Table 1 Inclusion and exclusion criteria

▪ Gestational age of 8 to 19 weeks confirmed by ultrasound

▪ A resident of the area for at least the last six months.

▪ Willing to spend the whole pregnancy duration after enrollment

▪ Singleton and viable fetus on ultrasound

▪ Not working and available for ANC and follow-up visits at home

▪ Previously not enrolled in pregnant and lactating women trials

▪ Pregnant women with mid-upper arm circumference (MUAC) ≥ 30.5 cm

▪ Known food allergies