You must create a checklist for pre-supplement counseling. Which of the following items should be included to satisfy safety, legality, and nutritional hierarchy principles?

• A. Recommend the most expensive supplement available under the assumption that higher cost always corresponds to better quality and greater ergogenic effects
• B. Assess baseline diet and hydration, review sport anti-doping rules, evaluate medical history and possible side effects, discuss expected magnitude of benefit and cost, and emphasize supplementation will not replace a balanced diet
• C. Automatically approve any supplement requested by an athlete once they sign a liability waiver and waive the need to check medical history or anti-doping rules because individual autonomy supersedes clinical oversight
• D. Require that athletes stop all dietary intake 24 hours before supplementation to enhance absorption and efficacy and to eliminate interactions with foods

Answer: (B)