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Paciente:

VCT: __________

Alimentos

Total:

Kcal

CHO
(g)

PTN
(g)

CHO: ______% LIP:________% PTN: ________% e _______g/kg

LIP
(g)

Vit A
(mcg)

Vit C
(mg)

Fe (mg)
no-heme heme

Ca
(mg)

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