Servings Calories Total Fat (g) Saturated Fat (g)

Breakfast
chocolate muffin 1 350 11 3
apple slices 1 30 0 0
orange juice 1 90 0 0

Snacks
gummies
gum 1 5 0 0
Lunch
hot wings 1 418 34 9
orange juice 1 90 0 0

Dinner
hot pocket 1 310 14 6
chips (doritos) 1 150 8 1

TOTAL CALORIC INTAKE 1443 67 19

DAILY VALUE (you fill in!) 1,394 78 20

Subtract Calorie exercise 250

NET CALORIC INTAKE 1193

Amount of water (Ounces) 30

Amount of sleep (hours) 8

Cholesterol (mg) Sodium (mg) Potassium Carbohydrates (g) Fiber (g) Sugar (g) Protein (g)

35 390 153 59 4 31 6
0 0 0 7 1 6 0
0 10 330 20 0 18 1

0 0 0 2 0 2 0

189 497 537 2 0 0 28

0 10 330 20 0 18 1

25 650 270 36 1 5 11
0 210 50 18 1 1 2

249 1767 1670 164 7 81 49

300 2,300 2,600 325 25 25 50

Reflection notes:
Notate sickness, stay up late, etc.
Vit A % Vit C % Calcium % Iron % Food Groups

0 0 88 1 Grains
0 39 0 2 Fruit
2 6 300 3 Fruit

0 0 0 0 Sweets

0 0 18 5 Protein
2 6 300 3 Fruit

0 0 15 15 grains, protein, dairy

0 0 2 0 grains

4 51 723 29
70 8 20 25
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