Directions: List ALL
foods, drinks, snacks, supplements, and medications you take throughout the day. This includes if you drink
a soda pop in-between meals, or have a drink of water, snacks of any size, a
sucker or cough drop, etc. Any snacks or drinks, extra meals, etc eaten between meals should be written in the "snacks" column. Please be
descriptive as to amount you eat/drink and what time, including drinking water or beverages. Please describe the nature of your food, for example: Homogenized Whole Milk, Fresh Broccoli,
Cooked Peas, Fresh Apple,
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