Three chang make this recipe healthier. Turkey smoked sausage or kielbasa will decrease the fat, as will using lower fat sour cream and shredded cheese. Never use non-fat cheese or sour cream. Using full-fat products, one serving is 562 calories and 36 grams of fat. By switching to lower fat products, one serving is 374 calories and 12.5 grams of fat. Since this is how I usually cook this recipe, this is what appears in the nutrition calculations. The sodium can be decreased by using low sodium broth and cutting the added salt in half to save 200 mg of sodium per serving.