
Exercise
My physician has cleared me for an exercise program: ___yes ___no
Sunday _____ minutes aerobic resistance
Monday _____ minutes aerobic resistance
Tuesday _____ minutes aerobic resistance
Wednesday _____ minutes aerobic resistance
Thursday _____ minutes aerobic resistance
Friday _____ minutes aerobic resistance
Saturday _____ minutes aerobic resistance
My grade for this week: A B C D F
Diet: Did I follow my diet or Cheat?
Breakfast Lunch Dinner Snacks
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
I ate protein with each meal to keep my insulin down: ___yes ___no
My weight __________ Change __________
My grade for this week: A B C D F
Supplements
My physician has cleared me to take these supplements and I have checked for cross reactions to prescription drugs and other supplements: ___yes ___no
Basic: Multi-Vitamin/Mineral/Plant Nutrients
Omega 3 fish oil (EPA & DHA)
Anti-Aging: Mitochondrial Optimizers: Alpha Lipoic Acid, Acetyl L Carnitine and Co-Enzyme Q10 (ubiquinol)
Resveratrol
Anti-Inflammatory: Curcumin, Carnosine and Pycnogenol
Other: Vitamin D
Testing
TESTS Date/Result Date/Result
C Reactive Protein
ideal 1; fair 2; poor 3
Advanced Lipid Testing
(or triglyceride/high density
lipoprotein ratio ideal 1; fair 2; poor 3-4)
Homocysteine
ideal 6; fair 10; poor 15
Fasting Insulin
ideal 5; fair 10; poor 15
Ferritin
<75 good; >125 bad
Vitamin D level
ideal about 50 ng/ml
Arachidonic Acid/EPA
ideal 1.5; fair 3; poor 10
24 hour urine for hormones
Dpd and Ntx blood tests for osteoporosis
I saw an endocrine specialist for bioidentical hormones and endocrine evaluation: ___yes ___no