FCOG-1267

FCOG-1267

A 24-year-old primigravid woman comes to the office to establish prenatal care at 14 weeks gestation. Patient has had no vaginal bleeding or cramping, no chronic medical conditions, and her only medication is a daily dose of prenatal vitamin. Patient follows a vegan diet and drinks 2 cups of coffee in the morning, also she is an avid runner who runs 5 miles most days. Patient does not use tobacco, alcohol or any other illicit drugs. On physical examination her vital signs are normal, with a pre-pregnancy BMI of 22 kg/m2. Transvaginal ultrasound shows a single intrauterine gestation with a heart rate of 155/min. Among the following possible lifestyle modifications needed during pregnancy, which is the most appropriate recommendation for this patient?