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=p @,Q@zGz@ ?333333@ Q@SQ@+Q@-B\(@"?Q@b@@nzG@Q@WzG@X4zG@bjGz@ =p@W&fffff@.zG@~(\@ə@QQ@ =p@zG?Q@.@333333?p =p?\(@5Q@qQ?p =p@ =p @`p =@ =p@&@}K33333@AAGz?ۅQ?p =p?\(?\(?zG@Q@4\(\@!Q?zGz@0h\(@+Q?Gz?θQ??zGz?(\(@C\(?Gz@Q@A?333333@Gz@zG@\ =@W =p@*8Q@liGz? =p @,Q@zGz@ ?333333@ Q@SQ@+Q@-B\(@"?Q@b@@nzG@ NAMEMASK_PATPatient ID number  NAMEORGVISITVISIT # RECORDED ON FORM  NAMETBLSODM2SODIUM ADDED AT TABLE(XS) (MG)  NAMESELENIM2SELENIUM(XS) (MCG)  NAMEGALACTS2GALACTOSE(XS) (GM)  NAMELACTOSE2LACTOSE(XS) (GM)  NAMEFRUCTOS2FRUCTOSE(XS) (GM)  NAMEGLUCOSE2GLUCOSE(XS) (GM)  NAMESTARCH2 STARCH(XS) (GM)  NAMESUCROSE2SUCROSE(XS) (GM)  NAMEPECTINS2PECTINS(XS) (GM) x NAMEWATERFB2WATER SOLUBLE DIET. 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FATS (XS) (GM) z NAMESFA22A SFA 22.0 (XS) (GM) y NAMESFA20A SFA 20.0 (XS) (GM) x NAMESFA18A SFA 18.0 (XS) (GM) w NAMESFA17A SFA 17.0 (XS) (GM) v NAMESFA16A SFA 16.0 (XS) (GM) u NAMESFA15A SFA 15.0 (XS) (GM) t NAMESFA14A SFA 14.0 (XS) (GM) s NAMESFA13A SFA 13.0 (XS) (GM) xr NAMESFA12A SFA 12.0 (XS) (GM) pq NAMESFA10A SFA 10.0 (XS) (GM) hp NAMESFA8A SFA 8.0 (XS) (GM) `o NAMESFA6A SFA 6.0 (XS) (GM) Xn NAMESFA4A SFA 4:0 (XS) (GM) Pm NAMESATFAT2 SATURATED FATS (XS) (GM) Hl NAMECHOLEST2CHOLESTEROL (XS) (MG) @k NAMEDIETFIB2DIETARY FIBER (XS) (GM) 8j NAMECRUDFIB2CRUDE FIBER (XS) (GM) 0i NAMEVITAMNC2VITAMIN C (XS) (MG) (h NAMEVITB12_2VITAMIN B12(XS) (MCG)  g NAMEVITAB6_2VITAMIN B6 (XS) (MG) f NAMEFOLACID2FOLIC ACID (MCG) e NAMENIACIN2 NIACIN (XS) (MG) d NAMERIBOFLV2RIBOFLAVIN (XS) (MG) c NAMETHIAMIN2THIAMIN (XS) (MG) b NAMEDELTATC2DELTA TOCOPHEROL (XS)(MG) a NAMEGAMMATC2GAMMA TOCOPHEROL(XS) (MG) ` NAMEBETATOC2BETA TOCOPHEROL(XS) (MG) _ NAMETOCOPHR2ALPHA TOCOPHEROL(XS) (MG) ^ NAMETOCOPHE2TOT ALPHA TOCOPH EQUIV(XS)(MG) ] NAMEVITAMND2VITAMIN D(XS) (MCG) \ NAMEBETACAR2BETA-CAROTENE(XS) (MCG) [ NAMERETINOL2RETINOL (XS) (MCG) Z NAMEVITAMNA2TOTAL VITAMIN A(XS) (IU) Y NAMECAFFEIN2CAFFEINE (XS) (MG) X NAMEALCOHOL2ALCOHOL(XS) (GM) W NAMETOTCARB2TOTAL CARBOHYDRATES(XS) (GM) V NAMETOTFAT2 TOTAL FAT(XS) (GM) U NAMEPROTEIN2PROTEIN (XS) (GM) T NAMECALORIE2CALORIES(XS) (KCAL) S NAMETBLSODUMSODIUM ADDED AT TABLE (MG) xR NAMESELENIUMSELENIUM (MCG) pQ NAMEGALACTOSGALACTOSE (GM) hP NAMELACTOSE LACTOSE (GM) `O NAMEFRUCTOSEFRUCTOSE (GM) XN NAMEGLUCOSE GLUCOSE (GM) PM NAMESTARCH STARCH (GM) HL NAMESUCROSE SUCROSE (GM) @K NAMEPECTINS PECTINS (GM) 8J NAMEWATERFIBWATER SOLUBLE DIET. FIBER (GM) 0I NAMEINSOLFIBINSOL DIETARY FIBER (GM) (H NAMEZINC ZINC (MG)  G NAMECOPPER COPPER (MG) F NAMEMGNESIUMMAGNESIUM (MG) E NAMEIRON IRON (MG) D NAMEPOTASIUMPOTASSIUM (MG) C NAMESODIUM SODIUM (MG) B NAMEPHOSPHO PHOSPHOROUS (MG) A NAMECALCIUM CALCIUM (MG) @ NAMEMFA221 MFA 22:1 (GM) ? NAMEMFA201 MFA 20:1 (GM) > NAMEMFA181 MFA 18:1 (GM) = NAMEMFA161 MFA 16:1 (GM) < NAMEMFA141 MFA 14:1 (GM) ; NAMEMONOFAT MONOUNSATURATED FATS (GM) : NAMEPFA226 PFA 22.6 (GM) 9 NAMEPFA225 PFA 22.5 (GM) 8 NAMEPFA205 PFA 20.5 (GM) 7 NAMEPFA204 PFA 20.4 (GM) 6 NAMEPFA184 PFA 18.4 (GM) 5 NAMEPFA183 PFA 18.3 (GM) 4 NAMEPFA182 PFA 18.2 (GM) 3 NAMEPOLYFAT POLYUNSATURATED FATS (GM) x2 NAMESFA22 SFA 22.0 (GM) p1 NAMESFA20 SFA 20.0 (GM) h0 NAMESFA18 SFA 18.0 (GM) `/ NAMESFA17 SFA 17.0 (GM) X. NAMESFA16 SFA 16.0 (GM) P- NAMESFA15 SFA 15.0 (GM) H, NAMESFA14 SFA 14.0 (GM) @+ NAMESFA13 SFA 13.0 (GM) 8* NAMESFA12 SFA 12.0 (GM) 0) NAMESFA10 SFA 10.0 (GM) (( NAMESFA8 SFA 8.0 (GM)  ' NAMESFA6 SFA 6.0 (GM) & NAMESFA4 SFA 4:0 (GM) % NAMESATURFATSATURATED FATS (GM) $ NAMECHOLEST CHOLESTEROL (MG) # NAMEDIETFIB DIETARY FIBER (GM) " NAMECRUDEFIBCRUDE FIBER (GM) ! 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