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Weight
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Weight trend
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lbs since last visit
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Ibs total
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Waist Circumference (every 4-6wks)
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Total Inches Lost Since Start Program
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BIA (every 4-6 weeks)
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PBF trend
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PBF change since last BIA
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PBF change total
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Next BIA
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Diet
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Food Logging:
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Areas for improvement?
• • •
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Following Dietary goals?
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Additional Comments of Food Intake
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Exercise
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Type and Frequency of Activity
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