by kelsey | Feb 11, 2014 | Diet, Weight Management, Wellness/Health

Last Friday, Prairie Lakes Hospital hosted a fabulous event for women with the featured speaker being Julie Hadden from Season 4 of the “Biggest Loser.” She gave a great talk highlighting her experience but also discussing her own journey with weight management. Despite being on the hit reality show and losing a lot of weight in a non-traditional way (most of us don’t get the chance to go to a facility where all you do is focus on weight loss 24/7 for months on end!), she was very real about her own journey including the ups and downs and offered some excellent advice to us listening. Much of this great advice is what we recommend in our STRIVE 2 Survive wellness program; and much of this has to relate to the stages and readiness to change and the psychological component that weight management revolves around. I took notes as she talked so I hope this gives some of you who didn’t attend some “food for thought” in regards to advice for weight management.
- Your body is a temple, don’t treat it like a fairground. 🙂 This is a favorite of mine.
- Make small goals and celebrate them along the way. They will result in big success over time.
- Find your motivation and run with it–could be kids, family, job, personal hobbies, etc…find what motivates you and use it to help you be successful!
- Don’t wait for winter to end….or Monday to come. Start NOW!
- Calories are like money. Would you throw $200 in a slot machine at the casino? …Most of us would say no, so think of calories like you do money…don’t throw them away on useless foods! Treat calories with caution and make the most of them, like you would money.
- Move more, eat less = weight loss
- Surround yourself with positive people who make positive influences.
- Change your environment to promote healthy living.
- Believe you’re worth it! You ARE worth the effort!
If you want more help, guidance, education, and support with your wellness and weight efforts consider joining our 12 week wellness program starting March 4th! We will help you live a healthier life!
-Kelsey
by kelsey | Feb 6, 2014 | Diet, Weight Management, Wellness/Health

Yesterday I heard a lot of buzz about the look of NBC’s “Biggest Loser” participant Rachel. I am not a big fan of the show and I do not watch it, so I after I had heard from a few different people about their opinions, I decided to do some internet research to see what the buzz was all about. Rachel who is 5’4″ tall, initially weighed 260lbs and left the ranch weighing in at 150lbs. She lost an additional 45lbs at home before the finale aired, results in a weight of 105lbs. Many were saying she looked underweight, unhealthy, and some even used words such as anorexic or eating disorder. Those last two words are something I never take lightly as eating disorders are just as complicated as being overweight as they have many psychological factors to them, making them very challenging to deal with.
Well I was curious to see if she really was underweight so I did the BMI calculation and yes, she surely was…her BMI is 18, which means she is truly underweight according to this calculation. A healthy BMI is between 18.5-24.9. Even her trainers from the “Biggest Loser” wouldn’t comment on her weight loss (http://www.people.com/people/article/0,,20783820,00.html) which was very interesting to me. I am sure she feels like a whole new person but going from one extreme to the other in a short period of time is very unhealthy for our body and I think that’s what had most people concerned. Especially since she is in the eye of media and this can provide a lot of mixed messages to our population.
I have never been a fan of biggest loser type of programs as they are hard to stick with and most people do it for a short period of time (typically to win some money) and eventually revert back to their old ways while never adapting their lifestyle or habits. I know the good ol’ fashioned method of weight loss that I promote ie- healthy eating in moderation and regular activity results in a slower weight loss (1-2lbs/week), but it is something that most people can stick with and is a healthier way for our body to lose weight as we slowly adjust allowing our bodies to be more apt to keep the weight off in the long run. Our 12 week STRIVE 2 Survive program promotes balanced and healthy living. We teach you how to improve your diet and activity in ways that you can stick with and be successful long term. We never keep track of a total weight loss per session because that is not our goal. Instead we focus on individual improvements in body composition and lab work. There is always going to be the next best weight loss pill, method, or tool, but before you get involved, I encourage you to think twice and ask yourself if it’s something that you can stick with, is it realistic, is it healthy, etc. If you want to achieve a healthier body and a healthier weight in a healthy way, consider joining our 12 week wellness program starting March 4th! We can help you achieve a healthier lifestyle long term!!
-Kelsey
by kelsey | Feb 5, 2014 | Exercise, Weight Management, Wellness/Health

We are really excited to be getting ready for our spring session of STRIVE 2 Survive wellness program in about a month! Enrollment has begun so if you want to learn more and sign up, please contact me today!! Spring is always a great time to put your health and wellness at the top of the priority list as the we all want to be in good shape for summer!
12 Weeks to a Better You!
Brown Clinic’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. Lecture dates listed below. Take home lessons sent on the weeks we do not meet in person.
Where:
– County Fair Banquet Hall
March 4: “Healthy Eating Made Easy” Kelsey Raml, MS, RD, LN
March 18: “Exercise for the Health of It” Dr. Dan Reiffenberger
April 1: “A Walk thru the Wellness Wheel” Dr. Clark Likness
April 15: “Medications…to do or not to do” Deidra VanGilder, Pharm D
April 29: “Your Equation to Success” Dr. Jon McAreavey
May 13: “Making Health a Way of Life” STRIVE Team
Cost:
– $130
Call or email to learn more and sign up!!
Kelsey Raml, MS, RD, LN
605-884-4226
strive2survive@brownclinic.org
by Dan | Feb 2, 2014 | Exercise, Motivation, Weather, Wellness/Health, Winter

I have been working out this Winter at Anytime Fitness due to the cold and ice. The staff there had a T-shirt printed out just for me after I came back from Orlando doing the Goofy Challenge. This is the front of the T-shirt.

…this is the back of the T-shirt. Total suprise, and it made my day! They just featured me with doing the Goofy Challenge on their most recent electronic newsletter, which also was quite the surprise. It is a great place to workout, and I can go whenever it is convenient for me, which I love! All of this was quite the surprise, and much appreciated. Be safe working out this Winter. Keep moving everybody.
Dr. Dan
Consecutive Exercise Day #: 2322
by kelsey | Jan 30, 2014 | Cooking Tips, Diabetes, Diet, Food, Weight Management

One of the most challenging aisles in the grocery store is the cereal and granola bar aisle as there are so many choices and it’s hard to know what’s good and what’s not! For those regular followers of our blog, you probably know by now that you should choose a whole grain cereal, but from there…how do you decipher which choice is better than another?! Well, let’s start with the basics…you want to avoid any of the real high sugar cereals such as Lucky Charms, Cocoa Pebbles, etc due to their high levels of white, refined sugars.
Here are some tips to help you make a healthy choices:
• 8 grams (g) of sugar or less/serving, if the cereal contains 3 g or less of fiber/serving
• 16 g or less of sugar/serving, if the cereal contains 5 g or more of fiber/serving
Note: raisin bran contains 20 g of sugar/serving and is the exception to the rule—still a great choice due to its higher fiber content)
• Instant hot cereals should contain no more than 100-150 milligrams (mg) of sodium/serving. A better choice is cooking oatmeal the old fashioned way on the stove from the canister as the instant packets have a lot of sodium.
In addition, be sure to fully read the nutrition facts label and not rely on the manufacturers marketing claims as they can often be misleading!
A way to make breakfast a more balanced meal is to add a source of protein and a serving of fruit to your meal. With the balance of protein, fiber found in your cereal, and some natural sugars, you are set to start your day off in a great way!
-Kelsey