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This is my daily pattern: 6 proteins, 4 starches, 3 fruits, 2 veggies, 2 dairy, 2 fats. Sometimes I cannot eat the fourth starch. Can I replace it with a 4-ounce apple, since an apple is a carb? That way I still have 1,200 calories for the day.

Yes, that would be fine. You don't want to go below 1,200 calories. You are right about the apple being a carb. In people with diabetes, we talk about carb counting and doing just as you're suggesting. But caloriewise, a 4-oz. apple has about 60 calories compared to a starch serving, which has 80 calories. So, I would go with a 6-oz. apple to ensure you are getting the calories you need.

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