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HCG Tracking Forms

This document contains a weight loss graph and food intake logs for a 500 calorie diet plan. It includes spaces to track start weight, goal weight, weekly meals, and daily weights. The meals list allowed foods like chicken, fish, eggs, vegetables and fruits to have at breakfast, lunch and dinner. It also contains pages for tracking a maintenance phase diet after finishing the plan.

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woowoo3
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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2K views6 pages

HCG Tracking Forms

This document contains a weight loss graph and food intake logs for a 500 calorie diet plan. It includes spaces to track start weight, goal weight, weekly meals, and daily weights. The meals list allowed foods like chicken, fish, eggs, vegetables and fruits to have at breakfast, lunch and dinner. It also contains pages for tracking a maintenance phase diet after finishing the plan.

Uploaded by

woowoo3
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Your Weight Loss Graph

Start Wt

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
32 33 34 35 36 37 38 39 40

Name:__________________________________________ Cycle #: 1
2 3

Load Days (Day 1/Day 2 of Creams):___________ Start


Weight:______________
Last HCG Date & Weight:__________________ Goal
Weight:______________
Weekly Intake for 500 Calorie Phase
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊1/4 c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g.Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊ ¼ cSkim Milk cottage ch (3/less a wk) ◊1/4 c Skin Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊1/4 c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊ ¼ c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊ ¼ c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊ ¼ c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba
Toast
Date:_____ Day #__ Lunch Dinner
Weight:_______
Brkfst ◊100 g. Protein: ◊100 g. Protein:
◊Coffee/Tea anytime ◊Chicken Breast ◊Veal ◊Lean Beef ◊Chicken Breast ◊Veal ◊
Lean Beef
◊White fish/seafood (?:__________) ◊ White fish/seafood (?:__________)
◊ ¼ c Skim Milk cottage ch (3/less a wk) ◊ ¼ c Skim Milk cottage ch
(3/less a wk)
◊ 1 whole egg + 3 whites (3/less a wk) ◊ 1 whole egg + 3 whites
(3/less a wk)
◊ Misc: ◊ Vegetable: _____________________ ◊ Vegetable: ______________________
◊ 1 Tbsp Milk ◊ Fruit: ◊ Apple ◊ ½ Grapefruit ◊ Fruit: ◊ Apple ◊ ½ Grapefruit
◊ 1 Lemon ◊ Orange ◊ Strawberries ◊ Orange ◊ Strawberries
◊ 2 L Water ◊ Starch: ◊ Grissini ◊ Melba Toast ◊ Starch: ◊ Grissini ◊ Melba Toast

Weekly
Notes:______________________________________________________________________________
Weekly Maintenance Phase Intake
◊ NO Sugars & NO Starches phase (week 1-3 after
HCG)
◊ SLOWLY add Sugars/Starches phase (week 3-6
after HCG)
Date:________ Day #______ Weight:________
Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

Date:________ Day #______ Weight:________


Breakfast _________________________ Lunch _______________________
Dinner_______________________
_________________________________ _____________________________
_____________________________
_________________________________ _____________________________
_____________________________
Drinks/Snacks during day:
________________________________________________________________________
_____________________________________________________________________________________________
◊ 2 L Water

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