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Your Weight Loss Graph

Start Wt

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
32 33 34 35 36 37 38 39 40

Name:__________________________________________ Cycle #: 1
2 3

Load Days (Day 1/Day 2 of Creams):___________ Start


Weight:______________
Last HCG Date & Weight:__________________ Goal
Weight:______________
Weekly Intake for 500 Calorie Phase
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊1/4 c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g.Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊ ¼ cSkim Milk cottage ch (3/less a wk) ◊1/4 c Skin Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊1/4 c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊ ¼ c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊ ¼ c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊ ¼ c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊ ¼ c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba Toast

Weekly
Notes:______________________________________________________________________________
Weekly Maintenance Phase Intake
◊ NO Sugars & NO Starches phase (week 1-3 after
HCG)
◊ SLOWLY add Sugars/Starches phase (week 3-6
after HCG)
Date:________ Day #______ Weight:________
Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

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