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Track function, not vibes.

Use this for a week before a medication conversation. Track to inform care, not to self-adjust dose.

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Day
Medication / timing
Function notes
Mon
Tue
Wed
Thu
Fri
Sat
Sun

Daily notes

  • Sleep: ___ hours
  • Food/water: ____________________
  • Caffeine/other substances: ____________________
  • Focus block completed: yes / no

Side effects

  • Appetite: low / normal / high
  • Mood: calm / anxious / irritable / sad / elevated
  • Body: headache / stomach / heart symptoms / other
  • Call clinician about: ____________________