By definition, very low-calorie diet plans provide approximately 400-900 kcal daily. Clearly, the aforementioned discussion, coupled with the information provided in Part 1 of this book, demonstrates the inappropriate nature of such an approach to weight management during pregnancy. Even the most proficient registered dietitian could not design a nutritional care plan that provided all of the essential nutrients required for a normal, healthy pregnancy with so few calories. Pregnant women must be cautioned against undertaking any type of reduced calorie plan that compromises energy and nutrient intake to this extent. If such behaviors were to persist, the practitioner must consider further evaluation or referral for eating disordered behaviors (see Chap. 9, "Anorexia Nervosa and Bulimia Nervosa during Pregnancy").
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