As noted in the cautionary statement on almost all PURE products, “If you are pregnant or nursing…consult a physician prior to using this product.” As a general rule, foods (products labelled with a Nutrition Facts panel instead of a Supplement Facts panel) are generally safe to consume while pregnant or nursing. Foods will include ingredients, which are categorized as generally recognized as being safe (GRAS). This is a general rule, but may not apply to everyone. These products include Mila, Vegan shake and the Chocolate, Vanilla and Strawberry Nutrition Shakes. An opinion statement made by The American College of Obstetricians and Gynecologists, states “Moderate caffeine consumption (less than 200mg per day) does not appear to be a major contributing factor in miscarriage or preterm birth. The relationship of caffeine and growth restriction remains undetermined. A final conclusion cannot be made at this time as to whether or not there is a correlation between high caffeine intake and miscarriage.” PURE recommends consulting with a physician or other licensed medical professional and to follow their advice when determining which PURE products can be safely used when pregnant or nursing.