Lay bread slices on a cutting board. In a small bowl, combine mayonnaise and mustard, if using

Spread the mayonnaise mixture on the top side of each bread slice.

Fold each turkey ham slice into quarters and place on 1 slice of bread. Arrange the apple slices on top of the turkey ham. Cover with the lettuce leaf.

Place the second slice on top of the lettuce, mayonnaise-side down.

Serve at once, or cut into half or quarters and serve.

This recipe yields 1 serving.

Exchanges Per Serving: 2 Lean Meat, 3 Carbohydrate (2 Bread/Starch, 1 Fruit).

Nutrition Facts: 304 calories (24% calories from fat), 15 g protein, 8 g total fat (2.2 g saturated fat), 45 g carbohydrate, 5 g dietary fiber, 45 mg cholesterol, 896 mg sodium.