by kelsey | Feb 13, 2018 | Cooking Tips, Diet, Food, Weight Management, Wellness/Health

Do you have your Valentines ready to go for tomorrow? Besides a lot of love in the day, Valentines day is known for chocolate! The one item that seems to make everyone happy, but may not be the healthiest of treats for us to enjoy. This Valentine’s day you can enjoy your delicious treat without feeling guilty. Although chocolate may not seem healthy, there are some perks to eating chocolate. Dark chocolate is good for the heart and lowers high blood pressure. So when you’re thinking of getting your loved one that nice box of chocolates, maybe go for a box of Dark Dove Chocolates. If you don’t like eating the dark chocolate plain you can melt the chocolate and dip it in strawberries. It is a treat that will leave your taste buds wanting more and you will find it easy to prepare. If you want to stay sugar free, try making sugar free gelatins in a shape of a heart. Add fat free whip cream on top for a little extra punch to the dessert. If you want choices and variety to your dessert try a chocolate fondue. Melt chocolate and choose sides to dip into the chocolate. Some choices of sides could be bananas, strawberries, pretzels, pineapple, marshmallows, dried apricots, pear slices, apples, or any of your favorite snack foods! If you want to add more to your sweet tooth, try a sherbet ice cream with a dark chocolate topping. If you crave a saltier valentine’s day treat then you can try a trail mix with mixed nuts, sunflower seeds, raisins, pretzels, marshmallows, dark chocolate m&m’s, or a low fat candy such as Twizzlers.
Enjoy and Happy Valentine’s Day!
Kelsey
by kelsey | Feb 8, 2018 | Cooking Tips, Diet, Food, Heart Health, Weight Management, Wellness/Health

In celebration of National Heart Month, I think it’s fitting to discuss the significance diet and activity play in promoting a healthy heart. Heart disease is the number one killer of Americans and affects both men and women. Genetics do play a role, however a heart healthy diet and and regular activity can help minimize the effects and complications of heart disease. Whether you have heart disease in your family or not, it’s still good to follow a heart healthy eating plan. Highlights of the diet include:
- Lots of fruits and veggies! I’m sure you already knew this one, but the benefits of getting your 5 a day servings of fruits and veggies are worth reminding you again. Most of us know this, the hard part is doing it. Try adding them to your meals, have fruit as a snack, get a double serving to help you reach this goal.
- Fiber! Fiber is very beneficial in combating heart disease. Incorporating more whole grains (and fruits, veggies, and beans/lentils) into your diet will increase your fiber and aid in heart health. Oatmeal, brown rice, wild rice, whole grain noodles, whole grain breads, and even popcorn are considered whole grains. Aim to get at least 25-35 g/day.
- Choose lean proteins. Decreasing the amount of saturated fat in your diet will help reduce plaque buildup. Choose white meat poultry without the skin, 90% or greater lean hamburger, fish, beans, etc….stay away from processed meats! Fatty fish such as salmon, tuna, herring, and trout offer additional benefits as they are loaded with healthy omega 3 fatty acids.
- Choose healthy fats. Incorporating more plant fats such as canola oil and olive oil into your diet and reducing your intake of saturated and trans fats has been shown to improve heart health. You want to choose foods that are lower than 5-8g of total fat per serving and <3g saturated and trans fat per serving and limit your total fat consumption to 50-75g/day. Choosing low fat dairy products will help reduce the amount of saturated fat in your diet as well.
- Hold the salt! Excess sodium can increase blood pressure and cause heart failure. Aim to keep your sodium intake below 2400mg/day. You can do this by doing more home cooking, avoiding boxed or packaged goods, cooking with salt free seasonings, and not using table salt.
- Exercise! At least 30 minutes of exercise a day has been shown to improve heart health. If you can do more, the better!
Making small changes or substitutions will help you have a healthier heart and reduce risk for disease. Reading labels is really essential to help you make good choices, so take some time in the grocery store and really examine the products to ensure you’re making healthy choices!
-Kelsey
by kelsey | Feb 6, 2018 | Etc.

Spring into wellness with our spring program of STRIVE 2 Survive!! Our 12 week wellness program, STRIVE 2 Survive starts March 13th! Check out the details below and contact us today to reserve your spot!!
STRIVE 2 Survive:
Over 20 years ago Dr. Dan Reiffenberger wrote a grant for the American College of Sports Medicine about the development of a fitness program entitled STRIVE to Survive. The STRIVE represents “Securing Time for Regular Involvement in a Variety of Exercise”. Since that time, it has become our Brown Clinic Wellness Program, with modifications and improvements along the way. It is a 12 week program incorporating exercise and nutrition, with the goal of continuing these types of habits for a lifetime. Our dietitian Kelsey Raml has helped incorporate the nutrition component and Dr. Clark Likness, Dr. Jon McAreavey, and Deidra Van Gilder, PharmD are also involved creating a multi-disciplinary approach to health and wellness. We also have a great assistant, Barb, that keep us organized.
We the 12 week program periodically throughout the year. During the 12 weeks, we meet every other Tuesday at the County Fair Banquet Hall from 5:30-6:30pm. During the weeks we don’t meet, each participant gets a take home lesson focused on our two main components: diet and exercise. The meetings are held in a group atmosphere, but we can also work with you individually in the clinic if desired.
12 Weeks to a Better You!
Brown’s Diet and Exercise Wellness Program.
Who:
– The Strive2Survive Wellness Program is open to everyone, young and old.
– Conducted by Dr. Dan Reiffenberger, Board Certified in both Family Medicine and Sports Medicine and Registered Dietitian Kelsey Raml.
What:
– Lose Weight- Gain Strength – Maintain Fitness- Improve Diet.
– Evaluations: lab work- lipid and glucose, body composition testing-weight, height, BMI, body fat mass and percent, muscle mass…all pre and post the 12 week program.
– Free T-shirt
– 6 class lectures and 6 take home lessons.
Where:
– County Fair Banquet Hall
When:
March 13 “Healthy Eating Made Easy” Kelsey Raml, MS, RD, LN
March 27: “Exercise for the Health of It” Dr. Dan Reiffenberger & Dr. Torness
April 10: “Your Equation to Success” Dr. Jon McAreavey
April 24: “A Walk thru the Wellness Wheel” Dr. Clark Likness
May 8: “Medications…to do or not to do” Deidra VanGilder, PharmD
May 22: “Making Health a Way of Life” STRIVE Team
Cost:
– $130
Call, e-mail or use the contact form for more information.
Kelsey Raml, MS, RD, LN
605-884-4226
strive2survive@brownclinic.org
by kelsey | Jan 31, 2018 | Exercise, Family, Wellness/Health

With it being the middle of winter, it’s more challenging to be outside and stay active….especially for our kids. Children need at least 60 minutes of activity a day. Meeting this activity recommendation will not only promote a healthy weight, but also ward off diseases like diabetes, heart disease, and cancer. This 60 minutes does not have to be all at once though…it can be spread throughout their day. You may consider the following tips to help you and your child be more active:
- Join a sports team or try a new physical activity.
- Take a walk or turn up the tunes and do some dancing indoors after your supper meal.
- Instead of catching a movie or watching TV, pick an activity that requires movement such as laser tag, bowling, or family swim.
- Give children toys that encourage physical activity like balls, kites, hula hoops, Frisbee and jump ropes. You could do some of these in your basement or garage if it’s too cold to get outside.
- Limit TV time and keep the TV out of your child’s bedroom.
- Plant a garden this spring. Kids love to water plants, and they’ll get excited weeks later when they see their flowers bloom or vegetables grow.
- Practice what you preach! Kids will be more apt to engage in activity and stay interested when their parent or family is doing it!
Create a positive environment with encouragement and reinforcement–this will help your child live a long and healthy lifestyle!
-Kelsey Raml, MS, RD, LN
by kelsey | Jan 25, 2018 | Cooking Tips, Diet, Food, Weight Management, Wellness/Health

It seems the latest diet craze I have been hearing about is the vegetarian/vegan way of eating where only plant foods are consumed. If done correctly, this way of eating can meet your nutrient needs, however it does take diligence and effort as animal foods do have excellent vitamins and minerals and especially protein to offer our body…. and we would be missing out on them if not consumed. This latest trend made me feel it was time to discuss proteins again on the blog. Let’s get back to the basics!
What is a Protein?
Proteins are the basic building blocks of the human body. They are made up of amino acids, and help build muscles, blood, skin, hair, nails and internal organs. Next to water, protein is the most plentiful substance in the body, and most of it (around 60% to 70%) is located in the skeletal muscles. Protein provides 4 calories per gram and is found in foods like meat, fish, poultry, eggs, dairy products, beans, nuts, and tofu.
What do proteins do?
- Supplies valuable enzymes that regulate bodily functions
- Provide for the transport of nutrients, oxygen and waste throughout the body.
- Key to muscle building and development
- Provide the structure and contracting capability of muscles.
- Provide collagen to connective tissues of the body and to the tissues of the skin, hair and nails.
What happens if I eat too many proteins?
A diet containing excess protein can have the following adverse effects:
- May put your other bodily systems under stress.
- Eating more protein and increasing total caloric intake while maintaining the same exercise level will build an equal amount of additional fat and muscle mass,
- Ketogenic diets can thrust your kidneys into overdrive in order to flush these ketones from your body. As your kidneys rid your body of these toxic ketones, you can lose a significant amount of water, which puts you at risk of dehydration, particularly if you exercise heavily
What happens if I eat too little proteins?
- An insufficient supply of protein the diet limits the amount of protein your body can use for daily cell function and building muscle.
How do proteins aid in weight loss?
- High-protein foods slow the movement of food from the stomach to the intestine. Slower stomach emptying means you feel full for longer and get hungrier later.
- Protein’s gentle, steady effect on blood sugar avoids the quick, steep rise in blood sugar and just as quick hunger-bell-ringing fall that occurs after eating a rapidly digested carbohydrate, like white bread or baked potato.
- The body uses more energy to digest protein than it does to digest fat or carbohydrate
What are the types of proteins to eat?
- Animal proteins – include meat, poultry, fish, dairy products and eggs and are of high biological value. These foods contain all the essential amino acids your body requires.
- Vegetable, Grain, Legume, Seed or Nut proteins – these are considered incomplete proteins, since each individual food does not contain all of the essential amino acids. To get all of the essential amino acids, simply choose foods from two or more sources.
If you have any questions about this topic, feel free to email me!
Kelsey Raml, MS, RD, LN
strive2survive@brownclinic.org