With all of the issues surrounding this COVID-19 pandemic, it is now even more important to get out and exercise, whether biking, running, walking, or whatever. The stress from all of this gets to a point where you just need to blow off some steam, and frustrations, and at the same time, just plain get away from everything that is going on now. You can’t listen to the TV, or the radio, without getting an every 30 second update on everything related to COVID. There are other things going on too. First and foremost, you cannot neglect taking care of yourself either! The weeks are stressful enough, and now with Memorial Day weekend coming up next week, it will be a nice 3 day break from everything. After all…
Exactly! It is time for a break. Utilize this opportunity coming up, and do yourself a favor, and shut off the TV, and radio, and your phone, and get outside and enjoy some activity. Whatever it is, just get outside!
Time to put a smile back on your own face, and enjoy some time for you. My walks after a day at the clinic have been a great way to unwind from the day, and Dakota loves it too.
There have been more virtual running events going on lately, and we have done two of them already. One was a 5k, and another a 10k run. Here Sarah is after finishing her 10k last weekend.
The bottom line with all of this, get outside, and forget about what is all going on lately. Take care of you, and your mind, as well as your body. You can’t under estimate how exhausting all of this can be, and the stress caused by all of this. Depression is a big deal, especially now! If you don’t take care of yourself, you can’t help anybody else.
This too will pass. Eventually…when though, is the question. Keep looking at the positives in your life. I had to go look through some other pictures here lately, and I found this next one of the Sunrise occurring over Lake Kampeska a few years ago. I could sit and look at the this picture for a long time, just like I spent a lot of time looking at the view that day I took the picture as well.
Someday, and hopefully very soon, we will be running with our run club twice a week again. We have been holding off, practicing the social distancing, but as the weeks have gone by, it has been tougher and tougher, and I miss running with my friends. We need to start getting back to some degree of reality. What that reality is though is unknown at this time. Keep trying. Keep being safe. Don’t let your guard down.
I definitely will be jumping for joy again when we can all get back together running, and actually post pictures about it as well! The Wednesday evenings, and Sunday mornings are now just leaving an empty space. I don’t know how much longer we can keep doing this. Continue on trying to get out at least on your own, and take in the scenery. Drive to the lake and take off walking or running from there. Especially early in the morning, or late in the evening. The view is breath taking.
Sarah and I just signed up for the Run From Covid Virtual 5k being held the weekend of June 19-22. How fitting to be having this now! Watertown DASH is sponsoring this, so start getting ready. Walk or run, it does not matter. Just get going! Keep moving everybody!
Sometimes we need a break from cooking and need to enjoy take out or now limited dining in. You can still make healthy and wise choices when dining out. Check out these tips to help you make good choices!
• Go for a smaller portion of the meal such as half of the meal, lunch portion, or appetizer size portion.
• Look for key words such as baked, broiled, grilled, or roasted. Stay away from descriptive words such as crispy, creamy, crunchy, and crispy as those typically mean fried and more fat added.
• Substitute the fries for a salad (dressing on the side and use sparingly) or if available a second serving of cooked veggies or fruit.
• If dining in, get a to-go box right away before you start eating and package half of your meal in the box and eat at another meal at home. If eating carry out, only take a portion of the meal on your plate and put the rest in the fridge. If it’s on your plate, you’ll be more apt to eat it, so put it away right away so you aren’t tempted and you are more apt to practice proper portion control.
• Share! It’s ok to share an entree with you friend, spouse, etc to help you practice better portion control.
• Look at the options ahead of time online or using your smart phone. Many restaurants have their nutrition information included in their websites or you can use the Calorie King app to explore the options and make a healthy choice when dining out.
• If eating out is a rare occurrence, it is ok to splurge, but keep in mind it should be a special occasion and only every once in awhile, not every day or every week as those extra calories will add up and cause weight gain quickly!
• To help balance out the extra calories consumed when eating out, be sure to get your activity in and engage in at least 30-60 minutes/day!
Happy Mother’s Day to all you moms out there! You know what you all do for your family! The sacrifices, the work, the love, and continuous caring you do for your kids and family. Where do you begin to say Thanks? You are always there when you are needed. To start with, a special note of appreciation to Sarah for everything you do for our kids, and me! Thank you just is never really enough. One thing I have noticed over time is that as the kids get older, the more they appreciate mom!
Sarah not only has time to take care of our kids, but also finds time to take care of everybody at the clinic…her patients. Then when time allows, she takes care of herself by trying to keep herself fit and healthy. No easy task.
Even with all this going on with the pandemic, she had to become a barber for me…her oldest, most challenging kid! Here I am praying before hand that I still had some hair left afterwards. But, as usual, she did a great job! She is always willing to help out wherever needed.
She is out every morning to walk Dakota, rain or shine. This is how she starts every day.
Then other days she is out with our daughter Megan as they take both Dakota and Dobby for a walk. Always full of energy, and always willing to step in.
And, of course, a special thanks to my mom. She lives in Sioux Falls, and they have been especially hit hard with this pandemic. She has been stuck in her house, and the boredom is getting to her. I have my sister, and several brothers living there too. They are helping her with everything they can. We have not even been able to go down and see her, much less help get things done. I call several times a week, but it is not the same. I am hoping this eases up soon so I can actually see her in person. I appreciate everything she has done for me and our family as well. So, to all you moms out there, this day is for you!
Thank you moms! You are appreciated, and loved, more than you know! Keep moving everybody!
Our Doctor of Pharmacy, Deidra Van Gilder, PharmD covers the hot topic of supplements in our in our 12 week wellness program. She covered this topic for this week’s STRIVE lessons, so I thought it was fitting to cover on the blog too! Supplements are a hot topic and you may wonder what the professionals in the field recommend on this topic as there is a lot of information to be found on the internet.
The below information is from Deidra herself….hope it is helpful to you!
Fish oil contains two important components: DHA (docosahexaenoic acid) and EPA (eicosapentaenoic acid). Another substance called ALA (alpha-linolenic acid) may be as effective as DHA and EPA although it doesn’t have as much evidence for its use. ALA is the component of flaxseed that is thought to lower cholesterol. Fish oil is typically recommended for people with high triglyceride levels. Foods that contain Fish Oil: Anchovies, Catfish, Cod, Halibut, Herring, Mackerel, Tuna, Trout, Salmon, Sardines Uses: •There is strong evidence for the use of fish oil to lower triglycerides and increase HDL at doses of 2-4 grams daily. Be aware that it may increase LDL. •There is evidence to support the use of fish oil 1 gram daily for prevention of recurrent stroke or heart attack in patients with cardiovascular disease. •There is some evidence for the use of fish oil in rheumatoid arthritis to reduce morning stiffness and joint tenderness. It is the most beneficial when used with anti-inflammatory medications. Dose: 1 – 4 grams daily divided into twice daily dosing. The fish oil capsules may be stored in the freezer to decrease incidence of fishy burps and aftertaste. Adverse Effects: fishy aftertaste or fishy burps, heartburn, loose stools, nausea, upset stomach, alterations in glycemic control, increased risk of bleeding Drug Interactions: warfarin, aspirin, clopidogrel, oral contraceptives
Calcium is important for many functions of the body including bone and teeth health. Calcium is most commonly used for treatment and prevention of low calcium levels and osteoporosis. Foods that contain Calcium: milk, cheese, yogurt, dark green leafy vegetables, and calcium fortified foods or juices Recommended Dietary Allowance (RDA) for Calcium Men age 19-70 1000 mg/day Men age 71 & older 1200 mg/day Women age 19-50 1000 mg/day Women age 51 & older 1200 mg/day Dosing: Dosing for calcium supplementation is dependent on calcium intake from dietary sources. The preferred source of calcium is through the diet. The two most commonly used forms of calcium for supplementation are calcium carbonate and calcium citrate. Calcium carbonate (Tums) is well tolerated especially when taken with a meal. It is the calcium supplement of choice in patients with poor kidney function. Calcium citrate (Citracal) may be taken on an empty stomach, but should be avoided in people with poor kidney function. Calcium citrate is the recommended choice if elderly or people taking a PPI (proton pump inhibitor), antacid, or H2 blocker. The maximum amount of elemental calcium that the body can absorb at a time is about 500 mg. If doses higher than 500 mg are needed, separate the doses by 4 hours. Adverse Effects: constipation, bloating, stomach upset, gas, kidney stones Drug Interactions: PPI (omeprazole, esomeprazole), H2-blockers (famotidine, ranitidine), iron supplements, tetracycline antibiotics, quinolone antibiotics, bisphosphonates, phenytoin, and verapamil
Vitamin D helps the body maintain normal levels of calcium and phosphorus. Vitamin D is available in two forms, ergocalciferol (Vitamin D2) and cholecalciferol (Vitamin D3), both are considered equivalent. Vitamin D can be obtained from brief sun exposure, foods, and can also be found calcium supplements or multivitamins. Since vitamin D helps with calcium absorption, many supplemental products contain both calcium and vitamin D. Vitamin D is commonly used for treatment or prevention of vitamin D deficiency, osteoporosis, and preventing falls. There is also some evidence for the use of Vitamin D3 ointment for controlling skin cell growth in patients with psoriasis not responding to other therapies. Foods that contain Vitamin D: fish, eggs, fortified milk, cereals, salt water fish, cod liver oil Recommended Dietary Allowance (RDA) for Vitamin D Men & Women age 19-70 600 IU/day Men & Women age 71 & older 800 IU/day Dosing: Vitamin D supplemental dosing is dependent on current vitamin levels and intake. Dosing may range from 400 – 1,000 IU daily so it is important to talk to your physician about the proper dosage for you based on your vitamin D level. Adverse Effects: Generally well tolerated, nausea, high calcium levels, anemia Drug Interactions: atorvastatin, digoxin, thiazides, verapamil
Flaxseed or flaxseed oil is a food product that contains ALA (alpha-linolenic acid). Flaxseed has a high content of fiber and may be used for constipation if taken with plenty of water. Flaxseed can reduce total cholesterol and LDL cholesterol, but has no effect on triglycerides. Dosing: 15-40 grams (~1 tablespoon 2-3 times daily) of freshly ground flaxseed or flaxseed oil daily for high cholesterol levels. Flaxseed may be prepared as ground, partially defatted, oil, or in bread and muffins. Ground flaxseed is typically recommended over the oil as it offers greater benefits than the oil. Freshly ground flaxseed should be kept in an airtight container and stored in the refrigerator up to three months. Adverse Effects: increased number of bowel movements, bloating, abdominal pain, diarrhea, constipation (if not taken with plenty of water), gas Drug Interactions: blood pressure lowering medications, medications used to treat diabetes, anticoagulant/antiplatelet medications (warfarin, aspirin, clopidogrel)
References: Natural Medicines, Food, Herbs & Supplements, Somerville, MA: Therapeutic Research Center; 11 May 2017. < http://naturaldatabase.therapeuticresearch.com/> National Institutes of Health Office of Dietary Supplements, National Institutes of Health. Dietary Supplement Fact Sheets. NIH; 2016. Flaxseed: is it as beneficial as fish oil? Pharmacist’s Letter/Prescriber’s Letter 2009; 25(7):250708.
If you have any other questions about supplements, vitamins, and minerals, don’t hesitate to contact us! -Kelsey
Carson meeting a baby calf for the first time this winter! Big Brother Corbin was excited to show him the ropes in the barn!
May is National Beef Month so I thought it’d be fitting to talk about this powerhouse lean protein! In addition, today is Cinco de Mayo and Taco Tuesday so a fitting day to discuss hamburger which you use for your taco meat!! As many of you know, my husband Adam raises beef cattle with his dad and brother. Our sons are the 6th generation of Raml Cattle. Cattle and ranching aren’t just their jobs, it is truly their passion and they do anything in their power to make sure their cattle are healthy and well to produce a top notch protein on your plate. Ranching and farming are not easy in today’s world, but we are blessed to be able to raise our boys on the ranch and show them how hard work, perseverance, and passion can pay off.
Now you may think I am just bias, but science doesn’t lie–I’m putting on my nutrition hat now and want to share how lean red meat can be included in a heart healthy diet! Did you know that beef is 20% leaner than it was about 15 years ago? There are at least 29 cuts of lean beef which means they meet the government guidelines for lean, meaning each cut has less than 10g of total fat, less than 4.5 g of saturated fat, and less than 95mg of cholesterol (in a 3 oz serving). Lean beef is also a great source of multiple vitamins and minerals such as vitamin B12, selenium, zinc, niacin, vitamin B6, phosphorus, iron, and choline.
Here are some tips for you to make beef a part of your heart healthy meals:
• Look for key words such as “round” or “loin” …these are typically leaner cuts.
• Choose 90% or greater lean beef. This means in a 3oz serving there is less than 5g of fat in it.
• Use healthy cooking methods such as grilling, broiling, baking, roasting, or braising. The less tender cuts can be marinated in a tenderizing marinade such as salsa or light Italian dressing.
• Trim the fat! Trimming the fat before cooking will help eliminate some of the fat from the cut.
• Cook with fresh ingredients such as lemon juice, peppers, onions, garlic, and herbs instead of adding extra fat to the cut.
• Practice portion control. Select the 3-5 oz serving over the 10oz. Balance is key to a healthy diet, so be sure to include your fruits and veggies and whole grains along with your lean meat to create a healthy plate.
• All meat is required to have the nutrition content (label) posted by it in the grocery store. Be sure to use this when you’re selecting your cuts of meat and pay special attention to the total fat and saturated fat content.
Right now with meat shortages in the grocery stores, it’s a perfect time to check out your local ranchers and buy their meat. You know where it comes from and it’s an excellent and nutritious power packed protein for you and your family!
If you want to learn more about the benefits of beef and explore healthy recipes check out these websites: www.beefnutrition.org and www.beefitswhatsfordinner.com.
Below are some of my favorite pictures of our world on the ranch.
Eat beef, it’s what’s for dinner!
Kelsey
Corbin checking out the show calves.
Corbin loves the baby calves! He enjoyed a break from working cattle with this little one last summer.
Tough guy ready to work those calves. 🙂
Helped his dad deliver twins this spring!Adam giving the cows some mineral. We like happy, healthy cows!Learning the ropes from dad at the Black Hills Stock Show. This baby’s mom won the Black Hills Stock Show Champion Angus and Supreme Row.
Last week I ran a Half Marathon–a virtual Half Marathon because the Skedaddle race in SF was cancelled due to COVID-19. It was the furthest I have run in the last 15 months. I was not sure how I would do, both physically and mentally. My health issues took a lot out of me last year, and again, both physically, and for sure mentally. I did not know how I would do, or feel, or if I could make it. Sarah rode her bike along side me the whole way, to keep me company, as she tells me. I think it was more she was going to be sure I was going to do OK with this. She and some of the others in our run group ran it the day before, and of course, following social distancing as well. Our daughter was one of them, who also set a personal best for herself the day before mine. I held off because I had a sore calf, and did not know it I should, or could. Amazingly, everything went fine, and it was a perfect day for weather.
I am definitely feeling like I am alive again, and getting stronger. I am not ready to be done running. It is my escape, and time to think, and when we can all get back to running together again, it is a time to socialize with friends.
Just go! No music, no distractions. Just running with my own thoughts, and some discussion with Sarah on this run.
I finished in 2:04:32. I did not think I would be breaking 2 1/2 hours, and I almost broke 2! I started out easy, and then gradually kept picking it up. It usually takes me a while to get in a groove to begin with, and this day was no exception. Physically I was able to do it, but I think, and even more important, my mind could handle it. I proved to myself I still could do what I love to do. It has been a slow process, but I continue to keep improving. What more could I ask for?
Boy is this the truth! I will never take it for granted again. We are all human, and cannot control everything. Many of us do not get second chances to do what we love to do. Many of us don’t even get second chances with life. Keep going each day, for tomorrow is not guaranteed. Don’t leave behind any unfulfilled dreams or goals.
Go find yourself! Whether running, walking, or other activity. Just keep moving! Utilize your time. “Choose wisely!” Never lose sight of your dreams/goals. There will be setbacks along the way, but don’t let them control your future. It may take longer to get there, but in the end, you will be stronger, both physically and mentally, to take on anything in life that comes along. Personal goals are different at this point compared to what they were when I was younger. Times achieved with the runs still provide me some degree of improvement for me, but the ultimate achievement is that I can still participate, regardless of how fast I may be anymore. I had those days already.
Now, for me, it is more important to see those sunrises on those early morning runs, or the sunsets on those late evening walks. I have to admit, I am taking the time to appreciate them more often. I am seeing things in a different light. They have always been there, but I have just been too busy to pay attention. I think that could be said for all of us. Slow it down, take the time to look, and appreciate what you see. This health experience has helped me to do that, so not all things bad are completely bad. Look for the positives in life. They truly have more meaning. Keep focused on that while you keep going. Keep moving everybody!
