Lifestyle Medicine:
Intro to Nutrition

Learn to make healthy lifestyle choices.

Kinwell’s Lifestyle Medicine: Intro to Nutrition group program benefits patients interested in developing healthier habits. This online series of appointments takes place over a secure MyChart Zoom virtual session. Each session allows patients to learn new skills, share their experiences, and ask questions.

Winter programs are now open for scheduling. To learn more about these group appointments, the fees involved, and to register, call (206) 690-5852.

  • Group 1 – Dr. Miranda Raiche: Tuesdays, 5:30 pm to 6:45 pm, Jan. 13 – Feb. 24 
  • Group 2 – Dr. Nathan Kerestes: Wednesdays, 6:45 am to 8:00 am, Jan. 14 – Feb. 25
  • Group 3 – Julie Williams, PA-C: Wednesdays, 5:30 pm to 6:45 pm, Jan 14 – Feb. 25

Program topics:

What is lifestyle medicine? The American College of Lifestyle Medicine has identified 6 pillars of healthy living. Patients will learn about the importance of diet, fitness, sleep,  social connection, and avoiding harmful substances and stress.

The importance of water. Diet may be the most important pillar of good health and “Lifestyle Medicine: Intro to Nutrition” uses a whole-food approach. Learn about the benefits of foods high in nutrition, fiber, and water.

Meal make-overs. Patients will learn how to incorporate foods high in fiber and water into their meals using the 75/25% plate principle.

Sustaining change. This session will present tools for sustaining healthy changes to your lifestyle. These include setting realistic goals and removing roadblocks in your path.

Keep moving. Patients will learn how daily activity benefits their physical, emotional, and mental health.

A healthy start. Breakfast really is the most important meal. Patients will learn how to start each day with a healthy breakfast and to adopt the SMART system to stay committed to their goals.

Shop healthy. This session covers the practical aspects of shopping with the 75/25% plate in mind. Patients will learn to avoid shopping pitfalls and establish healthy tools.

Dining out. Patients will learn to embrace the challenges and joys of dining out while maintaining a healthy diet.

Anyone can benefit from learning how small changes to their daily routine can have a positive impact on health. "Lifestyle Medicine: Intro to Nutrition" is most vital for patients facing chronic conditions related to diet and weight. The program is especially helpful to patients dealing with obesity, diabetes, elevated cholesterol, and high blood pressure. Patients are expected to participate in all weekly sessions.

The cost of the program depends on your health plan. These sessions are group medical appointments and your out-of-pocket costs will depend on the copays and deductibles of your health coverage. Contact your insurance plan to better understand the costs involved. You may also use your health savings account to pay for visits. If you have questions regarding a bill from Kinwell, email billing@kinwellhealth.com.

Visit our accepted insurance page to understand the insurance plans Kinwell accepts.

Nathan Kerestes, DO

Dr. Nathan Kerestes received his medical education at the A.T. Still University Kirksville College of Osteopathic Medicine and completed his residency in family medicine at the Naval Hospital at Camp Lejeune where he served as chief resident. Since 2016, he has practiced family medicine in a variety of locations including Guam, Hawaii, and Washington state. In his free time, he enjoys scuba diving, hiking, and mountain biking with his spouse and their dog.

Dr Raiche Headshot (Gray)

Miranda M. Raiche, MD

Dr. Miranda Raiche grew up in rural Pennsylvania, attended Juniata College, and earned her medical degree from the MCP-Hahnemann School of Medicine (now Drexel) in Philadelphia. She completed her family medicine residency at the University of Utah and has been practicing in north-central Washington since 2006. She is a board certified family physician and enjoys providing primary care for the entire family through all phases of life. She has a special interest in preventive health, chronic care, women’s health, and geriatrics.–––

"With virtual care, we can treat people all over Washington. That allows us to take care of so many more people. And group appointments remove any feelings of isolation a patient might have by connecting them with others facing similar health challenges. These support networks help empower patients and allow them to live their best lives."

Dr. Kathleen Tonti-Horne

"With virtual care, we can treat people all over Washington. That allows us to take care of so many more people. And group appointments remove any feelings of isolation a patient might have by connecting them with others facing similar health challenges. These support networks help empower patients and allow them to live their best lives."

Dr. Kathleen Tonti-Horne earned her Bachelor of Science degree from Dominican College of San Rafael and her Doctor of Medicine from the University of California, Irvine. She completed her residency in Family Practice at the Eau Claire Family Medicine Clinic at the University of Wisconsin. She is certified by the American Board of Family Practice and has over thirty years of experience practicing medicine in California,Wisconsin, and Washington.

Dr. Tonti-Horne served as the medical director of Monterey County Jail where she was able to help improve the health of inmates struggling with addiction. Before joining Kinwell, she was the medical director at the VAMC community-based outpatient clinic in Silverdale. She led her outpatient clinical team and was able to advocate for veterans by helping to establish the veteran’s advisory board.

Dr. Kathleen Tonti-Horne joined Kinwell in July of 2022 and has been instrumental in helping establish processes for operational improvement for both patients and Kinwell staff. She is particularly supportive of virtual care and group appointments that leverage the benefits of mutual support.

Julie Williams PA-C

Julie Williams is a certified physician assistant who treats patients of all ages. She received her BS degree in cellular biology at Pacific Lutheran University and her Masters of Clinical Health Services at the University of Washington. She has practiced in Oregon and Washington since 2016. Her clinical interests include women’s health, infectious disease, and evidence based medicine.

"I work with patients to make healthy changes to their daily routine. We brainstorm and discuss goals. When it comes to our health and wellness, most of us don’t create plans, but it’s important to clarify goals. Then we start small and grow bigger. That’s what behavior change is…breaking down change into small steps so it doesn’t feel insurmountable."

Heidi Beer

"I work with patients to make healthy changes to their daily routine. We brainstorm and discuss goals. When it comes to our health and wellness, most of us don’t create plans, but it’s important to clarify goals. Then we start small and grow bigger. That’s what behavior change is…breaking down change into small steps so it doesn’t feel insurmountable."

Heidi Beer is a board-certified Health and Wellness Coach and has worked in the field for over 30 years. Her degree is in exercise science, where she holds a passion for ensuring exercise is beneficial and fun. She has an extensive background as a specialist in behavior change, fitness, diabetes, and nutrition. She has been a multi-sport coach along with enjoying participating in duathlons, triathlons, and winter activities. As a Health and Wellness Coach, Heidi can offer support, empathy, and accountability in the areas you want to improve on.

"I encourage my patients to make sustainable, enjoyable choices that support long-term well-being."

Kelly Burns

"I encourage my patients to make sustainable, enjoyable choices that support long-term well-being."

As a board-certified Health and Wellness Coach, Kelly Burns understands how difficult it is to find a path to better health that works for you. She has personally experienced the stresses and challenges that often prevent us from making healthy choices, and is passionate about empowering others to take control of their health.

By making sustainable choices that support long-term well-being, patients can prevent and reverse chronic disease and live their best lives. Whether you’re looking to improve your diet or be more active, Kelly is here to offer support, empathy, and accountability.