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XXX'S PKU MEAL PLAN
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[Trip / Ship Name] • [Date Range] • Print a copy for anyone hwo needs this
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NameName
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AgeAge
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Daily PHE Goal (mg)XXX
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Daily Formula[e.g. 2 scoops PKU formula, AM + PM]
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Cannot HaveMeat, poultry, fish, eggs, dairy (milk, cheese, yogurt), nuts, seeds, beans/lentils, soy (tofu, edamame), regular wheat bread/pasta/flour, anything with aspartame (diet soda, "sugar-free" items)
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Parent Contact (on ship or resort)[phone or room #]
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Please prepare exactly what's listed below for each meal — no substitutions on proteins, sauces, or brands without checking with a parent first, even if it seems like a close match. Thank you!
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DATE / DAYBREAKFASTmgLUNCHmgDINNERmgSNACKSmgDAILY TOTAL (mg)REMAINING (mg)
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DateXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XX#VALUE!#VALUE!
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DateXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
117XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
51XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
208#VALUE!#VALUE!
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DateXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XX#VALUE!#VALUE!
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DateXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XX#VALUE!#VALUE!
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DateXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XX#VALUE!#VALUE!
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DateXXX- XXXmgXXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XX#VALUE!#VALUE!
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DateXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XX#VALUE!#VALUE!
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DateXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XX#VALUE!#VALUE!
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DateXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXXXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XXX- XXXmg
XX#VALUE!#VALUE!
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Questions about any item on this list? Please check with a parent before making changes — even a small swap can throw off Carson's daily count. Thank you for taking care of him!
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