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NHLBIHIN

Know Your Numbers - Know Your Risk: Chart Your Progress - Reach Your Goal (2007 National Cholesterol Education Month Kit)

Chart Your Progress - Reach Your Goal


Date
__________
LDL Goal
_____________
Test Results
Total cholesterol: _____________
LDL cholesterol: _____________
HDL cholesterol: _____________
Triglycerides: _____________
Action
Diet: _____________
Physical Activity: _____________
Weight Loss: _____________
Medication: _____________

Repeat Test:

Date
__________
LDL Goal
_____________
Test Results
Total cholesterol: _____________
LDL cholesterol: _____________
HDL cholesterol: _____________
Triglycerides: _____________
Action
Diet: _____________
Physical Activity: _____________
Weight Loss: _____________
Medication: _____________

Repeat Test:

Date
__________
LDL Goal
_____________
Test Results
Total cholesterol: _____________
LDL cholesterol: _____________
HDL cholesterol: _____________
Triglycerides: _____________
Action
Diet: _____________
Physical Activity: _____________
Weight Loss: _____________
Medication: _____________

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Archived page, reproduced from a 2007 copy. It is reference material, not current guidance.