Path forward The NIH Director could propose new trans-NIH budget initiatives for Congress to review; as noted earlier, Precision Nutrition is proposed in NIH's congressional budget justification for fiscal year 2021 (131). Congress could authorize and appropriate funds for this proposed initiative or put forth support for another or additional trans-NIH initiative(s) focused on ≥1 areas of nutrition research. NIH institutes, centers, and offices can develop and collectively support trans-NIH initiatives. External support through the private and nongovernment sectors can also be mobilized through public–private partnerships.