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

bohydrates (g) Fiber (g) Sugar (g) Protein (g) Vit A % Vit C % Calcium % Iron % Food Groups Comments:
Breakfast
pb&j sandwhich wheat bread 1 300 16 3.5 0 270 235 32 4 15 9 43 1

Snacks

Lunch

ceaser salad dressing 1.5 210 23 3.5 0 390 2 0 1 1 4 2 0


lettuce 1 cup 7 0 0 0 0

Dinner
stuffed potatos 1 268 1 0.5 0 516

TOTAL CALORIC INTAKE 785 40 7.5 0 1176 235 34 4 16 10 4 0 45 1


DAILY VALUE (you fill in!) 1600 61 20 170 1500

Subtract Calorie exercise 64


NET CALORIC INTAKE 721 Reflection notes:
Notate sickness, stay up late, etc.
Amount of water (Ounces) 50

Amount of sleep (hours) 7

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