It is really interesting that our stomach feels full after a relatively small amount - before Medifasting, it seemed like it took forever for my stomach to feel satisfied with a much larger portion.
Yes, it is best to consume the meat and vegetable portion together if at all possible.
Over the course of a day, you are right about the food intake being the same (all at once or spread out into two smaller meals or meat at one meal and vegetables at another) but for some people, especially for those with impaired or resistant metabolisms; it can make a difference for their weight loss.
It is recommended that a person not add vegetables to any of the packet meals as that will increase the carb count and get the meal out of proportion.
There is the tendency for newbies to begin reading only at the point that they find us and join in so I make these comments particularly for their benefit.
Some people may be able to get away with making adjustments to their programs but please know, it is in your best interests to not do so; to follow the program exactly as it is written. Eat all five of your packets on time, do not add anything to them, and eat all of the lean and green meal just as it is outlined: five ounces of lean red meat or seven ounces of lean chicken/fish/seafood plus the small green salad or one and one-half cups of cooked non-starchy vegetables. When a person's weight loss slows down or the person begins to feel tired and puny, it is usually attributed to messing with the program. To do it best, do it right.
Nothing tastes as good as thin feels...
The Formerly FLABulous and Now very Fabulous