Personal Reference Sheet

My Personal Reference Sheet

Enter your info below and we’ll calculate your starting targets. Review these with your provider, they’re a general educational guide, not a prescription.

About You
My Daily Targets

BMI

Calorie Range

calories / day

Protein Target

grams / day

Water Target

oz / day

Fiber Target

grams / day

Step Goal

steps / day, building up
My Movement Goals
 
Weekly movement goal (e.g., 3x 20-minute walks, 2 strength sessions)
 
One thing I’ll do on hard days to still move a little
My Medication Basics
 
Medication
 
Injection day of the week
 
Current dose
 
Next dose review date
These numbers are general educational estimates based on commonly used formulas (Mifflin-St Jeor for calorie needs, standard protein and hydration guidelines). They are not a medical prescription and do not account for your full health history. Your provider may recommend different targets based on your specific treatment plan. Compounded medications are not FDA-approved. Individual results vary. Talk to your provider before making changes to your plan.
Scroll to Top