Addressing the Double Burden of Malnutrition in Guatemala

Inclusion Criteria: * Pregnant women aged 16 years or older * Gestational age less than 28 weeks Exclusion Criteria: * History of pregestational diabetes (type 1 or type 2), history of gestational diabetes in a previous pregnancy, or diagnosis of gestational diabetes in the current pregnancy * Multifetal gestation (twins or higher-order pregnancies) * Currently participating in another research study involving an intervention * Has a family member who has already been invited to participate in this study and/or shares a kitchen with such a person * Has a serious underlying medical or psychiatric condition requiring specialized clinical care, including active cancer, severe renal or hepatic disease, symptomatic heart disease, autoimmune disorders requiring immunosuppressive therapy, active thromboembolism or coagulopathy, or severe mental health condition, or other conditions at the discretion of the investigators * Plans to move out of the study area within the next two years