Tracking Triggers - Food and Beverage Chart

Use this chart to help determine patterns to your food triggers. Blanks have been left for you to individualize the chart to your needs. Check food labels for sodium content, etc. This chart is intended to be utilized as an adjunct to a food journal.

Category Item (Specify) Amount (Specify) Time (Specify) Portion (Specify) Effects (Specify)
Fruit          
Vegetable          
Legume (lentils, etc)          
Meats          
Fish          
Poultry          
Potato          
Bread          
Pasta/rice          
Dairy (Milk, cheese,etc.)          
Nuts          
Beverage          
Alcohol          
Fast Food ( Pizza, etc)          
Candy          
Processed Foods (cookies, cake, etc.)          
Sodium          
Potassium          
Sugar          
           
           
           
           
           

 

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