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I find that many patients get caught up in staying with 1/2 to 1 cup portions as

a rule of thumb, but fail to recognize hunger and fullness. I focus more on

listening to their bodies and helping them become aware of what their bodies are

telling them while continuing to eat off a small plate.

Does anyone have any input on what they practice with patients or talk about

regarding portions in support groups or follow up visits? I have some patients

that get very upset when I explain to them that there is no exact amount to be

eating after surgery, but to stay around 1/2 - 1 1/2 cup portions.

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amen!!

Diane Olson MS RD CDE UW Health Bariatric Surgery Program University of Wisconsin Hospital and Clinics (608) 265-1718 dolson3@...

From: [mailto: ] On Behalf Of Laschkwitsch, :LPH Weight Management InstituteSent: Friday, December 30, 2011 11:47 AM Subject: RE: portions

From an early point we use hunger/fullness scales, discuss slow eating and talk about differences in portions of watery foods like vegetables vs dense foods like meats. I use food models to give them estimates but I have NEVER told patient in 7 years that they need a specific amount like ½ cup, when this advice was given by MD’s I found patients just felt wrong when they were unable to sustain that amount. Some people need months of reassurance but eventually they learn to trust their bodies. I believe that even if it takes time less specific portion advise and more emphasis on diet balance, quality and listening to signs of fullness makes it work in the long-term. Just my 2 cents.

From: [mailto: ] On Behalf Of AbbySent: Friday, December 30, 2011 8:19 AM Subject: portions

I find that many patients get caught up in staying with 1/2 to 1 cup portions as a rule of thumb, but fail to recognize hunger and fullness. I focus more on listening to their bodies and helping them become aware of what their bodies are telling them while continuing to eat off a small plate. Does anyone have any input on what they practice with patients or talk about regarding portions in support groups or follow up visits? I have some patients that get very upset when I explain to them that there is no exact amount to be eating after surgery, but to stay around 1/2 - 1 1/2 cup portions.

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