by kelsey | Sep 14, 2017 | Cooking Tips, Diet, Heart Health, Weight Management, Wellness/Health

September is National Cholesterol Education Month. Whether you have high cholesterol of not, it is important to know what your cholesterol levels are and what you can do to help control them so you can reduce your risk of heart attack or stroke.
According to the American Heart Association, one out of every three people in the United States is affected by heart-related diseases. There are many risk factors when it comes to heart disease including: excess weight, high cholesterol, and high blood pressure (to name a few). In addition to working with your doctor, you can minimize these risk factors by your dietary intake and physical activity.
For a healthy heart you want to consume a diet low in sodium, low in saturated and trans fat, and cholesterol. Challenge yourself to replace these with some of the foods and food components listed below:
•Fruits and Vegetables– Many fruits and vegetables contain fiber, which helps your body take in more nutrients, can lower cholesterol levels, aid in achieving a healthy weight. Fruits and vegetables not only contain fiber, but they also contain potassium and antioxidants. Potassium can help with blood pressure by blunting the effects of sodium on blood pressure. Antioxidants may help prevent disease and keep your body working properly.. At the grocery store, be sure to choose a variety of deeply colored fruits and vegetables like carrots, apricots, broccoli, beets, berries and kidney beans to maximize your intake of vitamins and minerals.
•Whole Grains-There are many components within whole grains which provide benefits. Whole grains provide fiber, vitamins and minerals, and antioxidants. To reap the benefits, aim for at least 3 daily servings of whole grains. On the label, look for the phrase “whole grain” or “whole” before the grain’s name. Some examples include: whole grain breads, cereals and pasta, brown rice, oatmeal and popcorn. Using a supplement such as ground flax seed (shown in the picture) is beneficial to improving total cholesterol and LDL cholesterol. You can work up to using 2-3 Tbsps/day for improved levels. This is often mixed into cereal, oatmeal, or used like granola with yogurt…you can also bake with it.
•Heart Healthy Fats– A diet of moderate fat intake is beneficial to your health. You can enjoy the healthy benefits by choosing oils and spreads rich in unsaturated fat, such as olive, canola, safflower, sunflower, corn, or soybean oils. Salmon, sardines, herring, trout, and tuna are terrific sources of the omega-3 fatty acids, docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), which are types of polyunsaturated fats that may reduce the risk of heart disease. If you are unable to get fish into your diet, you should consider taking a fish oil supplement of 1-4g/day with at least 1g of DHA and EPA.
•Stanols and Sterols– These plant-based food components help block the absorption of cholesterol in the intestine, which has a beneficial effect on blood cholesterol. They are found in foods like corn, soy, wheat and some fortified foods like orange juice and yogurt. 1-3 grams of stanols or sterols are needed each day to see beneficial effects.
-Kelsey
by kelsey | Sep 13, 2017 | Cooking Tips, Diet, Food, Weight Management, Wellness/Health

Fall is a wonderful time of year, the leaves begin to change, children are back to school, and the temperature starts to cool off. With all of these changes that are taking place you may find it hard to get away from all of the summer time BBQ and picnic eating habits. A way to help you get back to healthier eating habits is to start using some seasonal vegetables. Fall vegetables are great tasting and easy to cook with. Swapping out a regular potato for a seasonal sweet potato is a simple and easy way to get more bang for your buck. Sweet potatoes are much more nutrient dense which means that they contain more nutrients in a serving compared to a regular potato of the same size. A quick and easy recipe for sweet potatoes is to make sweet potato fries in the oven. Another fun way to incorporate seasonal vegetables is to make Kale chips in the oven. These make for delicious and healthy after school snacks for your children when paired with a low-fat cup of milk.
Baked Sweet Potato Fries: First, peel and wash the potatoes and cut them into strips around a ¼ in thick. Second, place in a bowl and toss with olive oil, paprika, salt, and pepper then place on a baking sheet lined with parchment paper. Lastly, place the baking sheet in a preheated 450-degree oven for 10-15 minutes or golden brown and crispy.
Kale Chips: kale is classified as a super food and is packed with antioxidants along with vitamins and minerals. First, cut up the kale into bite size pieces then in a bowl drizzle olive oil over the pieces then toss so the olive oil coats the pieces evenly. Second, salt and pepper the kale to taste and then place on a baking sheet and place into a 350-degree oven for 10-15 minutes or until edges are slightly brown.
-Kelsey Raml, MS, RD, LN
by kelsey | Sep 5, 2017 | Cooking Tips, Diet, Food, Wellness/Health

As school gets into full swing now after the Labor Day weekend, you may be in need of some lunch ideas for those that help pack lunch for your kids. Check out these ideas below!
- Conventional sandwiches—deli turkey, chicken or roast beef, peanut butter (if it’s a peanut safe school) and jelly, cheese, bagel and cream cheese, bagel and peanut butter, vegetarian pita pocket, tuna fish, chicken salad
- Unconventional sandwiches—hummus and pita bread, cheese and crackers, cream cheese and jelly, cream cheese and olives, sunflower butter, soy-nut butter, wrap filled with vegetables and cheese or deli meats, quesadilla, calzone, stromboli, Canadian bacon with lettuce and tomato
- Conventional alternatives to sandwiches—dinner leftovers (meat/chicken/fish/pork, grains, pasta or potatoes, vegetables), cheese and crackers, leftover pizza, soup, stew, takeout leftovers
- Unconventional alternatives to sandwiches—single-serving cereal or cereal from home in storage container (just add milk), scrambled eggs or hard-boiled eggs, yogurt with granola, chili, pancakes or waffles, nuts (if school allows), homemade smoothies, bean salad, homemade muffin, string cheese.
- Fruits—apple, pear, banana, grapes, berries, orange, grapefruit sections, canned fruit in juice, fruit cocktail, grapefruit sections, cherries, pineapple chunks, melon, pomegranate, guava, papaya, tangerines, clementine, fruit salad
- Vegetables to eat raw, steamed, or with dip—cucumber slices, celery, carrots, green beans, snow peas, blanched broccoli, asparagus, cauliflower, grape tomatoes, beets, corn, salad, guacamole, bean salad
- Snacks—fruit snacks, sunflower seeds, baked potato chips, pretzels, multigrain crackers, high-fiber granola bar, graham crackers, applesauce, multigrain chips or tortilla, dried fruit, tube yogurt (try freezing), cereal bars, dry cereal, banana chips, dried peas, breadsticks
Always be sure to give them some money to buy their milk to go with their meal as well! Adequate calcium intake in childhood is essential for bone strength later in life!
-Kelsey
(Adapted from http://www.consultant360.com/n411/content/lunch-box-suggestions-children)
by Dan | Sep 3, 2017 | Exercise, Goals, Motivation, Wellness/Health

College days at Augustana College brings back many memories. I had first gone out running Cross Country and Track in High School as a senior, so I did not have a lot of experience. I was running on my own during that Summer before starting at Augie, and was not planning on going out for Cross Country. The first week at school there was a flyer out over all of the buildings seeking runners who may be interested in participating. I took a chance, and decided to see what I thought. Turns out I must have liked it, because I ran Cross Country, indoor track, and outdoor track all 4 years at Augie. It was a great experience, and taught me a lot about managing my time, and staying organized. But, school always came first for me. I was going to be a Medical Technologist when I first went to Augie, but changed half way through my sophomore year to go pre-med, with the plan of being a doctor. School always came first for me, then running. I walked on that first year, then got a small scholarship to keep going out. I started running the steeple chase late in my sophomore year, and this turned my interest in running to something I really wanted to achieve. My freshman year I ran the 10k on the track, 25 laps! The steeple chase was 3000 meters, so just under 2 miles. There are hurdles to have to jump going around the track, including a water jump on each lap. It turns out I really liked it. I broke a 14 year record for Augustana my junior year, only to break it again the next week, but I got beat by one of my team mates. I never had the record again! But, I held it for one week! Here are what some of the barriers are, including one with the water, and one of how it looks with no water in it.



My team mates then are just like my running friends now with the run club. We ran together, supported each other, trained with each other. We were like family there too. Here are some shots of the Cross Country team, and some of us on the track team.


I have one picture of me doing the steep chase…my first one. The water barrier was a cement wall, so you could not see the water until you were on top of the barrier. I had no clue what I was doing. When the cement was wet, it was slippery. The first time for me on it I slid right off and went on all fours into the water pit. You learn by experience. I may have done it the first time, but never again. But you pick yourself up and go finish!

I still have my Augustana coat that I will wear at times from back in those days. The lettering is starting to wear off, but I went everywhere with that coat back then!


Those days in college set the tone for my love of running. I have been running now for 40 years. It is part of my life. But just like when I was studying to become a doctor, my life now as a doctor still takes priority. Just like everything in life, your have to prioritize, and make sure what is important comes first. It made it tough being a parent in all of this too. At least with Sarah, we had to “rotate” on a lot of things, especially when it came to call, and trying to make it to all of the kids activities. You have to juggle everything, and hope you don’t screw anything up along the way. Bottom line, keep trying. Never give up. Keep moving, and remember to take care of yourself, so that you can experience more of what life has to offer. Believe in yourself. Strive to Survive. Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3627
by kelsey | Aug 31, 2017 | Etc.

Fall into fitness and take control of your health. Join us for STRIVE 2 Survive, our 12-week health and wellness program beginning September 12th! We do still have some room, so contact us today to reserve your spot!!
The two main components of STRIVE 2 Survive include diet & exercise.
12 Week Wellness Program
6 Lectures: every other Tuesday @ 5:30-6:30pm.
All Lectures at the County Fair Banquet Hall
September 12: “Healthy Eating Made Easy” Kelsey Raml, MS, RD, LN
September 26: “Exercise for the Health of It” Dr. Dan Reiffenberger & Dr. Torness
October10: “Your Equation to Success” Dr. Jon McAreavey
October 24: A Walk thru the Wellness Wheel” Dr. Clark Likness“
November 7: “Medications…to do or not to do” Deidra VanGilder, PharmD
November 21: “Making Health a Way of Life” STRIVE Team
6 Take Home Lessons: sent to you during the weeks we don’t meet. Topics are focused on wellness.
Evaluations
- Lab Work: lipid & glucose labs: beginning and end of program
- Body Composition Testing : beginning and end of program
- Weekly Weigh Ins
Cost: $130 includes lab work, body composition tests, lectures, lessons, and Strive 2 Survive t-shirt
STRIVE 2 Survive applies to all who have a heartbeat…adolescents to the elderly!!
Contact us NOW to get enrolled!
For more information and to sign up, contact:
886-8482 or email strive2survive@brownclinic.org Visit our wellness blog at: www.s2sbrownclinic.com