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 hear sometimes when I’m talking to patients is when they’ll say I’m eating too much and my portions are to big when in fact I think their portions are pretty good.
Sometimes that leads to patients being overfilled. There are complications from being over filled, such as throwing up and the potential for slip or 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 is to avoid using words like too big or too small.
We try to standardize how much people are eating. The tool that we use in our practice is actually this plate. (See the video.)
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.
The plate is cut into three different portions, excuse me, three different areas. The first and most important area is the half of that salad sized plate labeled 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 should notice: first, in a slightly larger than half-plate sized area 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.
Simple carbohydrates are that little bitty corner up on the side. That’s going to be your rices, simple starches like potatoes, pastas. This is 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 truly 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