Preconception, Pregnancy and Childhood Nutrition (Weston A. Price)

Preconception, Pregnancy and Childhood Nutrition (Weston A. Price) — scientific infographic poster

The eleventh principle of the Weston A. Price diet says that traditional peoples protected the next generation on purpose: special nutrient-dense animal foods for parents-to-be, pregnant and nursing mothers and growing children, plus sensible spacing between births. Modern research backs much of that instinct — folate, choline, seafood DHA and iodine all matter enormously for a baby's brain and spine. But one of the diet's favourite foods, liver (and cod liver oil), carries so much preformed vitamin A that pregnancy needs a careful, small-portion approach. This page walks through each nutrient, the amounts that matter, and practical food lists for pregnancy and the toddler years.


Table of Contents

  1. What Price Observed: Special Foods for the Next Generation
  2. Folate and Choline: Building the Spine and Brain
  3. DHA, Iodine, Vitamin D, Iron and B12
  4. Vitamin A: The Careful One
  5. Fathers Too, and the Spacing of Births
  6. Infants and Children: Breast Milk, Formula and First Foods
  7. A Pregnancy Plate and a Toddler Food List
  8. Safety Summary
  9. Key Research Papers
  10. Connections
  11. Featured Videos

What Price Observed: Special Foods for the Next Generation

During his 1930s travels, the dentist Weston A. Price noticed something that surprised him: many of the isolated communities he visited did not leave the health of the next generation to chance. According to the Foundation's booklet, a number of groups set aside a period of special feeding before conception, giving young men and women the most prized animal foods. The same foods were then reserved for pregnant and nursing women and for growing children. Price reported that these foods — organ meats, animal fats, fish eggs and certain seafoods — were especially rich in minerals and in the fat-soluble vitamins A and D (and the factor he called "Activator X", now thought to be vitamin K2). You can read the full story of his travels on the History page.

The booklet turns this into the diet's principle 11: traditional cultures look after future generations by feeding nutrient-rich animal foods to parents-to-be, pregnant women and children; by proper spacing of children; and by teaching the young how to eat well. (All eleven principles are explained on the Eleven Principles page.)

How well does the idea hold up?

The core idea — that what parents eat before and during pregnancy shapes a child's development — is now mainstream science. Evidence tier: well supported, by randomised trials in humans for folic acid and choline, and by large cohort studies for seafood and iodine. Price's observations themselves are traditional-use and field-observation evidence: valuable for generating ideas, but they could not separate diet from genetics, activity, infection or isolation. The rest of this page checks each piece against modern studies.

Two places where the modern picture adds caution to the diet's enthusiasm: preformed vitamin A (liver and cod liver oil) has a real upper limit in pregnancy, and raw milk is not for pregnant women or young children. Both are covered below.

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Folate and Choline: Building the Spine and Brain

Think of early pregnancy as the weeks when the baby's wiring is laid down. The neural tube — the structure that becomes the brain and spinal cord — closes about four weeks after conception, often before a woman knows she is pregnant. That is why preconception nutrition matters so much, and why the diet's "special feeding before conception" idea is more than folklore.

A matrix of seven key pregnancy nutrients against six groups of traditional whole foods, showing that liver and eggs cover the most rows while oily fish and shellfish supply DHA, iodine, B12 and vitamin D, and leafy greens and legumes supply folate. WHERE THE PREGNANCY NUTRIENTS LIVE filled = rich source · ring = useful amount · dash = little or none LIVER EGGS OILY FISH & SHELLFISH WHOLE DAIRY RED MEAT GREENS & LEGUMES folate choline DHA (omega-3) iodine iron vitamin B12 vitamin D no single food fills every row — liver and eggs carry the most; seafood fills DHA and iodine dairy iodine and vitamin D vary with farming practice and fortification · sunlight is the other vitamin D source

The chart above sums up this page's food advice in one picture. Liver and eggs are the two most complete foods for pregnancy; oily fish and shellfish fill the gaps for DHA, iodine, B12 and vitamin D; leafy greens and legumes are the plant side's best folate source. Iron is richest in liver and red meat, with useful amounts in eggs, seafood and greens. No single food covers everything, which is exactly why traditional diets mixed them.

Folate

What it does: folate is needed to copy DNA and build new cells, and the fast-dividing cells of the closing neural tube need a great deal of it. Shortage raises the risk of neural tube defects such as spina bifida and anencephaly.

The evidence: the landmark MRC Vitamin Study (1991) was a randomised, double-blind trial at 33 centres in seven countries. It enrolled 1,817 women who had already had an affected pregnancy. Folic acid taken from before conception gave a 72% protective effect against a repeat neural tube defect; a mix of seven other vitamins did not. Evidence tier: RCT in humans, one of the clearest results in all of nutrition. (That trial used a high 4 mg dose for high-risk women; for everyone else, public-health bodies recommend 400 mcg of folic acid a day from at least a month before conception.)

Where the diet and the evidence meet: the pregnancy RDA for folate is 600 mcg DFE a day. Food folate is excellent — USDA data list pan-fried chicken liver at 560 mcg per 100 g and beef liver at 260 mcg per 100 g, and dark leafy greens, lentils and other legumes are rich plant sources. But the trial proof is for folic acid supplements, and food-only folate is harder to measure reliably in the critical first weeks. This is the one place where we think the honest answer is food plus a supplement: eat the folate-rich foods the diet favours and take 400 mcg of folic acid a day before and in early pregnancy. (Folic acid is the form the neural-tube trials tested; methylfolate has not been tested in trials of that kind.) More detail: Folate and Pregnancy.

Choline

What it does: choline builds cell membranes and the messenger chemical acetylcholine, and it supports the developing memory centre of the baby's brain. The Adequate Intake (AI) in pregnancy is 450 mg a day.

Most women fall short. An analysis of US national survey data (Wallace and Fulgoni, 2017) found that only about 8.5% of pregnant women met the AI. Across the US population, egg eaters had almost double the usual choline intake of non-eaters (about 525 mg versus 294 mg a day), and the authors concluded it is extremely difficult to reach the AI without eggs or a supplement. Evidence tier: cross-sectional survey.

Does more help? In a small controlled-feeding trial (Caudill and colleagues, 2018), 26 women in their third trimester ate either 480 mg or 930 mg of choline a day. Babies of the 930 mg group had faster information-processing speed through their first 13 months. Evidence tier: RCT in humans, but small — promising rather than settled.

The traditional-food answer: eggs and liver, both diet staples, are the richest common sources. By USDA figures, a large egg (about 50 g) supplies roughly 147 mg of choline, so 2 eggs give about 294 mg; an 85 g (3 oz) serving of pan-fried beef liver supplies about 355 mg. Two or three eggs a day gets most women close to the AI. Keep the yolks — that is where the choline is. See Choline in Pregnancy.

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DHA, Iodine, Vitamin D, Iron and B12

DHA from seafood

DHA is the omega-3 fat that makes up much of the brain and retina. The diet prizes fish, fish eggs and shellfish, and here the evidence is broadly on its side. In the ALSPAC cohort (Hibbeln and colleagues, 2007), 11,875 pregnant women in England reported their seafood intake. Children of mothers who ate no seafood were more likely to score in the lowest quarter for verbal IQ than children of mothers eating more than 340 g (about 12 oz) a week, with poorer scores on several social and motor measures too. Evidence tier: cohort — adjusted for 28 confounders, but not proof of cause.

Practical amount: the FDA and EPA advise pregnant and breastfeeding women to eat 8 to 12 oz (2 to 3 servings) a week of fish from their low-mercury "best choices" list — salmon, sardines, anchovies, herring, trout, shrimp, cod and similar — and to avoid the high-mercury fish (shark, swordfish, king mackerel, bigeye tuna, marlin, orange roughy, tilefish from the Gulf of Mexico). See the FDA/EPA Advice about Eating Fish. By USDA data, an 85 g serving of cooked farmed Atlantic salmon carries about 1.24 g of DHA. More: Omega-3s in Pregnancy.

Iodine

The baby's thyroid does not work until mid-pregnancy, so for months the brain depends on the mother's thyroid hormone, which is built from iodine. The pregnancy RDA is 220 mcg a day. In another ALSPAC analysis (Bath and colleagues, 2013), children of women who were mildly iodine-deficient in the first trimester (an iodine-to-creatinine ratio under 150 mcg/g) were more likely to score in the lowest quarter for verbal IQ and reading at ages 8 to 9. Evidence tier: cohort.

Sources and a salt caveat: seafood (especially white fish and shellfish), seaweed, eggs and dairy are the main food sources. The booklet favours unrefined sea salt over refined salt — but unrefined salt carries very little iodine. Iodised salt was introduced precisely because most traditional diets far from the sea were short of it. If you use unrefined salt and do not eat seafood or dairy most days, you may be getting very little iodine. The American Thyroid Association recommends that pregnant and breastfeeding women take a supplement providing 150 mcg of iodine a day. Seaweed (especially kelp) can deliver huge, variable amounts, so use it in small quantities. See Iodine.

Vitamin D

The RDA in pregnancy is 600 IU (15 mcg) a day. Oily fish is the standout food: by USDA data, cooked farmed salmon carries about 526 IU per 100 g, and an egg yolk adds a little (whole egg about 82 IU per 100 g). Liver carries little (beef liver about 49 IU per 100 g). In the US, milk is fortified; whole dairy from pastured animals carries some natural vitamin D but less than fish. Sunlight on bare skin is the other traditional source. Many pregnant women, especially those with darker skin or little sun, test low, so a blood test is worthwhile. See Vitamin D3.

Iron and vitamin B12

Iron needs rise to 27 mg a day in pregnancy because blood volume expands by roughly half. The heme iron in red meat, liver and shellfish is absorbed far better than the iron in plants; pan-fried chicken liver supplies about 12.9 mg per 100 g and beef liver about 6.2 mg per 100 g. Pairing greens and legumes with vitamin C-rich foods helps their non-heme iron absorb. See Iron.

Vitamin B12 (RDA 2.6 mcg in pregnancy) is found almost only in animal foods. Liver is extraordinarily rich — about 83 mcg per 100 g of pan-fried beef liver — and fish, meat, eggs and dairy all contribute. A mother who eats these foods is very unlikely to run short; a plant-only diet needs a supplement. See Vitamin B12.

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Vitamin A: The Careful One

This is the section to read twice. Vitamin A is essential for a baby's eyes, lungs, heart and immune system, and the diet rightly values it. But preformed vitamin A (retinol, the form in liver, cod liver oil and supplements) is stored in the body, and too much of it in early pregnancy can cause birth defects. That is a documented harm, not a theory.

A range bar of daily preformed vitamin A in pregnancy, from the RDA of 770 mcg RAE to the upper limit of 3,000 mcg RAE, with the danger zone above it; a small 30 g portion of beef liver lands inside the safe range while a full 85 g serving lands deep in the danger zone. VITAMIN A IN PREGNANCY preformed vitamin A (retinol) per day · adults 19 and over · mcg RAE RDA 770 mcg RAE (2,560 IU) UPPER LIMIT 3,000 mcg RAE (10,000 IU) — birth-defect risk rose above this below need healthy range danger zone for the baby more vitamin A per day → small portion: 30 g beef liver 2,323 mcg RAE — under the limit full serving: 85 g beef liver 6,582 mcg RAE — over 2× the limit once a week, small portion about 30 g (1 oz) of liver, if you eat it at all while pregnant no high-dose cod liver oil on top over 10,000 IU a day from supplements is where risk rose in the 1995 cohort beta-carotene is different carrots and greens are converted only as needed — no birth-defect link beef liver values: USDA FoodData Central, pan-fried · the danger zone is about daily preformed vitamin A, not plant carotenes

The numbers

The key study

In a cohort of 22,748 pregnant women (Rothman and colleagues, 1995, New England Journal of Medicine), babies of women taking more than 10,000 IU a day of preformed vitamin A from supplements had about 4.8 times the rate of defects in tissues derived from the cranial neural crest (face, ears, heart) compared with women taking 5,000 IU or less. The risk was concentrated in women with high intake before the seventh week of pregnancy, and the authors estimated that about 1 in 57 babies of the high-supplement group had a malformation attributable to it. Evidence tier: cohort, supported by the known birth-defect effects of retinoid drugs.

What this means for the diet's advice

The booklet recommends cod liver oil to provide at least 10,000 IU of vitamin A a day. For a pregnant woman, or anyone who could become pregnant, that figure sits right at the upper limit before counting liver, butter, egg yolks or a prenatal vitamin — and it is the very level at which the 1995 study saw risk begin. We think the booklet's general adult amount is not a safe pregnancy target, and we say so plainly.

A practical, careful approach in pregnancy:

The deeper science of vitamin A, D and K2 is on the Fat-Soluble Activators page; see also Vitamin A and Beef Liver.

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Fathers Too, and the Spacing of Births

Preconception nutrition for fathers

Price's account of special feeding for both young men and young women is one of the more striking parts of the booklet, and modern research has started to look at the father's side. Sperm take roughly two to three months to mature, so a father's diet in the months before conception is the relevant window.

A systematic review of 35 observational studies (Salas-Huetos and colleagues, 2017) found that diets rich in omega-3 fats, antioxidants (vitamin E, vitamin C, beta-carotene, selenium, zinc, lycopene), vitamin D and folate were linked with better semen quality, as were fish, shellfish, poultry, cereals, vegetables and fruit. Processed meat, soy foods, potatoes, coffee, alcohol, sugar-sweetened drinks and sweets were linked with poorer semen quality in some studies, and a high intake of alcohol, caffeine, red meat and processed meat by men with lower chances of conception. On fat, the review's findings do not side with the diet: diets low in saturated and trans fats, and low-fat dairy and skimmed milk, went with better semen quality, while full-fat dairy and cheese went with poorer quality in some studies. We report that plainly rather than drawing a dairy-fat recommendation either way from associations. Evidence tier: systematic review of observational studies — associations, not proof, as the authors themselves stress.

The practical overlap with the diet is large: fish, shellfish (oysters are the richest zinc source), poultry, vegetables and fruit, with little sugar, processed meat or alcohol. That is close to what Price described being fed to young men before marriage.

Spacing between births

The booklet's "proper spacing of children" turns out to be one of its best-supported claims. A 2006 meta-analysis in JAMA (Conde-Agudelo and colleagues) pooled 67 studies that adjusted for maternal age and income. Using an interpregnancy interval of 18 to 23 months (from one birth to the next conception) as the reference — the lowest-risk group — intervals under 6 months carried odds ratios of 1.40 for preterm birth, 1.61 for low birth weight and 1.26 for being small for gestational age. Intervals of 6 to 17 months, and longer than 59 months, also carried significantly higher risk for all three outcomes; the authors concluded that intervals shorter than 18 months or longer than 59 months are the risky ones. Evidence tier: meta-analysis of observational studies.

A risk curve across interpregnancy intervals showing the highest risk of preterm birth when the next conception comes under 6 months after a birth, the lowest risk at 18 to 23 months, and a rise again beyond 59 months. SPACING BETWEEN BIRTHS months from a birth to the next conception · adjusted risk of preterm birth 1.40 lowest risk <6 6–17 18–23 24–59 >59 interval in months → higher risk → THE SHORTEST GAPS CARRY MOST RISK under 6 months preterm 1.40 · low birth weight 1.61 small for age 1.26 (odds ratios) 18 to 23 months: the lowest risk the reference group in a 2006 meta-analysis of 67 studies over 59 months: risk rises again very long gaps are also riskier the booklet’s “proper spacing” fits the data; WHO advises waiting at least 24 months after a birth before the next pregnancy only the labelled odds ratio is a measured value; the curve between groups is drawn to show the pattern

Why would a short gap matter? One leading explanation is maternal nutrient depletion: pregnancy and breastfeeding draw down folate, iron and other stores, and a mother who conceives again quickly may start the next pregnancy already short. That is almost exactly the reasoning traditional cultures gave for spacing. The World Health Organization advises waiting at least 24 months after a live birth before trying for the next pregnancy — a gap that also gives time to rebuild stores with the nutrient-dense foods on this page.

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Infants and Children: Breast Milk, Formula and First Foods

Breast milk comes first

Every serious body of evidence agrees: breast milk is the first food. Its fats, antibodies, living cells and changing composition cannot be copied in a kitchen. A nursing mother's own diet affects some of what reaches the baby — DHA, iodine, choline, vitamin A and B12 levels in milk all track the mother's intake — so the nutrient-dense eating described above continues to matter after birth. Breastfed babies are usually advised to receive a vitamin D supplement (400 IU a day in the US) because breast milk is naturally low in it.

Homemade formula — why we do not reproduce it

The booklet itself does not give an infant formula recipe, but the Foundation's website publishes several homemade infant formulas (raw-milk, goat-milk and broth-and-liver versions), offered as alternatives when breastfeeding is not possible. We understand the motivation — a wish to avoid industrial ingredients — but we will not present a homemade formula recipe, and here is why.

If a baby cannot be breastfed or fully breastfed, donor milk from a screened milk bank or a standard cow's-milk-based commercial formula is the safe choice: in the US every infant formula sold must meet the FDA's nutrient and safety requirements, which a kitchen recipe cannot be tested against. Prepare it exactly as the label directs — never watered down or concentrated — and do not substitute cow's milk, goat's milk or plant milks as a drink before 12 months. Your paediatrician can help if a baby has a true milk-protein allergy.

Soy formula

The booklet devotes a full section to concerns about soy infant formula, chiefly its plant oestrogens (isoflavones). Part of that concern rests on measured data. In a 1997 Lancet study (Setchell and colleagues), 4-month-old infants fed soy formula had plasma genistein and daidzein levels far above those of babies fed cow's-milk formula or breast milk, and an order of magnitude higher per body weight than typical adult levels; the infants took in about 4.5 to 8.0 mg of isoflavones per kg of body weight a day. Evidence tier: measurement study. Whether those levels cause long-term harm in humans is not established — several of the booklet's stronger claims (comparisons to birth-control pills, links to early puberty) rest largely on animal studies and associations, and we do not repeat them as fact.

The American Academy of Pediatrics' Committee on Nutrition (Bhatia and Greer, 2008) concluded that soy formula has very limited indications — mainly galactosaemia, hereditary lactase deficiency, or a family's vegan preference — and is not recommended for preterm infants or for preventing colic or allergy. Consistent with that position and with this site's food guidance, we do not recommend soy formula for healthy infants.

First foods: iron-rich animal foods, around 6 months

A baby's iron stores from birth run low at about 6 months, which is when solid foods are usually introduced alongside breast milk. Here the diet's advice is well matched to modern guidance: well-cooked egg, finely minced or puréed meat, and mashed fish are excellent early foods because they supply easily absorbed iron, zinc, choline and B12. Introducing egg (and peanut) early, rather than delaying it, is now advised for most babies because it lowers allergy risk. Liver can appear in small amounts but, as with pregnancy, its vitamin A is concentrated, and the upper limit for infants is only 600 mcg of preformed vitamin A a day — about a teaspoon of liver purée at a time, once a week or so, is plenty.

Whole milk and full-fat dairy for children

The diet opposes low-fat foods for children, and a growing body of evidence is on its side. A 2020 systematic review and meta-analysis in the American Journal of Clinical Nutrition (Vanderhout and colleagues) pooled 14 studies of 20,897 children aged 1 to 18. Children who drank whole milk (3.25% fat) had 39% lower odds of overweight or obesity (odds ratio 0.61) than those drinking reduced-fat milk. Evidence tier: meta-analysis of observational studies — the studies varied a lot, and no randomised trial yet exists, so it shows association rather than cause. Still, it undercuts the assumption that reduced-fat milk protects children's weight. Cow's milk as a drink is for after the first birthday: the American Academy of Pediatrics advises against it before 12 months, because it is low in iron and can displace breast milk or formula.

Sugar

The booklet lists refined sugar first among the "displacing foods of modern commerce". For children this is mainstream advice: US dietary guidance says no added sugar at all before age 2, and limited amounts after. Sugar displaces the nutrient-dense foods a growing child needs and feeds tooth decay — the very problem that started Price's investigation.

Raw milk is not for pregnancy or young children

The Foundation campaigns for access to raw milk. Whatever an adult decides for themselves, raw milk is not for pregnant women, infants or young children. Raw milk can carry Listeria, E. coli O157, Campylobacter and Salmonella; pregnant women are around 10 times more likely than other people to get listeriosis, which can cause miscarriage, stillbirth or life-threatening infection in the newborn, and young children are the group most often hospitalised in raw-milk outbreaks. Evidence tier: outbreak surveillance data. The full discussion is on the Nutrient-Dense Foods page, with more at Raw vs Pasteurized Milk and Listeria in Pregnancy and Newborns. Pasteurised whole milk, cultured whole yoghurt and kefir give the benefits of full-fat dairy without that risk.

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A Pregnancy Plate and a Toddler Food List

A weekly pregnancy plate

This list puts the evidence above into a shopping-trolley shape. It assumes no allergies and is a guide, not a prescription.

A toddler food list (about 1 to 3 years)

For a full step-by-step plan, shopping list and 7-day menu for the whole family, see Getting Started.

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Safety Summary

Pregnancy, infancy and early childhood are the times when food choices carry the highest stakes, so these points deserve a conversation with your midwife, obstetrician or paediatrician:

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Key Research Papers

  1. MRC Vitamin Study Research Group (1991). Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. Lancet. — PubMed PMID: 1677062
  2. Wallace TC, Fulgoni VL (2017). Usual Choline Intakes Are Associated with Egg and Protein Food Consumption in the United States. Nutrients. — PubMed PMID: 28783055
  3. Caudill MA, Strupp BJ, Muscalu L, Nevins JEH, Canfield RL (2018). Maternal choline supplementation during the third trimester of pregnancy improves infant information processing speed: a randomized, double-blind, controlled feeding study. FASEB Journal. — PubMed PMID: 29217669
  4. Hibbeln JR, Davis JM, Steer C, Emmett P, Rogers I, Williams C, Golding J (2007). Maternal seafood consumption in pregnancy and neurodevelopmental outcomes in childhood (ALSPAC study): an observational cohort study. Lancet. — PubMed PMID: 17307104
  5. Bath SC, Steer CD, Golding J, Emmett P, Rayman MP (2013). Effect of inadequate iodine status in UK pregnant women on cognitive outcomes in their children: results from the Avon Longitudinal Study of Parents and Children (ALSPAC). Lancet. — PubMed PMID: 23706508
  6. Rothman KJ, Moore LL, Singer MR, Nguyen US, Mannino S, Milunsky A (1995). Teratogenicity of high vitamin A intake. New England Journal of Medicine. — PubMed PMID: 7477116
  7. Salas-Huetos A, Bulló M, Salas-Salvadó J (2017). Dietary patterns, foods and nutrients in male fertility parameters and fecundability: a systematic review of observational studies. Human Reproduction Update. — PubMed PMID: 28333357
  8. Conde-Agudelo A, Rosas-Bermúdez A, Kafury-Goeta AC (2006). Birth spacing and risk of adverse perinatal outcomes: a meta-analysis. JAMA. — PubMed PMID: 16622143
  9. Calello DP, Jefri M, Yu M, Zarraga J, Bergamo D, Hamilton R (2021). Notes from the Field: Vitamin D-Deficient Rickets and Severe Hypocalcemia in Infants Fed Homemade Alkaline Diet Formula - Three States, August 2020-February 2021. MMWR Morbidity and Mortality Weekly Report. — PubMed PMID: 34411077
  10. Vieira MA, Kube PK, van Helmond JL, Hanley PC, Graber EG, Bialo SR, Slamon NB (2021). Recipe for Disaster: Homemade Formula Leading to Severe Complications in 2 Infants. Pediatrics. — PubMed PMID: 34446537
  11. Setchell KD, Zimmer-Nechemias L, Cai J, Heubi JE (1997). Exposure of infants to phyto-oestrogens from soy-based infant formula. Lancet. — PubMed PMID: 9217716
  12. Bhatia J, Greer F; American Academy of Pediatrics Committee on Nutrition (2008). Use of soy protein-based formulas in infant feeding. Pediatrics. — PubMed PMID: 18450914
  13. Vanderhout SM, Aglipay M, Torabi N, Jüni P, da Costa BR, Birken CS, O'Connor DL, Thorpe KE, Maguire JL (2020). Whole milk compared with reduced-fat milk and childhood overweight: a systematic review and meta-analysis. American Journal of Clinical Nutrition. — PubMed PMID: 31851302

PubMed Topic Searches

  1. PubMed: Preformed vitamin A in pregnancy
  2. PubMed: Maternal choline and infant cognition
  3. PubMed: Interpregnancy interval and perinatal outcomes

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Connections

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