by kelsey | Jan 16, 2019 | Cooking Tips, Diet, Food

Winter is a great time to enjoy tasty soups and hot dishes. If you are watching your waist line, it’s important to be careful of how much you consume of these foods as they can be high in calories, fat, and carbs… depending on how you prepare them. Broth based soups and stews are lower in calories and fat than cream based. In addition, if you’re making a hot dish, you may consider cutting calories by choosing fat free soups to add to your dish, such as fat free cream of chicken or mushroom soup. They also have low sodium varieties of these so if you’re watching your blood pressure or sodium intake, you may consider using this variety. And, as always, be sure to incorporate your lean proteins and plenty of fruits and veggies to your meal. You may consider doubling the veggies in your soups to make them a bit heartier and healthy. A few of my favorite cold weather soups are beef stew that has carrots, peas, potatoes, onion, and roast meat, bean and ham soup (plenty of protein and fiber!), and chicken noodle soup that also has plenty of veggies with white meat chicken. Try out batch cooking with these hearty meals–make a big batch and portion out into smaller containers and freeze. Take one out at a time to enjoy a healthy, hearty meal without all the prep time!
-Kelsey
by kelsey | Jan 9, 2019 | Diet, Food, Goals, Motivation, Weight Management, Wellness/Health

Many of you are working on your New Year’s goals and that may include improving your nutrition, activity, health, and wellness. Keeping track of your intake is an excellent tool to help you with increased awareness of your intake (what exactly are you eating and how much) and help with accountability (you may think twice about the choice or amount when you have to write it down!!).
Most of my successful patients do keep a food log at some point in their weight loss journey…thus it is at the top of my list of tools to help you improve your intake! You can write it out long hand in a notebook or journal or if you have a smart phone or use the internet you can use online trackers. These are very nice because they add up all of the calories and nutrition facts for you…you just need to select the closest match to what you are eating and the appropriate serving size!
Below are a few of my favorite sites. MyFitnessPal is the number one that I recommend….they have a huge database of foods and it’s pretty easy to use. If you need help with getting started, please contact me! I would be happy to set up an individualized nutrition plan for you to help you meet your goals!
•www.myfitnesspal.com
•www.sparkpeople.com
•www.livestrong.com
•www.loseit.com
-Kelsey Raml, MS, RD, , LN
605-884-4426
strive2survive@brownclinic.org
by kelsey | Jan 8, 2019 | Diet, Exercise, Goals, Weight Management, Wellness/Health

With the New Year and focus on wellness, we’ve had some questions and interest in our next session of STRIVE 2 Survive so we thought it was timely to let you all know our next session starts March 12th!! For those wanting to learn more about our 12 week wellness program, check out the details below and contact us today to get your spot reserved for the spring session! If you want to work on your New Year’s wellness goals now, I would be happy to see you individually in the clinic and work out an individualized plan for you! Insurance does cover this visit in the primary care setting. To set up an appointment, you can call 886-8482 and select scheduling or email me at strive2survive@brownclinic.org.
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 the 12 week program periodically throughout the year. During the 12 weeks, we meet every other Tuesday at the Park and Rec Fieldhouse 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:
– Park & Rec Fieldhouse
When:
March 12: “Healthy Eating Made Easy” Kelsey Raml, MS, RD, LN
March 26: “Exercise for the Health of It” Dr. Dan Reiffenberger & Dr. Eric Woolley
April 9: “Your Equation to Success” Dr. Jon McAreavey
April 23: “A Walk thru the Wellness Wheel” Dr. Clark Likness
May 7: “Medications…to do or not to do” Deidra VanGilder, PharmD
May 21: “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 | Dec 20, 2018 | Diet, Food, Holidays, Weight Management, Wellness/Health

Healthy Holidays! Wait that doesn’t sound right, does it? We all know that it’s hard to stay healthy during the holidays that fill the fall & winter months. Halloween sugar followed by carb and calorie dense Thanksgiving, then non-stop Christmas gatherings with family, friends, & festive foods. Here are some tips to help you through the festivities.
* Don’t skip meals: continue to have a balanced schedule, even though you want to save your appetite for the BIG meal, still eat a small breakfast or lunch that is rich in protein, low fat, and full of fiber.
* Reduce butter & other fats: fats add extra calories, so reducing them will help to reduce amount of calories in the holiday meal.
* Focus on Mindful Eating vs Mindless Eating: eat because you’re hungry, not because everyone else is—think about your hunger and fullness, try new foods being served, but enjoy what you are eating.
* Go for nutrient dense foods: sweet potatoes vs. regular potatoes, veggie tray vs. cheese/cracker tray, fruit vs. cookie/pies.
* Take a walk with the family or do an activity together between the meal and dessert.
*Most of all- enjoy your time with your loved ones! Merry Christmas!
-Kelsey
by kelsey | Dec 19, 2018 | Diet, Food, Wellness/Health, Winter

As the official start of winter is approaching, I thought it was timely to discuss some of the healthiest winter foods. Winter is always challenging to get fresh produce at a reasonable price, but these top 5 winter foods are not only reasonably priced, but offer a great source of nutrients. Be sure to add them to your grocery list and include them in your meal planning!
1. Pomegranates: this heart-healthy food is rich in antioxidants that can contribute to improving blood flow to the heart and keep arteries unblocked.
2. Dark Leafy Greens: kale, chard, and collards thrive during the winter season while the rest of the produce section looks bleak. These greens are rich in vitamin A, C, and K. They are also an excellent source of folate.
3. Citrus fruits: limes, oranges and grapefruits are juiciest in the wintertime and can brighten up a dull winter. They are loaded with vitamin C. Citruses are a rich source of flavonoids like hesperidin, which is credited for boosting HDL (good) cholesterol while lowering LDL (bad) cholesterol and triglycerides.
4. Potatoes: they often given a bad rap for being one of the white starches along with white rice and white bread but unlike those starches, potatoes are a whole food and contain many beneficial nutrients. They have two excellent immune boosters – Vitamin C and B6—while also providing a good source of folate and fiber.
5. Winter Squash: comes in a variety from butternut to acorn to delicata and even spaghetti squash and they are all excellent choices in the winter. One cup of squash has 80 calories and is high in both vitamin A, C and K while also boasting a good source of potassium, B6, and folate.
-Kelsey
by kelsey | Dec 13, 2018 | Cooking Tips, Diet, Weight Management, Wellness/Health

The holidays are in full swing, which means festive food, and busy schedules. Many families are enjoying old traditions, or making new ones. Unfortunately also during these Christmas experiences, many people find themselves experiencing weight gain. Countless family gatherings and baking Christmas goodies all month are grounds for overeating, without any time to spare for exercise. By making few simple changes over the day, the holidays do not have to mean weight gain! Here are some simple tips to try out between traveling, parties, cooking, and company.
- An Early Resolution? – Rather than waiting for New Years to start a resolution, make it easier on yourself and gradually work up to your resolution by New Years. This will also help you to stay focused and maintain weight over the holidays, so you can see faster results after. If your goal is to lose weight, maybe you will try to walk two days a week now, and by New Year’s you will be built up to walking 5 days a week!
- Stress less about Exercise- Rather than stressing about shopping and cleaning this year, think of this as a time to multitask. Housework is one of the best ways to get in a workout over the holidays. Whether it’s moving around the kitchen while you bake, or vacuuming before company…it all burn calories! Shopping through the mall crowds, standing in line, and bringing bags out to your car all are positive experiences now that you can count it as a workout, right?
- Quality Time– Rather than taking away from family time to work out, invite your family to do something as a group. Wake up on Christmas morning and enjoy some yoga together before presents, or take the kids out ice-skating or sledding after the famous Christmas dinner. Just remember, building a snowman or looking at Christmas lights will also provide memories that last longer than the memories watching a movie would.
- Think Before You Eat – Eat until you are satisfied, not stuffed. If you find yourself overeating at one meal, go light on the next. Try to fill your plate with the lower calorie items such as vegetable dishes, and lean proteins, then take smaller portions of the rich foods. Eat slowly, socialize, and enjoy every bite!
Overall, it’s the holidays and you need to enjoy yourself! Don’t restrict yourself from family time and enjoying some of your favorite holiday foods, but be mindful and plan ahead! Stay healthy this season, then after the holidays, your mind and body will thank you!
-Kelsey