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[quote=Anonymous]Are you pescetarian? The foods you listed are fairly starchy with a lot of sugar from fruit. Starches are chains of sugar. Both tend to drive insulin/glucose up and down and that can drive hunger.

Do you eat meat and chicken? Eggs are a great breakfast and will keep blood sugar more stable and hold off hunger more than a smoothie or oats. Can lunch be more protein focused than starchy like pasta? If you think of Thanksgiving, could you eat a steak or a burger or salmon after the meal? Not likely but we could all eat starchy rolls, sweet desserts, etc. We have satiety signals for protein and fat and stretch receptors for volume, there is not a similar built in "stop" signal for starch or sugar.

Since she is obese, I'd focus on whole food animal protein, leafy greens (lettuce cups or wraps or salads?), broccoli, cauli rice, etc. and healthy fat like some avocado, olives, eggs or salmon. It was what my ped advised and my heavier kiddo said she "didn't feel hungry all the time anymore." Her weight held steady instead of increasing, ped's goal. It's also really nutrient dense food and protein is great for growing kids, worked well for my leaner kids too.

We also shifted to eating was all at the table and no screens including tv while eating. It can be easy to spoon in a lot of oats, pasta or beans watching an ipad, having to use a knife and fork and no distractions changed the rhythm/pacing of eating. We go for a walk after dinner and have incorporated more activity into family life, in addition to their sports, etc. [/quote]

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