| |
 
| Keeping track of your symptoms is a good
idea. If you have other symptoms not listed on this form be sure
and write them down. Pay close attention to any digestive problems. After the first cycle, re-read Types of PMS
to get a better idea of how to adjust your the diet plan to
avoid general symptoms. Example:
A bad mood, signs of anxiety are Type A, you
need to make sure you're not overly stressed, you may need to
increase meditation time, increase foods with B vitamins,
calcium and magnesium and decrease animal protein.
Pain indicates a possibility of too many bad
fats and not enough essential fatty acids, especially Omega 3
Bloating, possibly too much animal protein,
not enough water or if salt sensitive, too much sodium. Increase
fruits
Compare your results after your second cycle
for improvements. |
|
|
You can copy and paste this very simple form into your own word
processor to print out and keep track of your symptoms. This form along with a more detailed symptom diary are available in the Cycle Diet Workbook. See products for details.
Directions: Start with the 1st day of period as
day 1. On a scale of 0 to 5, with 0 being none or good and 5 the
strongest or very bad.
|
Date/
|
Mood
|
Stress
|
Anxiety
|
Pain
|
Craving
|
Bloat
|
Fatigue
|
|
Cycle day
|
|
|
|
|
|
|
|
|
1
|
|
|
|
|
|
|
|
|
2
|
|
|
|
|
|
|
|
|
3
|
|
|
|
|
|
|
|
|
4
|
|
|
|
|
|
|
|
|
5
|
|
|
|
|
|
|
|
|
6
|
|
|
|
|
|
|
|
|
7
|
|
|
|
|
|
|
|
|
8
|
|
|
|
|
|
|
|
|
9
|
|
|
|
|
|
|
|
|
10
|
|
|
|
|
|
|
|
|
11
|
|
|
|
|
|
|
|
|
12
|
|
|
|
|
|
|
|
|
13
|
|
|
|
|
|
|
|
|
*14
|
|
|
|
|
|
|
|
|
*15
|
|
|
|
|
|
|
|
|
16
|
|
|
|
|
|
|
|
|
17
|
|
|
|
|
|
|
|
|
18
|
|
|
|
|
|
|
|
|
19
|
|
|
|
|
|
|
|
|
20
|
|
|
|
|
|
|
|
|
21
|
|
|
|
|
|
|
|
|
22
|
|
|
|
|
|
|
|
|
23
|
|
|
|
|
|
|
|
|
24
|
|
|
|
|
|
|
|
|
25
|
|
|
|
|
|
|
|
|
26
|
|
|
|
|
|
|
|
|
27
|
|
|
|
|
|
|
|
|
28
|
|
|
|
|
|
|
|
|
29
|
|
|
|
|
|
|
|
|
30
|
|
|
|
|
|
|
|
* indicates
ovulation and start of luteal phase. Days 20-28 are the days when
estrogen and progesterone are at their highest based on a 28 day
cycle. Some cycles are shorter or longer, adjust to your cycle.
|
|
 |
|
