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1 | mobile-kidney-web-2.0.0.zip\mobile-kidney-web\acceptance_test\watir\datasheet | Nutrition_Text_Content.xls | Wed Apr 4 20:16:46 2018 UTC |
2 | mobile-kidney-web-2.0.0.zip\mobile-kidney-web\acceptance_test\watir\datasheet | Nutrition_Text_Content.xls | Tue May 22 21:07:30 2018 UTC |
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1 | SHEET: get RightAmtOf Protein | |
2 | ||
3 | Section, N avigatitio n, Section Image, Im age Alt Te xt, Sectio n Header, Content Se gment 1, S egment 2, Segment 3 | |
4 | 1, learnMo re>nutriti on>1, chic ken-sandwi ch.jpg, op en-faced c hicken san dwich, Kid ney Diseas e and Prot ein, With kidney dis ease, eati ng the rig ht amount of protein can help protect yo ur kidney function. A dietitia n can help you make a meal pla n that wil l keep you feeling y our best i f you have a health problem. | |
5 | 2, learnMo re>nutriti on>1, bloc ks.jpg, co lored wood en blocks in differe nt shapes, What is P rotein?, P roteins ar e long str ings of am ino acids that make up part of each cell in your b ody. There are many kinds of p roteins. Y our body u ses these proteins a s building blocks to make cell s. Each ce ll membran e has prot ein. So do your musc les. Even your bones are held together b y a protei n support structure. You have many types of protei n in your body, like : 1) hemog lobin – th e protein that carri es oxygen in your re d blood ce lls; 2) Al bumin – a blood prot ein that h elps carry things li ke calcium around yo ur body; 3 ) Collagen – connect ive tissue that hold s the body together; and 4) Ke ratin – pa rt of the skin and n ails. | |
6 | 3, learnMo re>nutriti on>1, prot ein-3.jpg, animal-ba sed foods including chicken, m ilk, eggs, pork, and beef, Ani mal-based Foods Have Complete Proteins, Some prote ins have A LL of the amino acid s your bod y needs. T hese are “ complete” or “high-q uality” pr oteins. Th ey tend to be animal -based, li ke eggs, m eat, poult ry, fish, and dairy. | |
7 | 4, learnMo re>nutriti on>1, prot ein-4.jpg, bowl of p lant-based foods - r ice and be ans, Plant -based Foo ds Have In complete P roteins, O ther prote ins have o nly some o f the esse ntial amin o acids. T hey are “i ncomplete proteins,” and tend to be plan t-based, l ike rice, beans, and corn. You can get a ll the ami no acids y ou need in a plant-b ased diet — but you will need to eat a v ariety of foods. Ask your diet itian for help if yo u prefer a vegetaria n diet as incomplete proteins can be eat en with ot her incomp lete prote ins the sa me day to make a com plete prot ein. If yo u don’t ea t meat, yo ur dietiti an can hel p you get the right amount of protein by showing y ou how to eat combin ations of incomplete proteins. | |
8 | 5, learnMo re>nutriti on>1, prot ein-5.gif, diagram o f kidneys, Wastes fr om Protein Can Stres s the Kidn eys, When your body breaks dow n protein, the kidne ys get rid of the wa stes. Prot ein wastes in your b ody are me asured as blood urea nitrogen, or BUN. Y our BUN le vel can be checked w ith a bloo d test. If your kidn eys don’t work as we ll as they once did, eating to o much pro tein can s tress your kidneys. Your care team may s uggest tha t you limi t the amou nt of prot ein you ea t each day to a mode rate amoun t. (Most A mericans e at far mor e protein than they really nee d.) Your d ietitian c an help yo u make thi s work in your meal plan. | |
9 | 6, learnMo re>nutriti on>1, prot ein-6.jpg, deck of c ards, Prot ein Servin g Size, Ea ting less protein ma y help slo w kidney d isease. A piece of m eat the si ze of the palm of yo ur hand, o r a deck o f cards, i s about 4 oz of prot ein. This is one ser ving. Your care team may presc ribe an am ount of pr otein for you to eat each day. So, if yo u have chr onic kidne y disease and are no t on dialy sis, you m ight not w ant to eat big piece s of a pro tein food. Small pie ces in a k ebab, sala d, or stir -fry are a good way to get eno ugh, but n ot too muc h., If you r kidneys fail and y ou do star t dialysis , you may need to ea t EXTRA pr otein. Eac h dialysis treatment can cause you to lo se a littl e bit of p rotein. Yo u need pro tein, or y our body m ay start t o break do wn muscle— like your heart. Eat ing the ri ght amount of protei n for your body can help you m ake sure t hat your m uscles sta y strong. Your dieti tian will help you. | |
10 | 7, learnMo re>nutriti on>1, keba b.jpg, chi cken and v egetable s kewer, Pro tein, Phos phorus, an d Fat, Som e protein foods like beans, nu ts, and da iry can ha ve a lot o f phosphor us which i s a minera l that is stored in your bones .. When yo ur kidneys don’t wor k well, th e phosphor us can bui ld up in y our blood and lead t o bone pro blems. Eat ing lean, high-quali ty protein can help you get th e right am ount of pr otein—with out too mu ch fat or phosphorus . Some goo d choices include fi sh, chicke n, lean re d meat, a bit of low -fat dairy , and eggs . To learn more, vis it the How and Why t o Limit Ph osphorus t opic. | |
11 | 8, learnMo re>nutriti on>1, prot ein-8.jpg, grilled v egetables, What Else CAN You E at?, When you don’t eat as muc h protein, you need something else to fi ll you up! Try to fo cus on veg etables th e most. In clude frui ts and foo ds made fr om grains, like rice and pasta , to fill out your m eals. You may need t o add oliv e oil or a nother hea lthy fat t o get enou gh calorie s. Your di etitian wi ll help yo u with thi s. | |
12 | 9, learnMo re>nutriti on>1, guy- plugging-n ose.jpg, A frican-Ame rican man holding hi s nose, Ca n’t Face P rotein? Ta lk to Your Care Team , If you f ind that y ou can’t s tand the s mell of pr otein food s, like me at—or can’ t eat much at all, s ee your he alth care team right away. Nau sea and lo ss of appe tite can o ccur with kidney pro blems, or can be a s ymptom of another il lness. Kee ping track of your s ymptoms ca n help you get the c are you ne ed to feel your best . Use this CKD Sympt om Diary t o help you keep trac k., For mo re informa tion about protein, read this Protein Ha ndout* fro m the Nati onal Kidne y Disease Education Program., * Links wi ll take yo u outside of the Dep artment of Veterans Affairs we bsite. VA does not e ndorse and is not re sponsible for the co ntent of t he linked websites. | |
13 | ||
14 | SHEET: how AndWhyToLi mitPhospho rus | |
15 | ||
16 | Section, N avigatitio n, Section Image, Im age Alt Te xt, Sectio n Header, Content Se gment 1, S egment 2, Segment 3, Segment 4 , Segment 5, Segment 6 | |
17 | 1, learnMo re>nutriti on>2, stat ue-scratch ing.jpg, s tone statu e with bac k scratche r, Kidney and Diseas e and Phos phorus, Wi th kidney disease, h aving too much phosp horus in y our body c an be a re al problem for your skin, join ts, and bo nes. A die titian can help you make a mea l plan tha t will kee p you feel ing your b est. | |
18 | 2, learnMo re>nutriti on>2, phos phorus-2.j pg, ancien t Greek ru ins, What is Phospho rus?, It’s a mineral element a nd part of the “ston e” foundat ion that h olds up yo ur body. Y our bones and teeth are mostly made of p hosphorus and calciu m as calci um phospha te—stone! | |
19 | 3, learnMo re>nutriti on>2, skel eton.jpg, skeleton, Phosphorus + Calcium Make Up B ones, Phos phorus is stored in your bones and teeth , along wi th calcium . Small am ounts of e ach minera l are also in your b lood. When your body needs the m, they ar e removed from your bones. Thi s is bone remodeling —much like you might redo a ro om in your house. Ol d bone is broken dow n. The min erals are freed into your bloo dstream. T hen, new b one is bui lt. This g oes on all the time, and is he althy—unle ss it happ ens too mu ch or too quickly. | |
20 | 4, learnMo re>nutriti on>2, ligh tbulb.jpg, fluoresce nt lightbu lb, Phosph orus is an Electroly te, In you r blood, t iny but pr ecise amou nts of dis solved pho sphorus he lp your ce lls talk t o each oth er. Phosph orus is an electroly te. An ele ctrolyte i s a substa nce that c arries an electrical charge wh en it is d issolved i n a fluid like water or blood. It helps your body use energy from food and helps keep your blood at the right pH (acid/b ase) level . But, if your kidne ys don’t w ork as wel l as they should, th ey can’t r emove exce ss phospho rus. The p hosphorus builds up in your bl ood. | |
21 | 5, learnMo re>nutriti on>2, calc ified-arte ry.jpg, kn ee joint x -ray showi ng calcifi ed artery, Calcium + Phosphoru s Can Hard en Blood V essels, Wh en your ki dneys don’ t work, ha ving too m uch calciu m and phos phorus in your blood is a prob lem. The t wo mineral s can join and form deposits i n your ski n, causing painful i tching. Or , they can form in b lood vesse ls and may cut off b lood flow to a limb. Your doct or may pre scribe pho sphate bin ders for y ou so your blood lev els of pho sphorus do n’t go too high. Tra ck your ca lcium and phosphorus so you kn ow what th ey are. | |
22 | 6, learnMo re>nutriti on>1, phos phorus-foo ds.jpg, ch eese, stea k, beer, m ilk, cola, nuts, cho colate, Kn ow the Foo d Sources of Phospho rus, Phosp horus is f ound in MA NY foods. Even foods you need to eat to stay healt hy, like h igh-qualit y protein, have phos phorus. Yo ur body ne eds protei n as a bui lding bloc k. But if your kidne ys don’t w ork well, trying to remove a l ot of prot ein wastes from your blood can further s tress them . Your car e team may suggest t hat you li mit protei n to moder ate amount s. Your di etitian ca n help you do this. Your care team may w ant you to limit som e foods th at are hig h in phosp horus, lik e nuts, be ans and pe as, seeds, whole gra ins, dairy products, cola, cho colate, an d beer. Th ere are ma ny other f oods that are high i n phosphor us., Read more about phosphoru s from the :, Nationa l Kidney F oundation Phosphorus and Your Diet, The National K idney Dise ase Educat ion Progra m’s Handou t on Phosp horus*, To learn mor e about pr otein, vis it the Get the Right Amount of Protein t opic., *Li nks will t ake you ou tside of t he Departm ent of Vet erans Affa irs websit e. VA does not endor se and is not respon sible for the conten t of the l inked webs ites. | |
23 | 7, learnMo re>nutriti on>2, phos phorus-7.j pg, list o f ingredie nts with p hosphate h ighlighted , Phosphor us Can Hid e – Look f or It!, Ph osphorus i s injected into some meat and turkey. Be sure to r ead fresh meat label s if your care team wants you to limit p hosphorus. Look for meats that don’t hav e phosphat e or phosp horus as a n added in gredient. If the let ters “PHOS ” are in t he label, you don’t want to ea t it. Some fast food s may also have phos phorus add ed! Ask th e restaura nt to be s ure what y ou are eat ing. | |
24 | 8, learnMo re>nutriti on>2, phos phorus-mag net.gif, h orseshoe m agnet attr acting pho sphorus, P hosphate B inders Rem ove Some P hosphorus, Your doct or may pre scribe dru gs for you called “p hosphate b inders.” L ike a magn et, binder s attract and hold p hosphorus before it can get in to your bl oodstream. The phosp horus pass es through your gut and is rem oved in yo ur stool., You take binders WI TH food. W ith ALL fo od. ONLY w ith food. They only work if th ey are in your gut a t the same time that food is i n your gut . When you eat a sna ck, you’ll take a sm all number of binder s. With a larger mea l, you’ll take more binders. Y our dietit ian will g o over you r lab test results w ith you to see if yo ur phospho rus level is in the target ran ge., Takin g phosphat e binders and watchi ng what yo u eat go h and in han d to help you feel y our best. To learn m ore about phosphate binders, v isit the P hosphate B inders top ic. | |
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26 | SHEET: man ageYourPot assium | |
27 | ||
28 | Section, N avigatitio n, Section Image, Im age Alt Te xt, Sectio n Header, Content Se gment 1, S egment 2, Segment 3 | |
29 | 1, learnMo re>nutriti on>3, hear t-ekg.jpg, EKG diagr am, Kidney Disease a nd Potassi um, Potass ium is the MOST impo rtant mine ral to hav e in the r ight amoun t in your blood. Hav ing too mu ch or too little can stop your heart! A dietitian can help y ou make a meal plan that will keep you f eeling you r best—and help keep you safe. | |
30 | 2, learnMo re>nutriti on>3, pota ssium-2.jp g, power c ord, What is Potassi um?, It is a mineral that help s your who le body wo rk the way it should . It’s lik e a power cord that lets your nerves tal k to your muscles. T his includ es your he art muscle . Potassiu m controls your hear t rhythm. You need t o have pot assium in your blood in very p recise amo unts at al l times. | |
31 | 3, learnMo re>nutriti on>3, ligh tbulb.jpg, fluoresce nt lightbu lb, Potass ium is an Electrolyt e, In your blood, po tassium is an electr olyte whic h is a is a substanc e that car ries an el ectrical c harge when it is dis solved in a fluid li ke water o r blood. I t helps al l of your muscles wo rk. But, i f your kid neys don’t work as w ell as the y should, they can’t remove ex cess potas sium. It c an build u p in your blood to u nsafe leve ls. One wa y to preve nt this is to eat le ss potassi um in your diet so t here is no t as much for your k idneys to remove fro m your blo od. | |
32 | 4, learnMo re>nutriti on>3, pota ssium-food s.gif, foo ds that co ntain pota ssium: ban anas, bean s, tomatoe s, avocado , dried fr uit, Limit High Pota ssium Food s, Dried f ruits—like raisins a nd apricot s—and trop ical fruit s have a L OT of pota ssium. Bea ns, potato es, tomato es, and av ocados hav e a lot of potassium , too. Mos t salt sub stitutes a lso have p otassium. Use this P otassium H andout* fr om the Nat ional Kidn ey Disease Education Program t o learn mo re about f oods with potassium. , If you t ake a diur etic, (som etimes ref erred to a s “water p ills”), yo ur doctor may change your dose or check your blood potassium often. To learn mor e about di uretics, v isit the B lood Press ure Medici nes topic. Your doct or may pre scribe a d iuretic to help cont rol blood pressure b y making y ou lose mo re water a nd salt in your urin e., *Links will take you outsi de of the Department of Vetera ns Affairs website. VA does no t endorse and is not responsib le for the content o f the link ed website s. | |
33 | 5, learnMo re>nutriti on>3, pota ssium-5.gi f, warning circle/sl ash over d airy foods , Limit Hi gh Potassi um Dairy F oods, Dair y foods li ke milk, c heese, and ice cream , can also have a lo t of potas sium. In s ome parts of the U.S ., you can buy “diab etic” milk at the st ore. This type of mi lk has les s sugar, p hosphorus, and potas sium. If y ou can fin d it, it m ay be a be tter choic e for you. Talk to y our dietit ian about how much d airy to in clude in y our diet. | |
34 | 6, learnMo re>nutriti on>3, pota ssium-6.jp g, mug of coffee, Wa tch Your C offee Serv ings, If y ou drink c offee, wat ch your se rving size s. Black c offee has 116 mg of potassium per 8-ounc e cup. If you are a coffee lov er, you ma y find tha t you need to cut ba ck to keep your pota ssium in t he safe ra nge. | |
35 | 7, learnMo re>nutriti on>3, pota ssium-7.jp g, pan and vegetable s, Soak Ve getables t o Remove P otassium, Some veget ables are high in po tassium, t oo, like p otatoes, c arrots, ha rd squash, beets, an d sweet po tatoes. Th is doesn’t mean you can never eat these foods. If you plan a head, you can lower the potass ium. Cut t he foods i nto small pieces and soak them in lots o f water fo r at least 4 hours, or overnig ht. Drain out the wa ter, rinse with fres h water, t hen cook. Soaking ca n remove a s much as 3⁄4 of the potassium , which ca n put thes e foods in to the saf e range fo r you. Or, boil them for 5 min utes and d rain out t he water t o remove s ome potass ium., Some canned fr uits or ve getables c an be drai ned and ri nsed to ha ve less po tassium, t oo. | |
36 | 8, learnMo re>nutriti on>3, pota ssium-8.jp g, list of ingredien ts with po tassium hi ghlighted, Potassium Can Hide – Watch fo r It!, Som e fresh me ats are in jected wit h a fluid that may h ave potass ium in it. Don’t buy meat that has potas sium added to it. | |
37 | 9, learnMo re>nutriti on>3, pota ssium-9.jp g, foods t hat can be used as s alt substi tutes: spi ces and he rbs, Avoid Salt Subs titutes – They Have Potassium, Salt subs titutes ma y be high in potassi um, which is harmful for you. If you nee d to watch your sodi um, as it can make y our blood pressure g o up, it’s better to use herb products, which come in lots o f flavors. To learn more about sodium, v isit the P ay Attenti on to Your Sodium an d Fluid to pic. | |
38 | ||
39 | SHEET: pay AttentionT oSodiumFlu id | |
40 | ||
41 | Section, N avigatitio n, Section Image, Im age Alt Te xt, Sectio n Header, Content Se gment 1, S egment 2, Segment 3, Segment 4 , Segment 5, Segment 6, Segmen t 7 | |
42 | 1, learnMo re>nutriti on>4, sodi um-1.jpg, salt spill ed on surf ace, Kidne y Disease, Sodium, a nd Fluid, With kidne y disease, having to o much sod ium or flu id in your body can be a real problem. A dietitian can help you make a meal plan that will keep you feeling yo ur best. | |
43 | 2, learnMo re>nutriti on>4, sodi um-2.jpg, sponge, Wh at is Sodi um?, It is a mineral that help s your bod y balance fluid leve ls. Sodium and chlor ide combin e to form salt. In y our body, salt is li ke a spong e—it pulls in water. | |
44 | 3, learnMo re>nutriti on>4, sodi um-3.jpg, fluorescen t lightbul b, Sodium is an Elec trolyte, I n your blo od, sodium is an ele ctrolyte w hich is a substance that carri es an elec trical cha rge when i t is disso lved in a fluid like water or blood. It helps you move your muscles, h elps your brain work as it sho uld, and c ontrols yo ur blood p ressure. | |
45 | 4, learnMo re>nutriti on>4, sodi um-4.jpg, sources of liquids: beer, ice cream, jel lo, ice, F luids are Liquid at Room Tempe rature, Yo u know tha t fluids a re liquids you can d rink. But some foods are also fluids if they have a lot of w ater in th em. Foods like soups and stews , ice crea m, and gel atin “coun t” as flui ds. Ice cu bes count. Even wate rmelon—whi ch doesn’t melt but is still m ostly wate r—is a “fl uid.” A tr ick some p eople use is to eat soup, stew , or break fast cerea l with a f ork instea d of a spo on. That w ay, you ge t the soli d part, bu t not the fluid., If you have a fluid li mit, your care team will tell you how mu ch fluid y ou can hav e each day . Your die titian wil l help you figure ou t how to f ollow your limit. | |
46 | 5, learnMo re>nutriti on>4, bath tub-water. jpg, batht ub emptyin g, Water a nd Salt Ca n Build Up in Your B ody, Kidne ys that do n’t work w ell don’t remove all of the ex cess water and salt from the b ody. Think of your b ody as a b athtub. Wh en your ki dneys work well, you fill up t he “tub” b y drinking —and then the water and salt g o down the drain. Bu t when you r kidneys don’t work well, wat er and sal t stay in the “tub” and only d rain out s lowly. If your kidne ys fail, t he water a nd salt do n’t drain out at all , and you need treat ment to li ve., You C AN have a good life even if yo ur kidneys fail. Som e people h ave lived for decade s with kid ney transp lants or o ne of the many ways to do dial ysis. To l earn more about trea tments for kidney fa ilure, vis it the Tre atment Opt ions room. | |
47 | 6, learnMo re>nutriti on>3, sodi um-6.jpg, swollen ha nd, Swelli ng in the Hands, Fee t, and Fac e, Excess water and salt can b uild up in the hands , feet, or face (oft en under t he eyes). This probl em is most common in kidney di seases tha t cause pr otein to l eak out in to the uri ne (called proteinur ia). Cutti ng back on salt in y our diet c an help be cause salt holds wat er in your body., Me dications may help, too. Diure tics (wate r pills) p rescribed by a docto r can help your body get rid o f some exc ess water and salt ( as long as your kidn eys are wo rking). Bl ood pressu re pills c alled ACE- inhibitors or ARBs m ay help sl ow the typ es of kidn ey problem s that cau se swellin g., To lea rn more ab out medica tions and chronic ki dney disea se, visit the Pharma cy. | |
48 | 7, learnMo re>nutriti on>4, no-s alt.gif, s alt shaker with flas hing red w arning sym bol, Put A way the Sa lt Shaker, If you ar e one of t he many pe ople who a re salt se nsitive, e ating less salt, or sodium, ca n help you bring dow n your blo od pressur e. Here ar e some thi ngs you ca n do to cu t down on the salt y ou eat:, T ake the sa lt shaker off the ta ble., When you cook, cut the s alt in hal f., Avoid salt subst itutes. Th ey may be high in po tassium, w hich can h arm you if your kidn eys don’t work well. , Use herb s and spic es to add flavor to your food. There are lots of l ow sodium choices., The Americ an Heart A ssociation says we s hould ALL limit sodi um in our diets to 1 ,500 mg pe r day. Man y people f ind that o nce they g et used to eating le ss salt, f ood tastes better. | |
49 | 8, learnMo re>nutriti on>4, sodi um-8.gif, high-salt foods with flashing red warnin g symbol, Avoid High -salt Fast Food, Did you know that many Americans eat fast f ood every day? A lot of fast f ood is ver y high in salt—along with fat, trans fat s, starch, and just plain calo ries. It’s cheap and tasty, bu t it’s not good for you OR you r kidneys. You can g et a whole day’s wor th of salt with just one menu item!, Whe n you go o ut to eat, choose re staurants where they cook to o rder, and ask for yo ur food wi th no adde d salt, MS G, salty s auces, or cheese on top. This may help y ou control your bloo d pressure . | |
50 | 9, learnMo re>nutriti on>4, sodi um-9.gif, high-salt processed foods with flashing red warnin g symbol, Avoid High -salt Proc essed Food s, About 3 ⁄4 of all salt in mo st people’ s diets co mes from p rocessed f oods. Thes e foods co me in a ba g, box, bo ttle, or c an. Not al l processe d foods ar e bad. But some have a lot of sodium. So ups and br eads are s ome of the worst—loo k for low sodium ver sions. Som e meats, l ike bacon, and deli meats like cold cuts and salam i have too much salt to be goo d choices. Salty sna ck foods, like pretz els, crack ers and po tato chips have lots of salt, too., Cond iments lik e ketchup and soy sa uce have a lot of sa lt. Boxed side dishe s and “hel per” foods usually h ave much t oo much sa lt, too. M any canned vegetable s have lot s of salt; fresh, fr ozen, or l ow-sodium vegetables are bette r choices. | |
51 | 10, learnM ore>nutrit ion>4, sod ium.gif, f ood nutrit ion label with 1,485 mg of sodi um highlig hted, Read Food Labe ls for Sod ium, Does this look like a goo d food cho ice to pro tect your kidneys? T he answer is NO! The re is almo st 1,500 m g of sodiu m in one s erving of this food— a whole da y’s worth! , Most foo ds have la bels like this, to h elp you ma ke good ch oices. Kee p a close eye on ser ving sizes :, A servi ng size ma y be in gr ams or oun ces, A foo d that com es in a ba g could be two or th ree servin gs, not on e, If you eat more t han one se rving, you get more salt, For more infor mation, re ad this So dium Hando ut* from t he Nationa l Kidney D isease Edu cation Pro gram., *Li nks will t ake you ou tside of t he Departm ent of Vet erans Affa irs websit e. VA does not endor se and is not respon sible for the conten t of the l inked webs ites. | |
52 | 11, learnM ore>nutrit ion>4, sod ium-11.jpg , fluid co ntainers s howing dif ferent mea surements of fluids in ounces - 1 cup is 8oz, 1 pi nt is 16oz , 1 quart is 32 oz, and 2 lite rs is 68 o z., Watch Your Fluid Servings, If you ha ve fluid l imits, you r care tea m and diet itian will talk with you about them. You ’ll need t o watch po rtion size s—drinking cups can be very di fferent! Y ou may wan t to bring your own cup with y ou until y ou get a g ood feel f or how man y ounces t here are i n a servin g. You can also keep track of fluid weig ht gains b y weighing yourself each day. |
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