This study lends one to consider further research in several areas. A study with the same intervention and design as the present study with only one health care provider doing the counseling would be of great interest. One health care provider would not only ensure consistent counseling, but also would make participants feel more responsible to their provider and likely be more compliant. Another study of interest would involve implementation of a preconception counseling protocol and examine its effect on weight loss or weight gain prepregnancy and subsequent weight gain in pregnancy.