A clinic must create a one-page take-home for patients summarizing lifestyle steps to lower pregnancy complication risks. Which synthesized statement best balances safety, evidence, and clarity?

Recommend taking over-the-counter weight loss supplements and replacing meals with shakes without discussing exercise or prenatal screening because supplements are known to be sufficient prevention.

Tell patients to avoid all fruits and vegetables to eliminate dietary carbohydrates and to stop attending prenatal visits because clinical monitoring is unnecessary if diet is strict.

Encourage all patients to start high-intensity interval training daily and adopt a ketogenic diet immediately, as extreme measures are the only effective prevention strategy and are universally safe in pregnancy.

Aim for regular moderate physical activity (e.g., 20–30 minutes most days), avoid rapid weight loss but target appropriate pregnancy weight gain based on pre-pregnancy BMI, prioritize fiber-rich carbohydrates with balanced meals to reduce glucose spikes, and attend routine prenatal visits for blood pressure and glucose screening—these actions together reduce risks of GDM and hypertensive disorders.