Diet-Symptom Diary
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Day Time of DayFood Description & QuantitySample Symptoms (pull down menu)Notes
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Example8:00 AMbowl of rolled oats cereal, maple sugar, and some juiceAnxiety, Fearful, PhobiasFelt "up" and full of energy, but two hours later, my heart was racing, and then I fell my blood sugar drop and had to eat a snack.
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Day 1Bad dreams, nightmares
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Day 2Allergies (asthma, hay fever, skin rash, etc.)
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Day 3Sample Symptoms (pull down menu)
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Day 4Sample Symptoms (pull down menu)
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Day 5Sample Symptoms (pull down menu)
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Day 6Sample Symptoms (pull down menu)
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Day 7Sample Symptoms (pull down menu)
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Day 8Sample Symptoms (pull down menu)
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Day 9Sample Symptoms (pull down menu)
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Day 10Sample Symptoms (pull down menu)
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Day 11Sample Symptoms (pull down menu)
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Day 12Sample Symptoms (pull down menu)
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Day 13Sample Symptoms (pull down menu)
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Day 14Sample Symptoms (pull down menu)
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You may delete the list of symptoms - these are provided merely as examples. Simply select the cell and use the "delete button" then add your own symptoms
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See separate worksheets below:
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Diet Diary without symptoms
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List of symtoms
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DO NOT TRY TO EDIT THIS DOCUMENT. SELECT "FILE" above and then "MAKE A COPY" and save to your Google Drive.
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