NAME:____________________DATE:___________

BUN (RANGE:40-85) THIS MONTH:_________ LAST MONTH:_________
SOURCES IN DIET: PLANT PROTEIN ( BREADS, NUTS, CEREALS, SEEDS, DRIED BEANS)
CAUSES: LOW: NOT EATING ENOUGH IN GENERAL; HIGH: DIET MAY BE TOO HIGH IN PLANT PROTEIN FOODS.
SYMPTOMS: LOW: MUSCLE BROKEN DOWN; HIGH: NAUSEA AND VOMITING

ALBUMIN (RANGE: 3.5-5.5) THIS MONTH__________ LAST MONTH_________
SOURCES IN DIET: ANIMAL PROTEIN (MEAT, EGGS, FISH, CHICKEN, DAIRY FOODS) CAUSES: LOW: NOT EATING ENOUGH ANIMAL PROTEIN; HIGH: THIS IS RARE SYMPTOMS: LOW: BREAKDOWN OF MUSCLE, WEAKNESS, SWELLING OF ANKLES

POTASSIUM (RANGE: 4.0-5.5) THIS MONTH__________ LAST MONTH__________
SOURCES IN DIET: FRESH FRUITS AND VEGETABLES, MILK
CAUSES: LOW: NOT EATING ENOUGH; HIGH: CHOOSING FOODS WITH HIGH POTASSIUM CONTENT
SYMPTOMS:LOW: MUSCLE WEAKNESS; HIGH: IRREGULAR HEARTBEAT, DEATH

CALCIUM (RANGE:8.5-10.5) THIS MONTH__________ LAST MONTH__________
SOURCES IN DIET: MOST FOODS, HIGH IN DAIRY FOODS
PROBLEMS: LOW: HIGH PHOSPHOROUS LEVEL, LOW ALBUMIN LEVEL, LOW IN DIET; HIGH: BINDERS AND VIT D MAY NEED ADJUSTING
SYMPTOMS: TOO LOW: NUMBNESS AND TINGLING, MUSCLE CRAMPING, BONE DISEASE

PHOSPHOROUS (RANGE:3.0-5.5) THIS MONTH__________ LAST MONTH__________ SOURCES IN DIET: MOST FOODS, HIGH IN DAIRY FOODS PROBLEMS: HIGH: TAKING BINDERS AT MEALTIME, BINDER LEVEL TOO LOW; DIET HIGH IN DAIRY FOODS; LOW: UNCOMMON SYMPTOMS: HIGH: ITCHING; EASILY BROKEN BONES