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Servings Calories Total Fat (g) Saturated Fat (g) Cholesterol (mg) Sodium (mg) Potassium Carbohydrates (g)

ydrates (g) Fiber (g) Sugar (g) Protein (g) Vit A % Vit C % Calcium % Iron % Food Groups Comments:
Breakfast

Snacks

Lunch

Dinner 2 220 15 4 100 93 253 0 0 0 31 18.2 0 17 0.15 Protein Separate Ingredients


1 266 7 1 13 68 209 45 3 3 5 5 12 3 6 Grains

TOTAL CALORIC INTAKE 486 22 5 113 161 462 45 3 3 36 23.2 12 20 6.15


DAILY VALUE (you fill in!) 1308 78 30 170 2300 2300 250 25 25 46 0.9 15 130 40

Subtract Calorie exercise 100


NET CALORIC INTAKE 386 Reflection notes: Heavy Cold: Fever, Tired, Cough, Stuffy Nose, Light-headed
Notate sickness, stay up late, etc.
Amount of water (Ounces) 32

Amount of sleep (hours) 5

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