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DIET DIARY
Name: ____________________________________________________________ Start Date: __________________________________________________
Sunday Monday Tuesday Wednesday Thursday Friday SaturdayBreakfast
Lunch
Dinner
Snacks
Energy /1010=highAny Additional symptoms (i.e bloating, gas, acid reflux, fatigue etc…) Comments
(647) 643 2030 | drkirstygaylor@gmail.com | www.drkirstygaylor.com
(647) 643 2030 | drkirstygaylor@gmail.com | www.drkirstygaylor.com
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