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

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

Snacks

Lunch

Dinner 1 130 3 0.5 85 440 330 1 0 1 25 0 0 0 2 Protein


1 320 19 3 0 190 35 4 1 4 0 0 1 1 Carbs

TOTAL CALORIC INTAKE 450 22 3.5 85 630 330 36 4 2 29 0 0 1 3


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 350 Reflection notes: Out to eat with friends
Notate sickness, stay up late, etc.
Amount of water (Ounces) 32

Amount of sleep (hours) 6

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