Worksheet

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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