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Customized,
Individualized Nutritional Assessment Report
Your individualized "custom" Nutritional
Assessment Report today will help you start losing or gaining
weight tomorrow! Prepared to YOUR specifications by a
physician specializing in nutrition. You will receive a
comprehensive report (listing all these features
based on body weight, age,
gender, medical conditions
and activity level) in your
email. To download a sample report click
here
- Client Information and Goals:
Start Date: Present Weight: Activity Level:
Desired Weight: Goal Date: Weight Desired How much
you wish to Lose/Gain/Week: Peak Body Weight: Your
Name: Present Body Fat: Gender: Desired
Body Fat: Age: Body Build: Daily
Exercise Calorie Goals: Medical conditions:
- Your Average Daily Exercise Calorie Expenditure
- Estimated Daily Calorie Requirement Summary:
Basic calorie requirement:
Average exercise calories:
Calories to maintain weight present weight:
Calories to lose ? lbs. per week:
- Protein, Carbohydrate, and Fat Ratio Goals:
Nutrient % of Daily Calories
Protein
Carbohydrates
Total Fat
Saturated Fat
- Nutrient Daily Value
Calories (kcal)
Protein (g)
Calories from Protein
% Calories from Protein
Carbohydrates (g)
Calories from Carbohydrates
% Calories from Carbohydrates
Fat (g)
Calories from Fat
% Calories from Fat
Saturated Fat (g)
Cholesterol (mg)
Total Dietary Fiber (g)
Daily Values based on Reference Daily Intake
Fat-Soluble Vitamins:
Nutrient Daily Value
Vitamin A (IU)
Vitamin A (RE)
Vitamin D (IU)
Vitamin E ATE (mg)
Vitamin K (mcg)
Water-Soluble Vitamins:
Nutrient Daily Value
Thiamin (mg)
Riboflavin (mg)
Niacin (mg)
Vitamin B6 (mg)
Folate (mcg)
Vitamin B12 (mcg)
Vitamin C (mg)
Minerals:
Nutrient Daily Value
Calcium (mg)
Iodine (mcg)
Iron (mg)
Magnesium (mg)
Phosphorus (mg)
Selenium (mcg)
Sodium (mg)
Zinc (mg)
- Assessment Summary, summarizing all of the above in
easy to understand language. plus;
The
Role of Exercise, A Simple Way to Maximize your Benefit from
Exercise, Muscle and Calories, Fat to Lose, How Much Protein do
you Need, How Much Carbohydrate do you Need, How Much Fat do you
Need and A Note Regarding Sources of Calories.
Sign up now and you will also receive a downloadable software
program that will allow you to keep track of total calories as
well as % of protein, fat and carbohydrates. Click
here or a
screen shot.
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