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TAKE A STANDAGAINST OBESITYPocket Journal

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Important Contact Information

MEAL GRAMS OF PROTEIN

Multivitamin

500 mg Calcium Citrate

Multivitamin

TOTAL (Goal) > 75 grams/day

Drink WaterExercise Sessions (per day)

DAILY PROGRESS LOG

Multivitamin

DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

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DAILY PROGRESS LOG

Multivitamin

DAILY PROGRESS LOG

Multivitamin

DAILY PROGRESS LOG

n Sugar substituten Cream of wheat or cream of rice cereal n Apple juicen Low-calorie cranberry juicen Grape juicen Strained or low-pulp orange juicen No-sugar-added applesaucen Sugar-free plain puddingn Sugar-free popsiclen Sugar-free sorbetn Sugar-free gelatin dessert n Sugar-free custardn Low-fat or non-fat buttermilkn Low-fat or non-fat milk (may need lactose free)n Cream soup (to be strained)n Broth, bouillon, or consommén Unflavored protein powdern Ready-made protein shake powder

SHOPPING LIST

Stage II Diet

Includes all foods from Stage II diet in addition to:

n Eggsn Chicken soupn Fish (to be steamed or poached)n Canned tunan Canned chickenn Low-fat cottage cheesen Soft low-fat cheesesn Turkey or chicken lunch meat (thinly sliced)n Potato (to be mashed, without skin)n Instant mashed potatoesn Plain low-fat crackersn Tofu and other soy productsn Lamb (to be finely ground or pureed)n Poultry (to be finely ground or pureed)n Veal (to be finely ground or pureed)n Banana (to be mashed or pureed)n Canned peaches (to be pureed)n Canned pears (to be pureed)n Carrots (to be pureed)n Beets (to be pureed)n Pumpkin (to be pureed)n Squash (to be pureed)

General Equipment:

n Blender or food processorn Measuring cups (1/4 and 1/3 cup size)n Strainer

SHOPPING LIST

Stage III Diet

WEEKLY WEIGHT LOG

Starting Weight: Starting BMI:Weeks Post-Op: Date: BMI: Weight: Total Weight Lost:

This log is meant to help you keep track of your weight loss. Notice that there is only enough space to weigh yourself once a week. We firmly believe that if the scale measured your self-confidence, only then would it be worth checking every day.

Weeks Post-Op: Date: BMI: Weight: Total Weight Lost:

Weight Classification BMI

IDEAL WEIGHT 18.5 - 24.9

OVERWEIGHT 25.0 - 29.9

OBESE (CLASS I) 30.0 - 34.9

OBESE (CLASS II) 35.0 - 39.9

CLINICALLY SEVERE OBESITY (CLASS III) > 40.0

Male Female

HEIGHT IDEAL BODY WEIGHT HEIGHT IDEAL BODY

WEIGHT

4' 6" 63 - 77 lb 4' 6" 63 - 77 lb

4' 7" 68 - 84 lb 4' 7" 68 - 83 lb

4' 8" 74 - 90 lb 4' 8" 72 - 88 lb

4' 9" 79 - 97 lb 4' 9" 77 - 94 lb

4' 10" 85 - 103 lb 4' 10" 81 - 99 lb

4' 11" 90 - 110 lb 4' 11" 86 - 105 lb

5' 0" 95 - 117 lb 5' 0" 90 - 110 lb

5' 1" 101 - 123 lb 5' 1" 95 - 116 lb

5' 2" 106 - 130 lb 5' 2" 99 - 121 lb

5' 3" 112 - 136 lb 5' 3" 104 - 127 lb

5' 4" 117 - 143 lb 5' 4" 108 - 132 lb

5' 5" 122 - 150 lb 5' 5" 113 - 138 lb

5' 6" 128 - 156 lb 5' 6" 117 - 143 lb

5' 7" 133 - 163 lb 5' 7" 122 - 149 lb

5' 8" 139 - 169 lb 5' 8" 126 - 154 lb

5' 9" 144 - 176 lb 5' 9" 131 - 160 lb

5' 10" 149 - 183 lb 5' 10" 135 - 165 lb

5' 11" 155 - 189 lb 5' 11" 140 - 171 lb

6' 0" 160 - 196 lb 6' 0" 144 - 176 lb

6' 1" 166 - 202 lb 6' 1" 149 - 182 lb

6' 2" 171 - 209 lb 6' 2" 153 - 187 lb

6' 3" 176 - 216 lb 6' 3" 158 - 193 lb

6' 4" 182 - 222 lb 6' 4" 162 - 198 lb

6' 5" 187 - 229 lb 6' 5" 167 - 204 lb

6' 6" 193 - 235 lb 6' 6" 171 - 209 lb

6' 7" 198 - 242 lb 6' 7" 176 - 215 lb

6' 8" 203 - 249 lb 6' 8" 180 - 220 lb

6' 9" 209 - 255 lb 6' 9" 185 - 226 lb

6' 10" 214 - 262 lb 6' 10" 189 - 231 lb

6' 11" 220 - 268 lb 6' 11" 194 - 237 lb

7' 0" 225 - 275 lb 7' 0" 198 - 242 lb

IDEAL BODY WEIGHT

What is Your Body Mass Index (BMI)?

5'0" 152.4

5'2" 157.4

5'4" 162.5

5'6" 167.6

5'8" 172.7

5'10" 177.8

6'0" 182.3

6'2" 187.9

6'4" 190.5

6'10" 198.1

150/68 29.3 27.4 25.7 24.2 22.8 21.5 20.3 19.3 18.3 17.3160/73 31.2 29.3 27.5 25.8 24.3 23.0 21.7 20.5 19.5 18.5170/77 33.2 31.1 29.2 27.4 25.8 24.4 23.1 21.8 20.7 19.6180/82 35.2 32.9 30.9 29.0 27.4 25.8 24.4 23.1 21.9 20.8190/86 37.1 34.7 32.6 30.7 28.9 27.3 25.8 24.4 23.1 22.0200/91 39.1 36.6 34.3 32.3 30.4 28.7 27.1 25.7 24.3 23.1210/95 41.0 38.4 36.0 33.9 31.9 30.1 28.5 27.0 25.6 24.3

220/100 43.0 40.2 37.8 35.5 33.4 31.6 29.8 28.2 26.8 25.4

OVERWEIGHT230/104 44.9 42.1 39.5 37.1 35.0 33.0 31.2 29.5 28.0 26.6240/109 46.9 43.9 41.2 38.7 36.5 34.4 32.5 30.8 29.2 27.7250/113 48.8 45.7 42.9 40.3 38.0 35.9 33.9 32.1 30.4 28.9260/118 50.8 47.5 44.6 42.0 39.5 37.3 35.3 33.4 31.6 30.0

270/122 52.7 49.4 46.3 43.6 41.0 38.7 36.6 34.7 32.9 31.2280/127 54.7 51.2 48.1 45.2 42.6 40.2 38.0 35.9 34.1 32.4290/132 56.6 53.0 49.8 46.8 44.1 41.6 39.3 37.2 35.3 33.5300/136 58.6 54.9 51.5 48.4 45.6 43.0 40.7 38.5 36.5 34.7310/141 60.5 56.7 53.2 50.0 47.1 44.5 42.0 39.8 37.7 35.8320/145 62.5 58.5 54.9 51.6 48.7 45.9 43.4 41.1 38.9 37.0330/150 64.4 60.4 56.6 53.3 50.2 47.3 44.8 42.4 40.2 38.1340/154 66.4 62.2 58.4 54.9 51.7 48.8 46.1 43.6 41.4 39.3350/159 68.3 64.0 60.1 56.5 53.2 50.2 47.5 44.9 42.6 40.4

MORBIDLY OBESE

360/163 70.3 65.8 61.8 58.1 54.7 51.6 48.8 46.2 43.8 41.6370/168 72.3 67.7 63.5 59.7 56.3 53.1 50.2 47.5 45.0 42.8380/172 74.2 69.5 65.2 61.3 57.8 54.5 51.5 48.8 46.3 43.9390/177 76.2 71.3 66.9 62.9 59.3 56.0 52.9 50.1 47.5 45.1400/181 78.1 73.2 68.7 64.6 60.8 57.4 54.2 51.4 48.7 46.2410/186 80.1 75.0 70.4 66.2 62.3 58.8 55.6 52.6 49.9 47.4420/191 82.0 76.8 72.1 67.8 63.9 60.3 57.0 53.9 51.1 48.5430/195 84.0 78.6 73.8 69.4 65.4 61.7 58.3 55.2 52.3 49.7440/200 85.9 80.5 75.5 71.0 66.9 63.1 59.7 56.5 53.6 50.8450/204 87.9 82.3 77.2 72.6 68.4 64.6 61.0 57.8 54.8 52.0460/209 89.8 84.1 79.0 74.2 69.9 66.0 62.4 59.1 56.0 53.2470/213 91.8 86.0 80.7 75.9 71.5 67.4 63.7 60.3 57.2 54.3480/218 93.7 87.8 82.4 77.5 73.0 68.9 65.1 61.6 58.4 55.5490/222 95.7 89.6 84.1 79.1 74.5 70.3 66.4 62.9 59.6 56.6500/227 97.6 91.4 85.8 80.7 76.0 71.7 67.8 64.2 60.9 57.8510/231 99.6 93.3 87.5 82.3 77.5 73.2 69.2 65.5 62.1 58.9520/236 101.5 95.1 89.2 83.9 79.1 74.6 70.5 66.8 63.3 60.1530/240 103.5 96.9 91.0 85.5 80.6 76.0 71.9 68.0 64.5 61.2540/245 105.5 98.8 92.7 87.1 82.1 77.5 73.2 69.3 65.7 62.4550/249 107.4 100.6 94.4 88.8 83.6 78.9 74.6 70.6 66.9 63.6560/254 109.4 102.4 96.1 90.4 85.1 80.3 75.9 71.9 68.2 64.7570/259 111.3 104.2 97.8 92.0 86.7 81.8 77.3 73.2 69.4 65.9580/263 113.3 106.1 99.5 93.6 88.2 83.2 78.7 74.5 70.6 67.0590/268 115.2 107.9 101.3 95.2 89.7 84.6 80.0 75.7 71.8 68.2600/272 117.2 109.7 103.0 96.8 91.2 86.1 81.4 77.0 73.0 69.3610/277 119.1 111.6 104.7 98.4 92.7 87.5 82.7 78.3 74.2 70.5620/281 121.1 113.4 106.4 100.1 94.3 89.0 84.1 79.6 75.5 71.6630/286 123.0 115.2 108.1 101.7 95.8 90.4 85.4 80.9 76.7 72.8640/290 125.0 117.0 109.8 103.3 97.3 91.8 86.8 82.2 77.9 74.0650/295 126.9 118.9 111.6 104.9 98.8 93.3 88.1 83.4 79.1 75.1660/299 128.9 120.7 113.3 106.5 100.3 94.7 89.5 84.7 80.3 76.3670/304 130.8 122.5 115.0 108.1 101.9 96.1 90.9 86.0 81.5 77.4680/308 132.8 124.4 116.7 109.7 103.4 97.6 92.2 87.3 82.8 78.6690/313 134.7 126.2 118.4 111.4 104.9 99.0 93.6 88.6 84.0 79.7700/318 136.7 128.0 120.1 113.0 106.4 100.4 94.9 89.9 85.2 80.9

Height in feet (cm)

)Weight

(Height)2(kg/m2) BMI= =

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