LYMPHOMA CASESTUDY 1 [Lymphoma Case Study Metical Nutition Therapy, FACS 438 Wednesday, October 21", 2000 Candace Martell Dr, Anstrom (Cetification of Authorship: I certify that Iam the auhor ofthis paper and that any sistance | ‘received in its preparation is fully acknowledged and disclosed in the paper. I havealso cited any soures from which sed data, ideas, or words, either quoted directly or paraprased. 1 also serif that this paper was prepared by me specifically forthe purpose of this assigrment, Signatures: Candace Manel ONUIDNo. 1821596Case37 Lymphoma: Part One Iniroductry Level Objectives ‘After completing this case the student willbe able to: 1. Use nutrition assessment knowledge toas- sess baseline nutritional status. 2 Evaluate laboratory indices for nuteitional and media significance. Identify the diagnostic procedures for solid 4. Asses dictry information for nutritional adequacy ‘5. Evaluate the medical and nutritional side ef- fects of chemotherapy. {6 Determine appropriate nutrition interven- tions for medical and nutritional side effects ) of cancer and chemotherapy. we ‘Ms. Denise Mitchell 21-year-old college stu denis admitted for evaluation of viral illness in which se has experienced night sweats, fevers, and weight loss. A chest X-ray indicates pos- sible mass. After chest CT, MRI, bone marrow biopsy. and biopsy of suspect lymph nodes, she is iagnosed with stage Il diffuse large B-cell lymphoma with mediastinal disease and postive Iymph nodes. Laboratory values for his eas are found on pages 435 and 436.Uppesuensire essrras ADMISSION DATABASE tow ie age 22 Pic $e, MO Ee == git Se a A rr asrare | LASTOMaa ————— Fees ee eee pe O tae Bea" LCR T ET ae aT =m EE tS etme, et Sanaa = Se ee ae 7 = eee epactamimantd) Oem toa = Siner = Benetton src. Er = a ae sem oo seme Bise se [Bee Ske ifskece [Baio Sizeetaecryscme’ [8S Soyo oe ea SEE ay oS om = pee oes ce Bea tsa de om Peyepetn priate cont WoC ho on fecha ‘Deyorprinmregaarmemenresea? Cl es CW aetna(Coes? LymptomeiPatOne 25 Gent name: Denise Mitchell DOB: 2/18, Age: 21 Sex: Female Education: College student Occupation: Student Hours of works N/A Household members: Mother age Ethnic background: Caucasian Religious afllation: Methodist [Referring physician: Simon Miller, MD (hematology/oncology) Chief complaint: “Thave continsed to feel run down since Thad the fl sill havea Fever sometimes and the cough won't go away" father age 50; brothers ages 9, 12, and 16 Patient history Onset of isese Ms. Mitchells 21-year-old female who currently isa sophomore tan Ivy League university She has had an neventl medial history with no significant ilness unt the past 2-3. months tient describes having the “fl” and fing rundown eer since. She has continued to Ihave fevers esecally at night; she describes having to change her nightgown and bedelothes due to ‘excessive swealing. She now presents for admision on eral from her family physician, Type ay Fe None st present D Pitt Tonsilctomy age 3 ‘Meds OTC cough medicine Smoker: No amy He Nencontributory Physical exam: General appearance: Patient i thin, pale young woman who appeat ied Virals: Temp 100.5°, BP 95/70 mm Hg, HR.8S bpm, RR 18 bpm “Heart Regar rate and shyt, no gallops or rubs, point of maximal impulke at the fifth intercostal space inthe midelavicula line HEENT: Hou: Normocephalic ‘Eyes: Extraccular movements intact; wears lasses for myopia fund grossly normal bilaterally Ears Tympanic membranes normal "Nose: Dry mucous membranes without lesions Throat: lightly dry mucous membranes without exudates or lesions abnormal lymph nodes Genitalia: Normal without Fons oO [Newrologic: Alert and oriented; cranial nerves II-XI grossly intact strength 5/5 thoughout sensation toligt touch ntact; normal gait; and normal reflexes ‘Etremities: Normal muscular tone with normal ROM, nontender ‘Skin: Warm and dry without lesions o) Cheng Repirations shallow dlls pret o percusion426 Unita Malic Nien They fr Homstolop-Oncloy Peripheral vascular: Pulee +2 bilaterally, warm and nontender ‘Alrdonen: Normal active bowel sounds, soft and nontender without masses or organomegaly ‘Nutrition te ‘General: Appetite deereased, No nausea, vomiting, constipation, or diarrhea Usual dietry intake: AM: Cold cereal, toast or doughnut, ski mil juice Lin: (In college cafeteria) Sandwich o ala, frozen yogurt, chips or pretzels, soda PM: Meat (cats only chicken and fish), 1-2 vegetables including salad, iced tea, oF ‘kim mill> ‘Snacke “Papcorn, occasionally pizza, soda, juice, ied tea 2éhe reco: ‘AM: | slicedry toast, pin hot tea Linch: Yeup ice crear, Y.cup fruit cocktail, few bites of other foods on tray Dinners Few bites of chicken, 2T mashed potatoes,” Jll-o, plain hot tex Food elergcntolerancesaversins: NKA Previous MNT? No ood purclase/preparaton: Sale, parents, college cafeteria Vidinin wake: None Hospital curse: (Chest X-ray indicated possible mass. After chest CT, MRI, bone marrow biopsy, and biopsy of suspect lymph nodes. ‘Ds: Stage I diffuse large B-cllymphoma with mediastinal disease and positive lymph nodes. Bone ‘matrow ard other organs show no indication of disease Txplan: ‘A chemotherapy regimen of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) is prescribed. Prednisone will be administered orally onthe frst 5 days ofeach cyte, and the other ‘chematherapeutic medications will be given intravenously on te first day ofeach 21-day cycle, Radistherapy is planned to stat 3 weeks after the thitd cele of CHOP.cs? LymptomentOne 27 (Case Questions \What typeof cancer is Imphoma? 2. What symptoms found inher history and physica are consistent with the clastic signs of lymphoma? ‘Ms. Mitchels diagnosis stated that she had stage Il lymphoma, What does this mean, and how does her physical examination suppor this? 4. Generali, patient with cancer ae treated with surgery, radiation therapy, chemotherapy, ‘immunotherapy, or a combination of therapies. Ms. Mitchell's medical plan indicates that she will have both chemotherapy and radiation therapy. How does chemotherapy act to treat ‘malignant ellst Hov does radiation therapy at to treat the malignancy? ‘5. Radiation and chemotherapy may also affect healthy tissues. '& What other cal inthe body may be affected by either or both ofthese treatments? ‘What symptoms may the pi wt experience from the destruction ofthese cells? (]) tdentify each ofthe drugs that the patient is prescribed, and note the posible nutritional side J fects of each n general, what might you tell this patient to expect fom receiving her chemotherapy? = ‘auble Nurional de Bec) ophosphanide Dordticin Viectiioe >) | Prednisone42 pla Meal Nein Therap fr Memaelog Only carmen pte ran tt ge ml ny eo tet Cee oe eee real ee GB) Using the Hari Benedit equation, calculate the patients energy fequirements Which weight (BW, UBWor current body weight) should you use to accurately caleulte the patent's energy needs? ‘9. Which labs con be used to assess protein satus? ‘9. Which Isbs wil refzet acute change in protein status versus chronic changest Why? 'b, Which are valabe fortis patient? Considering her diagnosis, which Ibs would notbe ap- propriate to use to valuate prowin satus? ‘6 Determine the nutstiona risk associated with this patient’ laboratory value, Would you ee ‘quest any additional nutrition assessment labs? G )calesae te patent’ protein resremens & ) ¥ow woul you ass the itary infrmaion peed or na matron nak? 112. ihatadditional information would you ask the patient to provide regarding her usual intake? , determine whether this patent's usual intake is . Ga) singon oe methods you hve i ents mec er meds Bop 114, What method would you use to assess her 24-hour recall? I i adequate to mest her nesdst Exphin. zs €oth tymphame fame 4 5, 15. What common side effects of herillnes may alec her dietary intake and subsequently her nu teitional status? 16, What physical symptoms) is this patient experiencing that might affect her dietary intake? 117. Foreach symptom, identify at least two interventions. Sreptom Intervention Ss 18, How would you follow up or evaluate the interventions you have determined? (wa pec nation uation woul be important to provider his patient? When would ‘tbe appropri to provide this education? What tors eightinree wih the patent resepton of ution cation? | 20, Recently glutamine has been a component of several clinical tile to reduce gastrointestinal ‘complications ofboth chemo and radiation therapy. What is glutamine? What isthe rationale torts use?490° Unit Ten Meal Nuon Therapy he Hentslog-Onclogy ‘Bibliography An Arbor Sagi Sse. rable a ‘ated Kpu-aep/~shobuemstoos Uneabochu Arend Februar 6 201 \Conmiinn on Acres or Deets Escaion owed is and competencies fr dian, Ac ‘ttn Mao for Distr Eaton Progr, feedthed. Ciena American Ditetic seeon, ‘0, ‘Cony 8 The ret yuaminein oncology teapy. Aea- “est htpvercamrgentraconanics ‘monogrph hi Acct March 72003 shin J Coalson A toa of cheery an the ruin sates tecncr pict Bech A (a, Neri onogaet of he Cc ation, dtl, MD: Aspen, 1900-18-71, Hammond K Diary std ia asset Mabon TC Exot-Stamp. ed Km, Nuriton, td Dit Thorp he Poel Sunde, 209:383-179, | InfoTrac Resources ‘masz Cancer Soci resis pilin on mation “eps coy for cane prevenin. (Face: ‘Guidelines. Genevieve W. Rel Amer Fly Phy, Ot 15, 200 66 p15. (Guidelines fo espnaentrton counting oncom lementary an slernative medline (Nation and Diese) lie C Sapir fot Reda, arta Win- ters athyn Halton. Nurion Tay Nov-Dec 20 36362310). ome preter nti andthe terminal concer Tis (Maen snd Terman es). Nero Re ‘ec Newer Oe 20022110 p152- Nehikn-Neie M. General eng problems. In Bloch A (ed) Nuh Menger othe Cc a acl, MD Aspen, 1950:41-5 Row BT. Caar pet on tin sus. In Blok A “ed, Art Menage fhe Cancer. Rocvll, MD: Aspen, 1990 10-1. Ross B-T lmpactof radiation therapy onthe nition ‘atic ofthecacerpaens an reve Bloch A (el), Maron Agent of te Cancer Pat Roc MD: Aspen 990:173-180 ‘Site Nation aed fener patient Bloch A (cd), Merion Magento the Cae att Rockil MD Aspen 1990-10. “Wer Hr of Ooze: The Therapie Ue of Plone ‘ll Ne York Haworth Pres 185 ‘er hc Momoe Hern es Dgoon E Maroc Products res 9. Natetion during and arcane treatment A gue or ‘informed chery ener survive enrowe, “Ten Byer Kevin Thompson bare Eig, Catleen Dole Ales Wms, Ca Mey 251 v3 bers Queing nas, vomiingin cance treatment ting wel is Una or: Tif ony eae N= ti Ltr ep 2019 ys Mag Col: 2505, Primary mein ag cl frphoma SM ol Ashes Larry i, Debra Pea, Souter eigal raSept 20295 9p 1053), @Coett Lymphamtanie 5 2 Uppumvensiry woseira PVSctad: §. Winer, ar = ee Etatinine Jamon uh) Seer Sear ost) ik tos om TELL caste¥ Cast culation ace) 1d) Do not use BES but # Gasts fr Ber bh usse (4.65 if fei bs WSS + Sah e Sil 9R.28 = | pl, 2Ale Xu ul |Courctce “Xtatiulstorlant) le% taDeulatons (ont) | 18) Serum Osmilitys- et a Sst Aco) ca a | or 13) ae we ee AR cry 0 oe ee 220 + 4.992 5,Uy = (7 8Gmosm /Ie Ha) RetCortha _¥ Meal bid Moc i Reena HALE TT |LYMPHOMA CASE STUDY 1 Medications and nutritional implications: Curent, the patents taking Dimetpp for her ‘cough. Patents not taking any vitamins or supplements at this time. According to MenePlus (2018), Dimetapp has been removed from the market, however generic altematives are available. “The setive ingredients can cause nase, vomiting, dry throat, nose and mouth, drowsiness, and headaches, However, consumers can follow their normal dietary pattems unless otherwise told by their doctor. Hamilton, K. K. & Grant, B.L (2017) adress doxonibicin, cyclophosphamide, vincristine, and prednisone (pp. 744). These meicatons and the nutsitona implications are provided in the table in question 46, 1. What type of eanceris lymphoma? Accotingto sat eas KA raya, Gorn, Lyon negatively effects the Iymphatic system that includes the spleen, Iymph nodes (patent is "hous So «experiencing swollen lymph nodes), bone marrow, and thymus gland. Lymphoma is a cancer of the immune system (pp. 738) 6. Identify each ofthe drugs that the patient is prescribed and note the possible nutritional slde effects ofeach. In general, what might you tll this patient to expeet from receiving her chemotherapy? wy This pent nessa be informe hat er symptons ofaweating, ee, and ough may > ey ot abide om he CHOP therapy and may wore, iis highly sesv timer this 9? Wey patel nd she nec to know ta theres reson tea wing and abeto supporter). wv ek eShy fatigue, vomiting, nausea, and myelosuppression. vy & vy soos tne enon cnn ie efi pe all cn we weLYMPHOMA CASE STUDY 2 Drug Type ‘Possible Nutritional Side Ertects) ‘Cyclophosphamide “Myelosuppression, fatigue, ‘vomiting, nausea, and renal toxicity (pp. 748) — Doxorubicin ‘myelosuppression, fatigue, vomiting, musa, and mucos pp. 744) _ “Myelosuppression, faigue, vomiting, nausea, and peripheral ‘neuropathy (pp. 744) ‘According to MedlinePlus Prednisone (2020), bulging eyes, ffagile skin, headache, dizziness, increased hair growth slow naling of euts and bruises, fatigue, muscle weakness, increased sweating, acne, ‘regular menstrual eycle, soul staying or fang aslep, personality changes, ‘vomiing, depression, seizure, ‘eartbur, irtegular heartbeat, suciden weight gain, dry cough, hives, ras, itching, confusion, shaking, and numbness 7. Caleulate the patient's BMI and the percent usual weight: How do they differ? Which ts the most appropriate to determine nutritional risk for this patient? ‘The patient's BMI was calculated to be 19.50 (Indicating normal) and her usual body ‘Weight was found to be 92.31%. BYU is mast appropriate for determining ifthe patent sat utritional risk for malnutrition, C 0 Badyet waned to4 And Lot Clans Us the mosh pension Uncle cebon & Reneubar the & iacticetorsLYMPHOMA CASE STUDY 8. Using the Harri Benedietequation/ca. culate the patient's energy requirements. Which ‘weight (IBW, UBW, or current body weight) should you use to accurately caleulate the patient's energy needs? Given that the patient's BMI is not >40 and that she is experiencing stage B-cell, |ymphoma with swollen lymph nodes, using the current (actual) body weight would be the most accurate forthe calorie calelation 10. Catealate the patient's prot requirements. “The patient's protein requirements were calculated to be 55-66 g/ky/day using the saboiomerrecmerptet23, of Kal ae aint ot 4 3 oon asoig ein hpi dayne won tg” oo ‘cance patient), to 1,650 kea/dey, These values indicate thatthe patent wes eating very close to 11. How would you assess the ditary information gathered for usual nutrition analyze the number of calories she was consuming and that was around ~ 1,595 keal/day. 1 ‘would then compare that mount to er calculated needs (using kcallkg rather than BEE for {he recommended caloric stake calculate for her rior to becoming il However, upon (> ATHoeshen Cekanteted ‘becoming sick, her 24-hour eal shows ~482kealsday hich evetpovncowdhgantiowe janct2 ‘Then, I would assess the distribution of her calories between CHO, PRO, and FAT 13, Using one ofthe methods you have identified, determine whether this patient's usual Intake is adequate to meet her needs. Ex The patient's usalnake is adequate to meet her needs for CHO and PRO, however, FAT the patients may need tobe counsel on. Her PRO was 65.5 gly and her called nesds oe ae 5 as a wore?LYMPHOMA CASE STUDY 4 ‘ere 66 g/ke/day, whichis encouraging. Her carbs were 242.9 g and her ealeulated needs were 246g, and her fat was 94 g, extremely low compare tothe meal plan calculation of 63g. Prior to stage Il B-cell Iymphoma, the patient ate relatively wll and what appears fo be nutritionally balanced meals. pre, Ube ESHA TEAK, ? 19, What types of nutrition education would be important (o provide for this pationt? “When would i be appropri to provide this edueaton? What factors might interfere with ot tepaton’srceptonot nation ection? N “The types of nutition education thas wuld be critica to provide would include an introduction to food saftypriniples(@ik) 749) and nutrition intervention stategies when a) ‘consuming meals to increase ab ity and desire to eat The nutrition strategies that would be an effective intervention technique include small, frequent meals (her meal plan was designed for oe sx sale ae an he oy pd wht ps tet and croup flying fr movement spring oe, Aton sink ott mie fds witht sus td paves woud pers he foals spits wih eno cn xen pags Eing dsc oa 00 temperature and avoiding foods such a st, caffeine, alcohol, vinegar, tomatoes, and spiey fay bb gf 74 bad Ste hao: Lymphornee hatter Te apr OF hel hide(tive Nazarene University FACS 438 Exchange List Handout ‘Macronutrint Grid a Ca ‘Meat |) ‘Bread (J tablet) Feut() J Fat Dads 1. Take the number of servings trom each of the food group and place them under the mes they willbe induded. For example if you ae going to provide 3 fritservngs then you may want to place 1- serving st breakfast, serving a lunch and 1-servng at nner 2. when you have completed the rt write a sample menu for one day = corporate the corect portion sizes in your menu ‘eal Planning Grd Breakhest | woneh | inner ik ‘eat = z Stareh Vegetable 5 Fruit at I t 30,3, and 7 are snack times this gids a general use grid and cin be used whenever you are calculating pattern. Weigh eduction meal lors donot usual clude snack. Mer exceptions.LYMPHOMA CASE STUDY Breakin egg serambled (I meat servieg/t oz) plain w7 1 Tosp margarine (1 ft serving) 2 slices whole gran toast w/ 1 Tosp Jamslice (2 starch servings) 1 small banana (402) (1 fruit serving) 1,8ozeup water 1, 8.02 cup skim mille (1 mill serving) Snack * 10 am 1 Tosp almond butter not as eklery a Peanut butter (I proten/"mea! serving) aie w/6 saltine crackers (I stwch serving) Tanah 2 oz shredded chicken (1 meat serving) in chicken nodle soup made w/ 1 cup vegetable broth, 23 cup cooked whale grain pasta (2 starch servings) 6 almonds or mixed nuts (1 fat serving) 1 cup cooked carrot & celery in soup (2 ‘vegetable servings) 1, 80z.eup water or 1,8 oz hot tea "4 cup fruit cocktail in water (I fruit serving) Shack * Spam 173 cap haramus (1 protein "meat serving) Pair w/ 12 cup sliced cucumber & cup carots (1 vegetable serving) 1,8 oz waterLYMPHOMA CASE STUDY Dinner (Open faced turkey sandwich w/ oz turkey (1 meat serving) 1/2 cup sweet or ogular, mashed potatoes (1 starch serving) w/ 2 Tbsp gravy 4 1 slice whole grain bread (1 starch serving) 1 cup cooked veggies (1/2 cup sliced bell pepper w/ % cup mushrooms) (2 vegetable servings) cooked in I Tbsp olive oil (1 fat cup bluebertis (1 frit serving) 1, 8.6z.cup skim milk (1 milk serving) 1, 802.water ‘Snack “7pm Heap applesauce (1 Fu serving) 1 pita pocket or 2 small plain rolls (6 in) (2 starch servings) 1, 802 Gatorade or 1, 802 hot ea “Encourage pt to dink ~9 capa Muldday asbased on her calculated neods. ‘Sample Menu (6 smaller, more frequent meals are recommended for patient) ‘Cateutated neds: ‘CHO: 258 yPRO: 95 FAT: 63g needed to reach | 900 kealslday ‘CHO: 246 gPRO:95 FAT 59 g what plan provides 1,900 Kcaliday, this plan provides 1,887 keals/day (250kcalsday)LYMPHOMA CASE STUDY 7 ADIME NOTE: {521 yf ee, Me See fine large Bs Imphoma w/ mean disse an postive lymph node Md x: Tonllctomy ge 5. Mes Dinetap oc, CHOP (etoposide dori, nd vinrisine intavenuly on fst dy of 21-day eee prednisone en lly on fn dy of dy ese Vis 9570 (noma RR 18 (oma HR 85 BP¥/nonmal. Ie aa Sy iaumes ~#52 Kelty lawn Sat, ‘voustaben- and diry-w25-gCHO, 58 g PRO, 2PAT: Labs (2/8) Alb admit 13.3 ga. (ld depletion, admit 2 day 1: 3.5 pI (ail depletion), admit 2 day 2: 3.0 gl (mild depletion, Glucose 105 mg/L (norms, 110 mg/dL. (oormal), 98 mg. (noma), BUN 14 mg. (oormal), 20 mgt (norma), 12 mg/l (norma, Creatinine 0.6 mg/L (nema), 1.1 mg/dL (oommal),04 mg/L (low), Cholesterol: 141 mg/l. oormal, 120 mg/L (low) Ht: 58.6, We 120 es, 1BW: 130 10%, %IBW: 92.31% (normal, AWR: 1084-132H, Called nests: 1,900, Kealslday/35-66 y/2,200 ms for weight gin Pt has not had previous MNL-and resents ws here Current abou? ‘on referral from her physician. lohet cS ia on essrk Untecuens. He fio been paneer be. puter herd (Dousinenda weight los related to stage Il diffuse large B-cell lymphoma, fatigue, excessive v vein nd ike symptoms as evidenced by 10h weight oes in3 months and 24 tour" 5 % 5 \7 es rec cloriintakeof 4 kel PRE ay re 1 Manresa 2 mec wihininrescerOkalsfomclalseotsor 1,850 = 1,900 kala. wet® 2. rovde tition veto on fod stg with Lyte et \ ———— q 3. Request client to keep a food journal to be monitored by Registered Dietitian ] ary rem ve MSREnea nero pb ants He on ore m _ ong 1. Will allow up with lien ery week to monitor client undersanding of nutri ‘education counseling on nutrition intervention stategies with food and Lymphoma. 2. Monitor weiht (mee mass (ently her eng i 3/8) and wb vals) OX Monitor food journa, 1, Evaluate client understanding ofthe meal plan provided and foods to avoid 2. Evaluate weight changes and muscle mass (weight guin of 1/2 Woweek or at mos client is ‘ot losing weight) 3. Evaluate changes in nb values — 3st menened a PES ee Teen, Candace Martell, Dietetics Student, 102020LYMPHOMA CASE STUDY 3 References Hamilton, K. K., & Grant, BL. (2017), Medical nutrition therapy for cancer prevention, treatment and survivorship In K, L, Mahan & JL, Raymond (Eds). Kruse's: Food ‘andthe murtion care process. (14 ed). Elsevier. ‘MedlinePlus ~Bromphniramine (2018). hips/imedlineplus go Uruginfo/meds/4682545.htmt ‘MedlinePlus ~ Prednisone (2020). htpsmedlineplus gov ruginfo/meds/a601102.himl weeCombination Report cu.) iw rept cate a th ay opts soe cane. Perserat OM Female 2tyrs SX6in 12000 Day(s): 2020 Oct 20 ‘Activity Lovet: Low Active ‘tive for an Active acti fv Weight te: Gain 0.501b per week Bett roto excoed 2 be per week, Bu 194 Normals 18 1 25. Clinically Obese is 30 or higher. Recommendations ‘The Recommendations Reports he recommended daly tient intake for a person based onthe information eres. Onen refered 1033, = Basic Components “otal Cloris 239255 Protein (9) 43.54 10% -35% of Caloris (adits 19-70 ys Carbonate (o) 328.98. 45% -05% of Caloris (adits 19-70 yo ‘Addo Sugar (9) 2381 Less than 10% of Cloos+ Dietary Fide (9) 3350 Total Fat(g) T4AI_ 20% - 95% of Cloris (adits 19-70 yoars)* ‘Saturated Fat (9) 23.80 Less than 10% of Calories + Monounsaturated Fat) 258 Polyunsatrated Fat (9) 23.89 hoes (rg) £200.00, Less than 300 mg por day * Wistert) 270 Veamins \Vtamin = Thiamin (mg) 110 Vaan 82 Rbotavin (mo) 110 ‘Vaan 83 -Niscn (mg) 1400 ‘tain 86 (mg) 1.80 Donotexceed 100 ng* Vaan 812 (nee) £240 Over 80 chou oko a supplement Vaasa (a) 75.00 aamvin D- meg (nea) 15:0 Donotoxcoed 100 meg* Varin K (mca) 80.00 Varin € -Alpta Tocopherol (mg) 1600 Donotexceed 1000mg * Falate (meg DFE) 400.00 Vain &=RAE (neg) 700.00 Do nat exceed Sc00%ng * Minerals leur (ng) 1000.00 Do not exceed 2500.mg* Copper (me) 0.90ron (ra) 1000 Do rot exceed 45 m9* Magnes (ra) 1310.00 Do no exceed 250.mg by suepioment* Phosphons (na) 700.00 Do rot exceed 4000 mq * Potassium (ma) 2600.00 ‘Selon es) 55.00 ‘Sou (8) £300.00 Less than 2300 me pe day = fower for some people + Zine (m9) 8300 Do not exceed 40 mg* omer Uno Al g) 12.00 LUnotenic Als () 110 Chote (na) 425.00 ype Vales Mypiat rats (cup) 200 LMyPrate Vegetables (up) 3.00 MyPlai- Gran (oz 09) 8.00 [MyPlate - Protein Foods 22 9) 850 MyPiata Day (cup) 3.00 MyPlate Oi (9p) 7.00 Sources: Dior Reference Intakes ++ Dietary Sudeines for Americans = Proteins not acute for enduranclstrengh athletes at an Active or Very Active actly lve * Roterense Dally IntakeBar Graph Report ‘The Bar Grph Report pays raptlea eae fhe tint consumed and compares tthe itr ake recommen ee Components = “otal Calones seat 2.30255 Protein) e555 43a" ‘carbohyaates o) 2204 328.98 Dieta Fibe (a) 8403350 ‘otal Sugars (9) 6201 ‘Ades Sune (3) 00021 Total Fat(g) sao 744, ‘Saturated Fat) 1500 2393- Moncunsatratd Fat (9) wT 2858 Polyunseturated Fat) 6382393 Chester (mg) 22876 30000- Miata) tat 270 Vitamins \aavin 1 - Tian (ng) 1410 Varin 82 Rotini) 1st 10 ‘earn 83 - Niacin) 23781400 Varvin 86 (a) ts 130 Vvearin B12 (meg) 417240 Vern (ne) wiso 75.00 Vain D- meg (ea) 4871500 amin K (a) 61936 9000 amin € 8.7220 (mg) 3771800 Fate (mcg DFE) 7047 40000 amin = RAE (meg) 415476070000 Minerals Calcium (rn) 1,085.17 1,000.00 Copper (na) 970 080 ron (ra) sot 1800 Magoesium (ma) 25385 31000 Presto rg) 1.09033 Toau0 Potassium (mg) 244095 2600.00 Selenium (neg) 68385500 Sedum (mg) 1.59035 2300.00- ic (ma) 902 800 (Ober oleic Act (o) 5521200 Unolenic Ace (a) 053110 ‘Omega 3-£PA(a) 02 ‘Omega 3- OHA (a) 005 Chote (mg) 3130142500Alcona (0) 0.00) + Protein isnot adjusted for enduranceerength ats at an Active or Very Activ activity level ~ Ti va recommended consumption iit, not a golSpreadsheet Report ‘Tha Sproadshet shows al the values fr ll nutiens, Nuon are depayed hrzonay, wih tots atthe botom of the st. ‘Tos 10. brake cues Cheetos (USDA. Genera 34S 28 od ought le, oy (USDA so 31 ow. ‘nik, stn, eco fried (USDA) To 00 es, range, tah (USDA) ms os Leh ae spach, witout desig oa\i) aa 2a ‘tren yop ot eve, verte ss 4209 ‘ez (UA) soma 40 soda Spite (USDA: Goce Cl) 01 258 op Diner chen boss sled wih 230009 ‘ale mis, ety romaine (2) tsop 10 30 to ee a, ton (USDA: Azan) ote oo m2 ao ‘Sock popcem sr porpd (USDA) tow 10 6212, 008 Spo (USDA: Coes Col (2 ener ox 26800 Dey Tos ts aaa 94 verge Dy Teal a os mas oe es a 1) FITS GI ra Tus 10.” Breaks! cares Chanos (USDA: Genel 12 0407 a7 i) up, a, jy (USDA) v8 5941720 int shin, cam erfes(USOA) 110189 ic, range, tech (USDA) os 05 os att Lunch sale, spinach, witout oie os 00 7a aaa oxen your sot sone, venile 408 9s 68 27 0a etal (USDA) 07 os 0102 0a oa, Spe (USDA: CacaColt) 23.7 01 09 ae Diner chick beat eased wins «00 angsty 28 ta salad mi lay romaine (st) 20 00 00 09 99a leedwa,lenenUSOAArzane) 219 0000 Snack popes, pooped (USDA) a: 00 oe os ato so, Site (USDA. Coca Co) (@) 28.7 ie ee ‘ayo! 1828~=~OO SCS ‘AveageDayToal 1629 =D KHOR] Te erences cre coanesusuATGoea UU Os) so 07 aaa ouput, jy (USDA) mi 00 18 os ‘ik shin, cab foried USOA) AS 02 on Jue, rage, Fe (USDA) oo 02 09s lurch sia, spinach wihout dees 1273 Ot 1803 frozen yout. ose vanila a) 0s ot pretzels (USDA) oo) 00) or ar a8 ao soda, Ste (USDA: Coca Cas) oo 02 oo aoaTue 0. Dyer ehokan bose eastod wit ein Ea salad mi, ey rao (0) 00 end alan (USDAArzars) a Snack — pepe, popped (USDA) oo 00 09 0? ‘Sata Spite (USDA: Coors) (2) 00 no op oo Dey Too! 2288 sa me average Doyo! 2288 Eg Tus 10: breakin! creat, Choe (USDA Gaara 3363 a= ouput te, (USDA) 02 09 00 60 04 wat ‘ea in cabhmtoniieg USDA) «08232703 hice, rage, tosh (USA) oo ae coo? 88 ‘nen tla, spinach, wire essing 0s mo ey ua 28 a0 trzen your ot are varia ost 02st prez (USOA) Ce seca, po (USDA Coca as) rn Dioner cick bres, oasad wihekin 0301 Oa sate i,t rine (Oe) 0 60 le ea. men (USDA: Zana) a0 ‘Shack peo popped (USDA) 00 00S eos sade, Spine (USDA Goce Co8)(@) 00000000 DeyTosl—~=«2SIBS Ta 38 TOUS AvongedayToal «42M T008 ‘ue 0. Boat eel, Choe (USOX Gant 1123 1047, oe ought i, joy (USDA) Sa M2 Oh tsa mt shin,cabiemfoifed USOA) 3107, 46270 kan uc, erage, tas (USDA) mr oust OS Luneh tla snach witewtaessng «SATS 122224 SOD 50 frozen your sot seve, von «104260205 BB aI potas (US0A) 00 81 coat 26, Spite (USDA: Cosa) oo soc 88S Diner chhon toes roid wihekin === OCB 80 HRD salad ety omsne (Oe) 2800200 a ed ea. tamen (USDA: Azan) Ce Snack popcorn a popped (USDA) 0008 os ‘en Spite (USOA.Coneos)(@) 00300328 OD i ‘average DoyTaal 15478 10482 129 amis 10903 Tus10-” Brake! corel Choeios USOK Geel TBS 70 ar 7) count ie, jy (USDA) 72108. 03 19st askin, cackmforfed USOA) 37858 0900 oo‘R10 ratte, eh UEDA) ae oz 230} net soe spinach witouessrg m3 SB a8 oa foaenyoquy sof sere,vania «3889S BOOT aa reels (USDA) 91a 20030 te, Spe (USDA: Cace-Cla) 26 on ed inne: chicken bast, rose wins 20842491 ssl afro (Oo) 00 150 00 0 eed wa, mer (USDAAMZons) 227 to 9000 ‘Sack papa, pooped (USDA) za 00 0202 a0 seca Spite (USDA:Cca.Cale) 2) 2600 1 DeyTo 24489664 oo 88S pvergoDayToal 24489884 25508 Tue 10- srk cares Chore (USDA'Genard = 000731 aaa aug ie, jy (USDA) 00 00 m7 aso ik shim, caktumtonies(USOA) aa 00363 ae hice, rage, Yosh (UEDA) 00 00 #1 ost Lumen la, spinach, witout Cr raze yout. so seve, anita 00 00 00 oo proz's (USDA) a0) 00 oo 4a ede, Spe (USDA: CeCe) 00 00 Dinner chicken beast rotedwth stn OHIO salad ety anne (2) 00 00 00 00 lead lomon (USDA‘Adzona) 0000. oo ‘Sack popoom, a popped (USDA) 00007 os 0s, sada Sere (USDA: Coo Cot) (2) a oo DeyTat d= aTa0 30 03, purepeDayTel =D 813g ‘Tue 10- sreaktast cea, Cherie (ISOA’ Genera a 080000 LJ ought, te, jy (USDA) oo 08 ooo ini skin, akiun ones USDA) 80a en, orange, 8 (USDA) 00 co 8 00a. Lunn la, spinach, whut seg eo 18 an op. tect yout, steve, aia oo 08 oop protests (USDA) oo 08 oa oo te, Site (USDA: Coe Cola) oo 08 oop Dine cick oes wists wihetn 0D). tala mi, leat sine (Oo) 08 08 oo oo eed a, fen (USDA: zone) oo 08 og a0 ‘Snack pepcom, i papoad [USDA) oo co oa ona sd, Spite (USOA: Coos Cala) 21 oo oa ooo Daya «OSS.AwrgedsyTo 028KCalorie Assessment A close-up plture ofthe Calories consume. Cores o makin cer weigh 20 Claimant weit change of 0.501 (er wack) 20 Coal Calaries ES a] average nae 1595 verge Expenditure +995 iy Caen Toa Caltaes 0 1599 20 Goat Prt (10.25% Calorie) noe sr inane Carboy (45-65% Caos) 1076101555, ost Below Goa ded Sugar (<10% Calas OW 230 ° InRange Tal Fat sra007 2 ow Gat Saturated Fat (10% Calais) ov 200 149 InRange Atel : ° 3 Protein 101038 6 In Range Carbohyratoe 451065 et In Range Aided Sugar ote 10 ° nage Total Fat 201035, ™ In Range Saturated Fat Oto 10 ° In Renge Polyunsaturated Fat 7 ‘ = Moncunssturated Fat = " 5 noi Ala 5t010 3 Below Goal oleic Ae 061012 ° Below GoatActivity Summary LUstof the Actvles performed, their MET, duratlon and Calories umes. Profle Calorie Goat 2590 EES ‘Duration Nols Exercise Calories Sedeniary Actnites of Daly Ling”* 1695 Total Calories (Sedentay) 1835 Calores Secenary Actes of Daly Uving™ 1896 ‘Average Daly Calories Expended ° Daly Average 1905 [7The Sedentary acy evel includes base daly tasks such as geting ready for he day, housework, ‘waking to work or cles, and Ig yard work, These asks sr called Actes of Daly Lig (ADL). you ‘ngage in physical actviy bend that included nthe acs of dally Bing, you may inerease your actly Tove to Low Active, Active or Very Acve. The Active acy lve recommended bythe government for heath [P*1 Your Daly Average put youn theSedentary activ lvel, and suggests 1985 Cloris to maintain your ferent wait calorie Gost, Calories Expanded 200 4995,MyPlate ‘The MyPlate Food Guide report splays graphically how close the ood compares othe lastest USDA Dietary uidotnes(¢00 ChoosektyPate.gov for mere info) Intake vs. Recommendation 2400 Calorie Pattern Geains intake 3.0 ozequivaent Grains Recommendation 8.0 ozequvaont Wale Grain intake 03 ozequivalont ‘ole Graine Recommendation 40 ozequivalent Refined Grains intake 0.0 ez onuivalnt Refind Grain Recommendation 40 oxequivaiont ‘Vegetables Intake Vegetables Recommendation 2.3 cum equivalent 3.0 cup ewuiratont Fruits Intake Fruits Recommendation 0.9 exp equivalent 2.0 exp equivalent Dairy Intake Dairy Recommendation 1.8 ow equivalent 3.0 exp equivalent Protein Foods Intake 3.9 oz equivaont Protein Foods Recommendation mz oe « eer 3.0 cups weetly nit your extra es & sugars to 362 Calves a day ee ee cumsthe te sree cuits te conway 70 cups weekly + oz equivalents 21 ounce estate, unded to consumer en units, For example, an oz equivalent of (Grains is 1 sc of brea, or 172 cup of flee. An az equrvalent ef ProinFoeds 1 az meat, 1 egg, F 1 cup cooked beseMyFoodList Report “The MyFoodist Report shows the fois you have enared and ner calories. Tue 10-20-2020 1p cereal Chebroe (USOA’ Gana) 106 Dee ouput, ed aly (USDA) ) 0.02 ik skin, calm forised (USDA) 70 (80.0: ee, orange feah (USDA) 2 20am sald spinach. wiout resin (FNDDS) 19 60.02 Roman yout. so save, anda (USDA) 0 8008 prozls(US0A) 18 0 Ror sede, Spe (USDA: Coca-Cola) +06 ‘30.0: chicka reat, ros wih sin (USDA) +60 15cm sata ma, ay omaine (Cle) 6 0 hoe eed a nen SOA zoe) o ‘0.0m popsam, se poppe (USDA) ™ 80 62 ted, Ste (USDA: Cocoa) 106, Dey Tout 195 1/2120 6:16PM Dey Average 105 Page 120f 42Persona OM. Fema Day(s 2020 e121 ‘Actvty Love: Low Ache Wight: Gan 0.50 er wosk Mi 194 ay “ola Cataiee Prato (a) Carona (6) ‘Added Sugar (o) Dietary Fiber (6) Total Fat (6) ‘Saturated Fat) Monounsaturated at) Polyunssturatod Fat) (Choesecl (g) Wier) Viamine aie 81 Thiamin ra) \tamin 82- Roving) ‘tain 83 - Nici (rg) ‘tain 86 (mg) ‘tain 812 (mea) \tamin ¢ (ng) tain 0 - meg (mca) ‘tain K (eg) \Vtamin € - Ap Tocopherol (mg) Folate (mcg DFE) ‘Vitamin A- RAE (rca) Miners Clem (me) (Copper) Combination Report ‘A report that captures allot the daly reports into one document. ROM 120.008 ‘tive for an Active activ level. Best notto exceed 2 Ib par week. Normals 1859 28. Clinically Obese is 30 or higher. Recommendations “Tho Roconmandatons Report Its he recommenced daly ution intake fer @person based on he lnfrmatin entered. Often refered baste DRI (Delary Reference nak) 2.99285 st 20.98 2991 2360 443 73.93 2558 293 300.00 270 10 120 1400 130 240 75.00 15.00 0.00 15.00 400.00 700.90 +,000.00, 090 i 10% 384 of Calories (adits 19-70 yoar)* 45% -65% of Calories (ads 19.70 years)” Less han 10% of Caoriant 20% - 35% of Calories (ads 19.70 years) = Less han 10% of Calories + Less than 300 mg por day* Do not exceed 109 mg* (ver 50 shoul take a sugelement* Do not exceed 100 meg * Do not exceed 000mg * Do not exceed 2000m9" Do not exceed 2500 mg *tron (ng) 18.00 Do not excaes 459" Magnesium (ra) 310.00 Do not exceed 360 mg by supplement * Phoephonss (ra) 700.00 De net exceed 4000 mg * Potasslam (mg) 2600.00 Selenium (nea) 5.00 Sedum (7g) 2,200.00 Less than 2800 mg 2rday- lower for some people + Zhe (ra) £300 Donotexceet 0 me * other nol Ad () 1200 notes Ad () 410 (Chain (a) 425.00 MyPlate Vaves yPiate = Fruits (eup) 200 MyPite- Vegetables (un) 00 MyPlate - Grain (2 09) 3.00 yPate- Protein Foods fo 69) 850 MyPite- Dairy (ove) 300 MyPlate - Os (tp) 7.00 Sources: Dita RefrenceInakes ‘+ Detar Gudetnes for Anercans ~ Proton isnot adjustod fr endurancalstrangth ahiotes at an Active or Very Active acy evel, * Relrence Daly IntakeBar Graph Report “The Bar Graph Report copays grphlcaly the amount of th nutint consumed and compares that othe lotr inate recommendations. Basie Components “Tata Calor 427 29085 19% ED Protein (9) wat ase 58% Caoheates () soz aansn 18% Dietary Fide (@) 3 0 KB ‘ota Sugars (6) aoa ‘Add Super (9) fos 291-36 % ED Total Fata) we 74437 ‘Saturated Fat) 588 SB- 5% onouneahated Ft (9) a6 se Polyunsaturated Fat) 2% 0 3 OK ‘Cholesicl(me) 7328 0000-25 % ED rater) os) 270% a \Vtamins ‘Vitamin 81 - Tami (mg) om 0% \tamin 82 - Riven (ma) oo ‘vitamin 83 - Niacin (mg) tos 14.0075 % SEEN ‘vtamin 86 (rg) 4s 130 35% SE ‘tani 812 (meg) oa 240 19% ‘tami ¢ (ng) 450 750 8% BD ‘Vain D- mes (mea) or 15001 4 ‘tain (eg) 8 m7 HB ‘Vitamin E = 2Toee (mg) om 1500-5 &D Folate (og OFE) 6390 40000 16% Vitamin A -RAE (nea) 1028170000 15% BB Moers Clem (me) 16207 100000 16 % BB ‘Copper (a) 02 0st % Ea ron (a) 267 180016 % Magnesium (ma) 5628 31000 18% EB. Prepon a) zress T0000 40% SE Potassium (mg) 08s0 260000 20% Ea Seleium (eg) 7682 5500 48% EEE Sodium (ng) 49624 230000- 20 % Zoe (mg) 175 8002 Other noi Ad (9) 7920015 % BD nol Ald (2) 0 41028 ‘Omega 3- EPA a) oot ‘omega 3-DHA (e) 001 Chain ng) 77112 42500 18%‘coho (a) 0.00 + Protein f not aust fr endurancasrengh athletes st an Active or Very Active actly love ~ Tis vale i a recommended consumption mnt a goalSpreadsheet Report “The Spredchoot shows al th values for al rutin. Nuvtens are spayed hrzontally, wi ota at he ‘Wis 1” sreacaet rec, wet cata (US08) "see 755 + a tan, herbal brewed om asap ep ua oo lune ken rem, vail (SOA) osep as) 3a) os frst cok, canna nico oz op 30s os Dinar enckn bree oat, as 2oe os 6 oo sched potatoes, propre om 2 Te a7 os os ‘ata, ranbony, Jo 0, sar Osinarep 350s! oo ten bert rowed, or esta 1eip u oo oo ocr sting (USOK) bee 9244 my Dey Toa 5 a2 a4 3 Average Day Tle : 422 me sen Wed 10- gaat bas wheat oasod (USDA) 15 10202 on oo les.netal bowed, omiastag «000k rch fn eream vail (SOA) mo era) as) 20 oa frit cotta, canna nice 64 nano Diner cicken bees ost, ins a0) 0b 20 os aro mashed polaioes prepare om 15 a4 08 oa atin stanton, JO, esr 800030 ao lea,nebalbewed.temuatap 00S 0000s cack, alin (US oz 10 02\ 0208 DeyTo «1 WOBSCBCSC*SS SSCS Avoge Deyo! 301 0B 88a Wed 10- soatast bead, west, tasad (USDA) rT) aaa leaneal rewed.fomieabog d= 20 ana Lurch le cream vena (USDA) wa 0030020 frit coel, carne, ce 00 0130s ner chicken beast roasbd,sinest «4820378 mashed patatoes,propare fom 10 00 30 ono ‘lth, stawbory, JO. ger os lua.neal tewed,tomteabog «dS? crac, ct (USDA) ee ee eT) DeyTal—783~—~OS8~S=« SCO avenevsyTosl «783k, Wes 10- syakas esd whet toasted (USDA) Pn ey hee ata lua het yewed.fomieabeg «9S 2 Lurene ream, sania (USER) 30a ay oz oka fr cota canned. ce 0 18 tk"Wea 0- oper icon breast wai, hrs aay, ‘mated pate, propre fom (tn, sawtony, J, sar ‘aa heal reve, fom na bap cocer sat (USDA) Dey Tot ‘Average Day Total 02 ‘Wad 1 reais bed, wel, ested (USDA) aso wa, heal brewed rom aby lunch ere, vant (USDA) ‘rutcootat, canna nce Linner oicken reso oaeted, ees smatbee poss sepmea tem ‘oi, sranbory, Jot, sae tea neal bowed, rom ta bap gach, sin (USDA) ‘ey Tat overage Day Tit od 10 eat trend, whet cate (USDA) oe toa natal bres, Fone 3 lures fee cet varie (USDA) frutcexkal camed, nee Donor chkan bas rosso skiess mashed pasos, prepared fom tn, ranbory, 0, sar as neat breed, tor ee ban crackers satin (USDA) ‘Avrage Day Tt 42 2a a0 m0 24 462 188 oo 13 oa 00 oo 03 03 Wes 10 resist bread host ated (USDA) od aa hetbel rene, tom ea bap lunch le rem, varia (USDA) freon, nee nner clan best rastod ies rated poe, prepared for a, sawbory, J, sugar wa neal rowed, rom oa bap cack, stn (USOA) Dey Tat ‘avenge Day Toa a4 on oo on a0 on 20 20 0200 00 oo 00 0s AS 0s 48 79s 8047 a6 8s oo ae 16238 as 1628 aT) wa 42 aos ust 186 2 os ae 00 212 mea 705 sooo 205 a 00 ao 00 ao 00 0000 00 00 os 3 woWied 10 greskiant weed, wnat late (USDA) Fa ered omg Lurene eam veil (USDA) fn coxka, cared in hice Diner chickan toes fasted stone mashed potions, rapared tom ath, amber, oO, agar aa herbal breed, tom le bog tacos sin (USDA) Dey Tot svorage Day Tota oo ao oo oy oo 00 oo oo os oo oo oo on oo oo 20 20 20 00 oo 00Calorie Assessment [A close-up picture of ne Calories consumed. Colores to mahtain cuent weight 21a Clore sustment for welght change of 0.50 (pe wook) 280 Goal Calies 2399 ‘vorage intake Average Expenditure eas Taree a Total Calories 2393 452 Protein (10-35% Calories) 23016837 2 CCarbohyates (46-65% Calories) 1078 01555 a ‘Add Sugar (<10% Calories) 010 238 8 Total Fat arewe37 16 ‘Sturtod Fat (<10% Caloris) 0t0 239 50 ‘Aeotet - ° 2 Protein 101035 2 In Range carey 451085 52 In Range Ades Suse Oto 10 10 In Range Total Fat 201035 28 In Range Saturated Fat v0 10 8 ‘Above Goal Polyunsaturated Fat 5 5 - Monounsaturated Fat 5 a = Lino Aes swo10 4 Below Goat Unolenic Acid 051012 1 Below GoalActivity Summary st ofthe Activites permed, he METS, drain and Calais burned Profie Calorie Cask 2383. Pe Duration Mets Exercise Caleres Sedertary Aces of Day Ling” 1935, ‘Total Caloris (Sedentary) 1935, Sinn ‘Calories Sedentary Acie of Daty Living" 1995 ‘Average Daly Galeries Expended * Daly Average 1995, [71 Te Sedentary acy level inclces base daly tasks such as going ready forth day, hovsewor, \alkng fo work oF Gass, and Hg ara work. Those asks are catea Aces of Day Ung (ADL) you ‘engage n physical acy beyond that included in the aches of ely ving. you my Increase your oily Tovelto Low Acive,Acive or Very Ave. The Actve acy lveliseccmmenced ty fe goverment eth [1 Your Daly Averape put youn theSedentary actly level, an suggests 1995 Calories ta maintain your ‘curent woight Clore Goat Calories Expanded 22001 1999MyPlate ‘The MyPlate Food Gude report sspayseraphicaly how close the fool! compares tothe lastest USDA Dietary Gulalnes (90 ChoosokyPlate gov fr mare In). Intake vs. Recommendation 2100 Calerie Pattie Grains Intake 768 4.3 az equivalent Grains Recommendation 8.0 crequaint Wr Gras ike {0 ezeqiat ‘ce Grins Raconmendaton ‘0 cceqarant Fane Gras ike 00 azeualrt Fund Grains Recormendon 10 azequvaet Vegetables intake sl 0.1 epenivlet Vegetables Recommendation = 30 epenivalet Fruits intake zl 02 epenivaet Fruts Recommendation a 20 enpeqivet Dairy Intake o%l 0.0 cup equivalent Dairy Recommendation = 3.0 erect Protein Foods Intake 6M 20 cxenuvlnt Protein Foods Recommendation = 65 ox enivlnt Os Intake 0% 00 s» (is Recommendation a 70%» Dat Gren Vogsieg 30 GPS WCRY nt your entra fats & sugars to 362 Calories doy Orange Veoetbles 20 cups weokiy Ory Beans & Pe 8.0 caps weokiy Starch Vegetbies 60 cops weekly Other Vapeates 70 caps weekly + oz equislntis a 1 cunce estimate rounded to consumer fenly unt. For example, an cz equivalent of (Grains i soe of bread, or 1/2 cup ofc, An cz enUvaient of Pron Foods 1 ox of meat, 1693, 1H cup cooked bean.‘MyFoodList Report ‘The MyFoodLst Report shows the ods you have enleed and thelr calves, ‘Wed 10-21-2020, ‘0 slce tna whet oats (USDA) 1s Soap tes, ata toned fom taba FOO) 2 Sap lercrewn vanta(uSDA) war 028 cw frtcctal cared rjc (USOA) a 2002 ean ese ose, sles (USDA) o 20 Tee __muhad plas, raped rom ry Res win whole ik & margarine (USDA) 2 (5 nav gt, srawoery, Je. sugar sweetened, sect cp (1-0) = ‘0 ap ta, ara ened fom aba NODE) 2 ‘Ades crxtar sine USOA) 0 Day Toa! aa 102170 616 PM Page 1tf 11