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A document providing a diet prescription for individuals in Stage 4 and Stage 5 kidney disease, including guidelines for protein, potassium, sodium, and phosphorus intake to assist in meal planning
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How to fill out your diet prescription

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How to fill out Your diet prescription

01
Begin by selecting the appropriate section for your dietary needs.
02
List all food allergies or intolerances.
03
Identify your daily caloric needs, which may be determined by age, gender, weight, and activity level.
04
Specify your macronutrient ratios (carbohydrates, proteins, and fats) based on your health goals.
05
Include any specific diet instructions, such as meal timing or portions.
06
Review your diet prescription with a healthcare provider or nutritionist for confirmation.
07
Make adjustments as needed according to your health progress.

Who needs Your diet prescription?

01
Individuals with chronic health conditions requiring dietary management.
02
Athletes looking to optimize their performance through nutrition.
03
People trying to lose or gain weight in a healthy manner.
04
Those recovering from illness or surgery needing a specific diet.
05
Anyone interested in improving their overall health and wellness through structured eating.
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This food requires a veterinary prescription.
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Your diet prescription is a personalized dietary plan created to meet your nutritional needs and goals.
Typically, healthcare professionals such as doctors or registered dietitians are required to file your diet prescription.
To fill out your diet prescription, a healthcare provider will assess your health status and nutritional needs, and then document specific dietary instructions and food recommendations.
The purpose of your diet prescription is to guide you in achieving better health outcomes through tailored nutritional choices.
The information that must be reported includes your personal details, specific dietary recommendations, any restrictions or allergies, and the duration of the prescription.
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