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

arbohydrates (g) Fiber (g) Sugar (g) Protein (g) Vit A % Vit C % Calcium % Iron % Food Groups Comments:
Breakfast
glaze donut 1 253 15 24 0 85 0 22 0 10 3 0 0 40 0.8

Snacks
apple juice 1 180 0 0 0 25 300 34 0 32 0 0 70 0 0

Lunch
Hamburger 1 266 27 10 87 824 0 40 0 0 26 6 4 10 27

Dinner
chicken 1 140 4 1.5 85 40 370 0 0 0 25 0 0 0 0

TOTAL CALORIC INTAKE 839 46 35.5 172 974 670 96 0 42 54 6 74 50 27.8


DAILY VALUE (you fill in!) 1,117 78 22 300 2,300 1,600 325 30 50 45 682 65 1,300 18

Subtract Calorie exercise


NET CALORIC INTAKE 839 Reflection notes:
Notate sickness, stay up late, etc.
Amount of water (Ounces) 20

Amount of sleep (hours) 10

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