by kelsey | Jan 22, 2014 | Exercise, Family, Goals, Motivation, Wellness/Health

As I read Dr.Dan’s post about his success with the Goofy Challenge, I couldn’t help but think about the positive role model he and Dr.Sarah have been to their kids…and all of us at the clinic. All of their kids enjoy being active and their family participates in activities together. In addition, Dr.Dan’s team here at the clinic has made some incredible strides with improving their fitness and health. I think it is much easier to practice healthy living when you are surrounded by positive influences and you engage in the practices or healthy behaviors together! My family (pictured above!) is another good example of this. We certainly do not do all of the long distance runs like Dr. Dan does (some have though!), but we all enjoy being active and are conscious of our intake and practice healthy eating. In order to stick with healthy living, it’s key to make it a lifestyle and a way of life for everyone in your family. Engage your family into the process of selecting meals, grocery shopping, and cooking the meals. Pick an activity to do together every week and be sure to incorporate your own activities daily to get at least 30-60 minutes of activity/day. If your family isn’t too supportive yet, ask them for help! Sit down together and discuss your goals and aspirations for healthy living… and ask them for support and help. Don’t be afraid to discuss your weaknesses as it is helpful to have extra support on those extra challenging areas. An example of this would be portion control…if you struggle with eating just one helping ask them to help kindly remind you when you’re eating to slow down and mindfully think about how much you need and ask if you really need a second helping. Or maybe it’s exercise…can’t get motivated to get on that treadmill or go to the gym? Ask them to do it with you! Having a buddy or support system will always make you more successful! If you live alone, you can also ask your friends or coworkers to be your support system! If we surround ourselves with positive people who make a positive influence on us, we will be more apt to reach our goals and stick with them! They may push you a little bit beyond your comfort zone, but remember…they’re only trying to help you be better and healthier!
-Kelsey
by kelsey | Jan 16, 2014 | Diet, Weight Management, Wellness/Health, Winter

On a blustery day like today, I can’t help but imagine myself on a beach (like the one in my picture I enjoyed last winter in Mexico), drinking a tasty fruit drink, and soaking up the sun. Instead I am inside, with wool socks on and a warm and snuggly sweatshirt. The lack of sun, cold temps, and blizzard temperatures can really bring our spirits down. Here are some tips to help you spark your spirit and stay motivated with working on your wellness goals.
- Get active! Activity produces natural endorphins that boost mood and it will aid in a healthy heart and weight. Try getting at least 30 minutes of activity in a day…if you can do more, the better. Vary your activities to decrease the chances of boredom.
- Eat Right: healthy eating will make you feel healthier inside and out. Aim to get at least 5 fruits and veggies a day, include whole grains, lean meats, and healthy fats. Vitamin D has been proven to aid in seasonal affective disorder, so be sure to get your 3 servings of low fat milk or dairy products. If you aren’t a milk drinker you may consider taking a daily multivitamin with calcium and vitamin D or a vitamin D supplement. Please ask your dietitian, pharmacist, or doctor for the correct dosage.
- Spice up your life: Sometimes getting a new shirt, going to the movies, reading a new and exciting book, or getting new tunes on your ipod will help spice up your life and add some more excitement to your life.
- Get out! Plan a family/friend trip, bum around downtown Watertown, or plain just get out of the house! It’s easy to dwell in our sorrows by becoming a hermit and staying inside. We need to get out and get some socialization!
- Think Positive! Dwelling on the negatives can sure take a person down. Instead think about the positives in your life. Tell yourself one positive thing about yourself and your selfworth daily. Focus on the blessings in your life!
- If you feel you are suffering from the blues very seriously then I encourage you to contact your physician for further assistance as we can help you with this!
Spring and warmer temperatures will be coming. Stay positive, eat right, exercise, and get out…those winter blues will be gone before you know it!
-Kelsey
by kelsey | Jan 14, 2014 | Cooking Tips, Diet, Food, Weight Management

It’s the end of the day and you’re tired and ready to relax on the couch, but you must first cook yourself supper….a daunting task at times. You’re not sure what to make and you really don’t feel like putting a whole lot of effort or time into it, so you settle for a frozen meal, boxed dinner, or calling in pizza. Sound familiar? I too have felt this way and it’s a terrible feeling! You know you need to make healthy choices, but you lack the energy to do carry them out so you resort to an unhealthy, quick and convenient type of food. On the days I am in the clinic, I typically get home around 7:15-7:30pm as I work till 7. The last thing I feel like doing is spending hours in the kitchen working on a meal. To help me make better choices and save on time, I have turned to meal planning and batch cooking. On a weekend day that I have a little bit of time, I look at my schedule for the next week and figure out a basic plan of what I’m going to make or have prepared based on the schedule. On the days I have a little more time for making supper, I choose a meal that may involve a little more prep time. On the days I am short on time, I choose a quicker meal. I then make sure I have everything needed to make those meals and that always includes the basics meal planning step of ensuring I have a fruit, vegetable, whole grain, and lean protein. I like to use frozen veggies as they are something I can always have on hand and the steamer bags are easy to pop in the microwave and cook up in a few minutes. You will want to take your meat out of the freezer to un-thaw (in the fridge!) and you may even consider doing some prep work if you can.
To help you understand how this is put into action, I will give you some examples. This weekend, I decided I was going to have spaghetti and salad one night, chicken noodle soup and grilled paninis one night, and another night chicken tacos. I took the lean hamburger out to thaw for the spaghetti and made sure I had salad on hand. I made a batch of chicken noodle soup so that it’s all ready to eat when we are ready and I slow cooked a few chicken breasts in the crockpot so they were ready for the tacos. When it comes to supper time this week, I am ready! I have everything prepped and on hand now to make meal time enjoyable and healthy. Some other options for batch cooking are to brown up 2lbs of lean hamburger and use them in several recipes over the course of the week: tacos, chili, spaghetti, etc. You can also do this with chicken. Another favorite of mine is pork loin or roast. Slow cook it on the weekend and then it’s ready to go to make into soups, have with some potatoes and green beans, make into sandwiches and add a salad or soup to it, etc. Make sure you incorporate your fruit and veggies with your meals!
It may take some getting used to, but if you haven’t already, I encourage you to batch cook and meal plan. You will be amazed by how much easier and enjoyable supper time is!
-Kelsey
by kelsey | Jan 2, 2014 | Diet, Family, Goals, Holidays, Motivation, Weight Management, Wellness/Health
Happy New Year!! It’s hard to believe another year has gone by! I have been a little quiet on the blog lately as I took some vacation over the holidays. Adam and I enjoyed celebrating the holidays with family and friends for 10 days straight! It was a great time, but we were wiped out by the end of it all! I am sure many of you enjoy special holiday traditions and spent quality time with family and friends, making it a fun and memorable time of the year. One of my favorite holiday traditions is making cookies with my mom. Nothing beats Christmas sugar cookies!! Now these are not low in calories or a healthy choice, but a little bit of indulgence every once in awhile isn’t going to hurt you! They tasted as good as they looked (see picture below)!

Another tradition is that someone usually has to make meatballs. Since it didn’t work out for us to enjoy my Grandma Evelyn’s meatballs, my mom and I made my version of meatballs which uses a BBQ sauce, not a gravy. Now these are a lot healthier for you than the cookies! I use very lean hamburger (Raml beef of course!) and old fashioned oatmeal. This is a recipe from Adam’s grandmother and it is one of our favorites!

As the Christmas and New Years holidays wrapped up, many of our conversations led to New Years resolutions….a common topic for the month of January. Personally, I don’t really like resolutions…I don’t think you need to wait for a certain time of the year to focus on your health! You can do that anytime! I also don’t really agree with the mentality we have of binging on everything over the holidays followed by a “starvation” period in January. What fun is that!! Usually those drastic changes don’t last and you are back to eating normally and once again stuck in that revolving door of overeating followed by guilt and then restriction…which then leads us back to overeating because we can’t stick with it! Instead, I like to focus on healthy living all year round. I enjoyed all of the goodies and special foods over the holidays, but in moderation. I made sure I included fruits and veggies into my daily intake and got my exercise in most days of the week.
Choosing a few small things to work on over time will help you create new habits that you can stick with. Here are a few tips to get you started:
- Eat balanced! Strive for well balanced meals and snacks that are nutrient rich and portioned. Make half your plate fruits and veggies, a quarter lean protein, and a quarter whole grains.
- Eat consistently-eat several small meals and snacks a day instead of one or two big meals. This will keep your metabolism going and prevent you from being starving which always leads to overeating.
- Start your day off right with breakfast- this will help get your metabolism going and provide adequate nutrients to fuel you through your day.
- Focus on health, not weight. We put so much focus on the number on the scale it can drive us half crazy! Instead focus on healthy habits such as getting more fruits and veggies, using smaller plates and portions sizes, engaging in regular activity, etc etc. The weight will come when you achieve healthy habits!
- Eat dinner as a family. Take time to visit and enjoy. This will slow down your eating process and allow you to think more mindfully about your hunger and fullness. Ask yourself: Should I stop now? Do I really need seconds? etc.
- Get active-strive to get at least 30 minutes of aerobic activity most days of the week. If you can get up to 60 minutes, even better! Can’t do it all at once? That’s ok, research has shown that even 10 minutes at a time provides benefit so split it up between your day. We all have a million excuses to not exercise, so you need to throw out the excuse book and just put your mind to it! Start with 5-10 minutes and go from there. You will most likely find that you feel so much better after you exercise which makes doing it so much more enjoyable!
- Think positive- winter is a tough time for us…it’s dark, cold, and dreary. It can really wear us down at times, so instead focus on the positives. Positive thinking will help you be healthier instead and out!
- Get help from a qualified professional. If you need assistance with reaching your health goals, reach out for help! A Registered Dietitian (RD)/Licensed Nutrition (LN) like myself is your best source of reliable and credible food and nutrition information. Our next group wellness program STRIVE 2 Survive starts March 4th, but I can certainly work with you individually now!
Baby steps turn into big ones, so start slow and small and put more of a focus on health and wellness long term versus the quick fix! You CAN do this!
-Kelsey Raml, MS, RD, LN
by kelsey | Dec 18, 2013 | Cooking Tips, Diet, Food, Holidays, Weight Management, Wellness/Health

Calories and fat consumed over the holiday season can really add up and pack on the pounds over just a few months. Making simple and still delectable swaps in the traditional holiday meal will save you calories and fat in the long run.
Eat this Not that
3 oz Light Meat Turkey 3 oz Prime Rib
125cal 222cal
3g fat 18g fat
25.6g Pro 15g Pro
The big difference between the two proteins is the fat and fat calories. Prime Rib is the part of beef that has some of the highest fat amount, along with the ribs. Boneless and skinless turkey, chicken and fish are lean, or lower in fat. Sometimes the lean meats also provide higher amounts of protein, which will keep you full longer. Another good substitute would be sirloin over the prime rib.
½ C Whole Wheat
Stovetop Stuffing 1 Pillsbury Biscuit
150cal 170cal
1.5g fat 6g fat
3g Pro 3g Pro
Although close calorically, the whole wheat stuffing also provides 3g of filling fiber compared to the 0.5 g in a biscuit. And besides, stuffing is unique to the holiday season whereas biscuits you can have any time of year!
Mulled Wine (1/2 C) Egg Nog (1/2 C)
90cal 170cal
0g Fat 9g Fat
4 g Sugar 18g Sugar
If you decide to have a festive holiday cocktail remember that most are loaded with sugar and empty calories, so consume in moderation. Beverages such as wine and champagne are the better options compared to egg nog or hot buttered rum.
1 Inch Fudge
90cal
2.5g Fat
3 pieces (1/2 oz) Peanut Brittle
73cal
2.5g Fat
Molasses Cookie (2 inch) Pecan Pie (1/8 pie)
57 cal 503 cal
2g Fat 27 g Fat
Candy Cane
55cal
0g Fat
Frosted Sugar Cookie (2 inch)
160 cal
6g Fat
435cal
13 g Fat
All of these treats add up to less calories than a piece of pecan pie! Now I am not saying to eat all these treats, but if you do have a sweet tooth, and like trying everything, you are still able to do so if you keep your portion sizes reasonable. All of the sweets are still considered empty calories and contain enough sugar for a week, but by swapping out better choices you will save excess fat and calories over the holiday.
-Submitted by Lauren Lambert, USD Dietetic Intern