• • Body condition score (BCS)

    1Set value 1 for field Body condition score (BCS)2Set value 2 for field Body condition score (BCS)3Set value 3 for field Body condition score (BCS)4Set value 4 for field Body condition score (BCS)5Set value 5 for field Body condition score (BCS)6Set value 6 for field Body condition score (BCS)7Set value 7 for field Body condition score (BCS)8Set value 8 for field Body condition score (BCS)9Set value 9 for field Body condition score (BCS)
• • Percent over ideal body weight
    (enter value)
    %
• • Current weight (kg)
    (enter value)
    kg
  • Current weight (lb)0.0 lb
• • Food kcal/kg
    (enter value)
    kcal/kg
• • Food kcal/cup
    (enter value)
    kcal/cup
• • Percent of protein in food
    (enter value)
    %
• • Other sources of protein (g)
    (enter value)
    g
• • Cups of food per day
    (enter value)
• • Ideal body weight (kg)(estimated)0.0 kg
  • Ideal body weight (lb)(estimated)0.0 lb
  • Metabolic body weight of ideal weight (kg)0.0 kg

• • ---

• • Additional treats, food, and/or supplements
• • Treats, food, or supplements
  • kcal/day
    (enter value)
    kcal/day
• • Treats, food, or supplements
  • kcal/day
    (enter value)
    kcal/day
• • Treats, food, or supplements
  • kcal/day
    (enter value)
    kcal/day
• • Total additional kcal/day0

• • ---

• • Daily intake from current diet0 kcal/day
• • Resting energy requirement of ideal body weight0 kcal/day
• • Treat allowance (10% of daily intake)0 kcal/day
• • Recommended kcal/day from balanced diet0 kcal/day
• • Added kcal (supplements, treats)0
• • Percent of unbalanced diet0 %
• • Above recommended allowance?0 > 10% = Yes 0 < 10% = No
• • Ideal amount of cups of diet/day(0 kcal from treats)0.0 cup/day
• • Ideal amount of cups of diet/day(maximum kcal from treats)0.0 cup/day
• • Ideal amount of cups of diet/day(based on treat table above)0.0 cup/day
• • Ideal amount of grams of diet/day(0 kcal from treats)0 g/day
• • Ideal amount of grams of diet/day(maximum kcal from treats)0 g/day
• • Ideal amount of grams of diet/day(based on treat table above)0 g/day

• • ---

• • Protein
• • Grams of protein per 100 g in diet0.0 g
• • Grams of protein per 1,000 kcal in diet0 g
• • Grams of protein per cup of food0 g
• • Grams of protein from diet(with maximum treat allowance)0 g
• • Other grams of protein0 g
• • Total grams of protein per day0 g/day
• • Grams of protein per metabolic body weight (kg)0 g/kg
• • Grams of protein needed per day0 g
• • Patient has enough protein?0 > 0 = Yes 0 < 0 = No

• • ---

• • Omega-3 Fish Oil Supplement(fish oils generally contain ≈40 kcal/tsp)
• • EPA per mL
    (enter value)
    mg
  • DHA per mL
    (enter value)
    mg
• • Total EPA/DHA0
• • Total mL to be given for osteoarthritis0 mL
  • Total mg to be given for osteoarthritis0 mg
• • Total tsp needed per day0.0 tsp
• • Added kcal from omega-3 supplement if given full amount0.0 kcal
• • For BCS 7, 8, or 9, weight loss prior to starting fish oils is recommended.

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