A nonpregnant healthy adult man averages 3,100 kcal/day across a week while his calculated EER is 2,800 kcal/day. Using problem-solving via trend analysis, what would be the best immediate recommendation?

• A. Advise a modest reduction in average daily energy intake or an increase in physical activity because sustained intake above EER is likely to result in weight gain; monitor weight over several weeks to refine the plan.
• B. Prescribe a high-dose multivitamin because energy excess is best corrected by maximizing micronutrient intake rather than changing calories or activity.
• C. Ignore the discrepancy since EERs are population-based and cannot meaningfully guide any individual adjustments under any circumstances.
• D. Recommend immediately increasing intake further to 3,500 kcal/day because being above EER indicates a need for even higher energy to improve metabolic health.

Answer: (A)