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"It's just speculation," Downs said, "but I think what is going on is that people see the daily or per-meal calorie recommendations." She gave the example of a Big Mac, listed at 550 calories. "Which is actually not unreasonable. So then [customers] maybe feel OK to go ahead and get a slightly bigger main dish, but at the same time still get the same side dish and drink they would normally get. And then all of a sudden they're up over 1,100 calories for the meal. Each one item may seem OK, but it adds up," she noted.