Professional Documents
Culture Documents
Week
3
VLCD
13
VLCD
14
VLCD
15
VLCD
16
VLCD
17
VLCD
18
VLCD
19
Total
Loss/Gain
Weight:
________
Weight:
________
Weight:
________
Weight:
________
Weight:
________
Weight:
________
Weight:
________
for
the
week:
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Week
4
VLCD
20
VLCD
21
VLCD
22
VLCD
23
VLCD
24
VLCD
25
VLCD
26
Total
Loss/Gain
Weight:
________
Weight:
________
Weight:
________
Weight:
________
Weight:
________
Weight:
________
Weight:
________
for
the
week:
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Week
5
VLCD
27
VLCD
28
VLCD
29
VLCD
30
VLCD
31
VLCD
32
VLCD
33
Total
Loss/Gain
Weight:
________
Weight:
________
Weight:
________
Weight:
________
Weight:
________
Weight:
________
Weight:
________
for
the
week:
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Loss/Gain:
_____
Week
6
VLCD
34
VLCD
35
VLCD
36
VLCD
37
VLCD
38
VLCD
39
VLCD
40
Total
Loss
in
40
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
Days:
Loss/Gain:____
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
*Last
Dose
of
HCG*
Week
2
Day
8
Day
9
Day
10
Day
11
Day
12
Day
13
Day
14
Total
Loss/Gain
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
for
the
week:
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Week
3
Day
15
Day
16
Day
17
Day
18
Day
19
Day
20
Day
21
Total
Loss/Gain
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
Weight:
_______
for
the
week:
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
___
*
Do
not
lose
or
gain
more
than
2
pounds
during
this
3-week
period.
Week
2
Day
8
Day
9
Day
10
Day
11
Day
12
Day
13
Day
14
Total
Loss/Gain
Weight:
_______
Weight:
_______
Weight:
________
Weight:
_______
Weight:
_______
Weight:
________
Weight:
_______
for
the
week:
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
_____
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
_____
Loss/Gain:
___
Week
3
Day
15
Day
16
Day
17
Day
18
Day
19
Day
20
Day
21
Total
Loss/Gain
Weight:
_______
Weight:
________
Weight:
_______
Weight:
_______
Weight:
________
Weight:
_______
Weight:
_______
for
the
week:
Loss/Gain:
___
Loss/Gain:
_____
Loss/Gain:
___
Loss/Gain:
___
Loss/Gain:
_____
Loss/Gain:
___
Loss/Gain:
___
*
Do
not
lose
or
gain
more
than
2
pounds
during
this
3-week
period.
Robyn
Brook
2011.
All
Rights
Reserved.