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:__________________________________________
2
3

Cycle #:

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

1

Start

Last HCG Date &
Weight:______________

Weight:__________________

Goal

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

_________________________
Dinner_______________________
_________________________________
_____________________________

Lunch

_______________________
_____________________________

_________________________________
_____________________________
_____________________________
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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