic weight (my patient record is 200lbs) and reduce their dependency on medication.  Functionality and vitality return to their lives.  It is amazing to walk with patients through this process.

If you’d like to see what this program can do for you, contact us about the Direct Primary Care program where there is no charge for office visits, phone calls, or emails and most labs we need to manage your nutrition and health are included in the cost of membership.  Patients can join today with memberships starting at less than $1 per day!

Click here to join.


The cholesterol and calorie hypotheses are both dead — it is time to focus on the real culprit: insulin resistance | Insight | Pharmaceutical Journal

Low carb health coaching proves successful for treating diabetes; lose weight and reduce medication

A recently published study utilizing an in person and remote health education and coaching platform showed that participants with Type 2 Diabetes were able to reduce medication usage, lose weight, and obtain better glycemic control through intensive dietary change.

This type of health coaching is similar to what Trinity has been utilizing for nearly 5 years with VitalSigns Launch and Launch Express.  We have recently added remote health coaching to enhance our patients’ ability to access good care.  If you’re interested in learning how you can improve your A1c, reduce medication, lose weight, and generally be free of the burden of diabetes then give us a call and come see just how health you can be.

Here the graph shows the breakdown A1c reductions across the A1c starting points.  The biggest reductions were seen in those starting with the highest average glucose.





Below the graph shows the relative change in medication usage based on the class of medication.  Ninety percent of patients on a sulfonylurea had that medication eliminated during the trial period.  Fifty-one percent of insulin uses required a lower dose during the trial period.

Weight loss was seen in most every patient.  Average weight loss over the 10 week trial was nearly 8% of body weight.

A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes



VitalMeals: Miso Ginger Grilled Salmon

VitalMeals is a weekly recipe service that offers 7+ dinner recipes to satisfy every palate.  Included is a detailed grocery list that makes stopping to get supplies incredibly easy.  Combine a VitalMeals shopping list with Kroger’s new ClickList feature and you can a week’s worth of low-carb, healthy meals waiting to be picked up on your way home from work.

It doesn’t get any easier than this!  Check out VitalMeals today for your 14 day free trial!


VitalLaunch Express is coming to TMAHV

Beginning in March, Dr. McColl will be coaching a VitalLaunch Express at Trinity Medical Associates of Hardin Valley.

VitalLaunch Express is a 10 week small group program developed by VitalSigns physicians to provide the core educational lessons from their flagship VitalLaunch program in a once per week session.  Participants learn nutrition and exercise principles using videos from TMA physicians, coaches, and trainers and the small group facilitator.  A small group setting helps emphasize accountability and celebration of success.  Pre- and post-participation biometrics mark out success for each individual.  Weekly topics include such things as “How do I change?”, “Carbohydrates”, “Grocery Store Tour and Label Reading”, and “Gremlins and Plateaus”.

Participation is limited to five individuals.  Children 12-18 years old are free with participation of a parent.  Class cost is $249 and $199 for DPC members.

Contact Dr. McColl at for more information or contact the office at 244-1800 to register.

Prescription for health

VitalSigns Wellness is Trinity’s 24 hr fitness and wellness learning lab that we launched to give our patients and our community a place to put into action the exercise philosophy we promote that reverses chronic disease and restores functional health. 

The VitalLaunch program is our nationally recognized flagship program that takes a small group of participants through a 10 week intensive education and exercise regimen. 

We now offer Vital HIIT that has quickly become one of our most popular programs. It is a high intensity interval class that has shown to powerfully boost metabolism and produce big gains in fitness. Studies show that HIIT regimens can yield similar results as steady state cardio with only 1/3 the amount of time commitment. Come check out our program. 

VitalSigns HIIT on Around the Gym with Daryl

VitalMeals Crockpot

This week’s VitalMeals email has some helpful crock-pot ideas as well as some great recipes.

This week’s recipes include

  • Taco Bake
  • Italian Chicken Packets
  • Italian Vegetables
  • Pork and Mushroom Stir Fry
  • Low Carb Carbonara
  • Fish Taco Bowl
  • Low Carb Ravioli
  • Crock-Pot Jambalaya

VitalMeals Crock-pot ideas and weekly recipes

Sign up for a two week trial of weekly recipes and a grocery lists for free.

VitalMeals Weekly Plan

If you’re in need of some help planning and preparing for healthy meals at home, then check out VitalMeals.  We curate and publish 7-8 dinner recipes with their shopping lists into a weekly email for patients.

This week we offer one of VitalMeals’ most requested recipes: Low Carb Pizza

Additionally we offer the following recipes in this week’s email.

  • Buffalo Wings
  • Chicken Enchiladas
  • Low Carb Beef Brisket
  • String Beans with Shallots
  • Spicy Kale Stuffed Chicken Breasts
  • Garlic Greens
  • Cashew Chicken Cassarole
  • Grilled Snapper Coleslaw
  • Tomato and Blue Cheese Soup.

Check out VitalMeals today to see how this service can help you get on track for a healthier New Year.