Dietary Intake Table
Description
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Please fill this out with any foods of intake. The first one is an example of how it should be done
Dietary Intake for 7 days:
Date
Meal
Food (indicate all food consumed, including beverages and snacks)
9/21
Breakfast
Vegetable omelet, toast and coffee:
2 eggs,1 cup of spinach, 1/4 cup of mushrooms, 1/4 cup of broccoli, 1 cup of
sautd sweet potatoes, 1 tablespoon of olive oil, 4easpoon salt, dah of
pepper; 1 slice white bread, toasted, with 1 teaspoon butter and 1 tablespoon
jam; 2-10 oz cups of coffee with creamer and sugar
Snack
Apple with peanut butter, diet coke
1 medium apple, 2 tablespoons of peanut butter
Lunch
Mediterranean tuna pita pockets, iced tea:
1whole-wheat pita, 5 ounces of canned tuna, chopped red onion and celery,
1/4 avocado, 1 tablespoon of crumbled feta cheese, dash of salt and pepper;
16 oz ice tea- unsweetened
Snack
Cheese and grapes, iced coffee:
2 ounces of cheddar cheese, 1 cup of grapes, 4 oz cold brewed coffee, #up
soy milk, 2 teaspoons sugar, water and ice cubes to fill 16 oz cup
Dinner
Salmon with veggies and wild rice, water, cheesecake for dessert:
5 ounces of baked salmon, 2 tablespoons of olive oil, 2 sprigs rosemary, dash
of salt and pepper; 1/2 cup of cooked wild rice, 4easpoon salt; 1 cup of
roasted asparagus, 4easpoon salt, 1 teaspoon butter; 1 cup of roasted
eggplant, 1/4 teaspoon salt, dash of pepper and paprika, 2 tablespoons olive
oil;16oz of iced water; 1/16th of a ready made cheesecake from the store,
piece (103g ), Calories 329, Total Fat 23g, Saturated Fat 10g, Cholesterol
56mg, Sodium 449mg, Total Carbohydrates 26g, Fiber 2g, Calcium 50 mg,
Iron 0.2mg, Potassium 92mg, Vitamin D 23 IU.
Snack
Pretzels and wine
13 pretzel twists, 8oz dry white wine
9/22
Breakfast
Snack
Lunch
Snack
Dinner
Snack
9/23
Breakfast
Snack
Lunch
Snack
Dinner
Snack
9/24
Breakfast
Snack
Lunch
Snack
Dinner
Snack
9/25
Breakfast
Snack
Lunch
Snack
Dinner
Snack
9/26
Breakfast
Snack
Lunch
Snack
Dinner
Snack
9/27
Breakfast
Snack
Lunch
Snack
Dinner
Snack
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Dietary Intake for 7 days:
Date
Meal
Food (indicate all food consumed, including beverages and snacks)
9/21
Breakfast
Vegetable omelet, toast and coffee:
2 eggs,1 cup of spinach, 1/4 cup of mushrooms, 1/4 cup of broccoli, 1 cup of
sautd sweet potatoes, 1 tablespoon of olive oil, 4easpoon salt, dah of
pepper; 1 slice white bread, toasted, with 1 teaspoon butter and 1 tablespoon
jam; 2-10 oz cups of coffee with creamer and sugar
Snack
Apple with peanut butter, diet coke
1 medium apple, 2 tablespoons of peanut butter
Lunch
Mediterranean tuna pita pockets, iced tea:
1whole-wheat pita, 5 ounces of canned tuna, chopped red onion and celery,
1/4 avocado, 1 tablespoon of crumbled feta cheese, dash of salt and pepper;
16 oz ice tea- unsweetened
Snack
Cheese and grapes, iced coffee:
2 ounces of cheddar cheese, 1 cup of grapes, 4 oz cold brewed coffee, #up
soy milk, 2 teaspoons sugar, water and ice cubes to fill 16 oz cup
Dinner
Salmon with veggies and wild rice, water, cheesecake for dessert:
5 ounces of baked salmon, 2 tablespoons of olive oil, 2 sprigs rosemary, dash
of salt and pepper; 1/2 cup of cooked wild rice, 4easpoon salt; 1 cup of
roasted asparagus, 4easpoon salt, 1 teaspoon butter; 1 cup of roasted
eggplant, 1/4 teaspoon salt, dash of pepper and paprika, 2 tablespoons olive
oil;16oz of iced water; 1/16th of a ready made cheesecake from the store,
piece (103g ), Calories 329, Total Fat 23g, Saturated Fat 10g, Cholesterol
56mg, Sodium 449mg, Total Carbohydrates 26g, Fiber 2g, Calcium 50 mg,
Iron 0.2mg, Potassium 92mg, Vitamin D 23 IU.
Snack
Pretzels and wine
13 pretzel twists, 8oz dry white wine
9/22
Breakfast
Snack
Lunch
Snack
Dinner
Snack
9/23
Breakfast
Snack
Lunch
Snack
Dinner
Snack
9/24
Breakfast
Snack
Lunch
Snack
Dinner
Snack
9/25
Breakfast
Snack
Lunch
Snack
Dinner
Snack
9/26
Breakfast
Snack
Lunch
Snack
Dinner
Snack
9/27
Breakfast
Snack
Lunch
Snack
Dinner
Snack
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Explanation & Answer:
1 Table
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