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This is Doctor Rachael Keilin with LapBandDoctors.com I want to talk to you
a little bit today about portion size
and about how to figure out what the right portion size is for somebody who's
having a lap band meal. I think a lot of the confusion that I have sometimes
when I'm talking to patients when they'll say I'm eating too much and my portions
are too big when in fact I think their portions are pretty good and sometimes that
leads to patients being overfilled you've failed meaning that they throw up a lot and having
complications from being over filled, throwing up
and potential for slip sometimes even an erosion. One of the tools that we use in
our practice to make sure that we're talking to patients
about the same volume when we're talking to them
not using words like too big or too small, but we try to standardize how much people
eating. The tool that we use in our practice is actually this plate. I call it the magical plate
for a couple of different reasons. Number one, if you look at this plate what you'll
notice is
the center of the plate, the part that has the blue circle within it, is pretty much what
we consider an ideal
portion size. It's about the size of a salad plate, roughly speaking
cut into three different portions, excuse me, three different areas. The
first and most important is that half of that salad sized plate is protein.
We want to make sure that protein is the first thing that you eat and is the main thing
that you eat
because you're eating smaller portions overall, you want to make sure that to get adequate
protein that protein is about half the volume and half the calories of what you eat.
The other two things about the plate that you'll notice in a slightly larger
than half
on the top side of the plate
are non-starchy vegetables and fruits. That's going to be salads vegetables,
small amounts of low glycemic foods not grapes not bananas but different kinds
of fruits apples pears peaches.
Carbohydrates
are that little bitty corner up on the side.
That's going to be your rices,
simple starches like potatoes, pastas
that's the proportion and that's about the size meal that I expect somebody to eat
three times a day.
If you can eat that three times a day and not be hungry between meals, then your
band is pretty well adjusted.
I call it the magical plate because I say if you eat off of this plate three times
a day
and get up and walk away when you're finished with that meal
even if you're head still feels hungry if you get up and walk away fifteen minutes
later if you're not hungry anymore then what you're feeling is head hunger, not true
stomach hunger. That's not the band that needs to be adjusted that's more of a
habit issue, getting up and walking away after a meal.
The magic plate lets us say, "okay if you're still hungry after that then you
need an adjustment."
If you're not still hungry after that, then you're eating about the right thing- your band
is adjusted to about the right place to allow you
eat small meals and lose a lot of weight.
Thank you for watching. This is again Dr. Rachael Keilin from LapBandDoctors.com