It would be “ It may alter cognitive ability to choose foods wisely.” Because it is talking about it may lead to decreased nutritional status.
The heart itself needs blood and nutrients to work properly and gets its share of blood supply from coronary arteries. Coronary heart diseases are linked to coronary arteries. The diseases of coronary arteries are very dangerous; coronary artery diseases like atherosclerosis may cause heart attack.
In the example that a bread says it is vegan on the packaging that would mean that there is no animal products such as meat, dairy, or eggs. In the example that someone says that they are vegan that means they eat no animal products at all. This could be for a diet, health reasons, or maybe they just don't want to eat animal products.
The correct answer is puberty.
hope this helps