Nutritional Needs to Monitor on a Vegan Diet

Henry Brown | Thu May 09 2024 | min read

Navigating the Vegan Landscape: Key Nutrients to Monitor

It wasn't that long ago that the word "vegan" seemed like a niche term, a lifestyle choice for a select few. But these days, plant-based diets have gone mainstream, and for good reason. There's a growing awareness of the health and environmental benefits of a well-planned vegan diet, and with that comes a wave of interest in understanding the nuances of meeting nutritional needs.

The question is, how do we ensure that we're actually getting what our bodies need when we choose to go vegan? It's a journey that involves more than just swapping out meat for tofu, and it's one that I've personally taken. Over the years, I've learned that there are certain nutrients that deserve extra attention when embracing a plant-based lifestyle. Let's dive into these crucial areas, drawing on insights from extensive research and real-world experience, to make sure you're thriving, not just surviving, on your vegan journey.

Vitamin B12: The Crucial Missing Link

Vitamin B12 is a nutrient that's often overlooked, but it's absolutely critical, especially for vegans. You see, vitamin B12 is produced by microorganisms, and it's found naturally in animal products like meat, dairy, and eggs. Plant-based foods don't naturally contain this vital nutrient. While there's a lot of talk about foods like spirulina, chlorella, and nutritional yeast as potential sources of vitamin B12, there's no scientific basis for this claim. Research consistently shows that vegetarians and vegans have a higher risk of deficiency. This is especially true for those who aren't supplementing.

Why is vitamin B12 so important? It plays a crucial role in many bodily processes, including protein metabolism and the formation of red blood cells. It's essential for a healthy nervous system and plays a vital role in mental health. A deficiency can lead to anemia, nervous system damage, infertility, and heart and bone disease. The daily recommended intake is 2.4 mcg for adults, 2.6 mcg during pregnancy, and 2.8 mcg while breastfeeding.

The only scientifically proven way for vegans to meet these needs is by consuming B12-fortified foods or taking a vitamin B12 supplement. Fortified foods commonly include plant milks, soy products, breakfast cereals, and nutritional yeast. However, remember that vitamin B12 is light-sensitive and may degrade if stored in clear plastic bags.

Think of it this way: the less frequently you ingest vitamin B12, the more you need to take. This is why vegans who are unable to meet the recommended daily intake through fortified foods should opt for a daily supplement providing 25–100 mcg of cyanocobalamin or a weekly dosage of 2,000 mcg. As we age, our ability to absorb vitamin B12 decreases, so it's especially important for those over the age of 51 to consider fortified foods or a vitamin B12 supplement.

Vitamin D: Sunshine and Supplements

Vitamin D is a fat-soluble vitamin that plays a significant role in calcium absorption. It also influences many other bodily processes like immune function, mood, memory, and muscle recovery. The recommended daily allowance (RDA) for vitamin D for children and adults is 600 IU (15 mcg) per day, while the elderly, as well as pregnant or lactating women, should aim for 800 IU (20 mcg) per day. However, research suggests that our daily requirements might be far greater.

Here's where it gets tricky for vegans: few foods naturally contain vitamin D, and foods fortified with vitamin D often aren't enough to satisfy the daily requirements. This explains the widespread reports of vitamin D deficiency among vegans and omnivores. So, how do we get our fix?

The best way is through sunshine. Most people can produce enough vitamin D by spending 15 minutes in the midday sun, as long as they don't use any sunscreen and expose most of their skin. However, this can be difficult for those with darker skin, the elderly, people living in northern latitudes or colder climates, or individuals who spend little time outdoors. Additionally, because of the known negative effects of excess UV radiation, many dermatologists recommend against relying on sun exposure to meet your vitamin D needs.

The solution for vegans who are unable to get enough vitamin D from fortified foods and sunshine is to consider taking a daily vitamin D2 or vegan vitamin D3 supplement. While vitamin D2 is generally sufficient, some research suggests that vitamin D3 is more effective at raising blood levels of vitamin D.

Long-Chain Omega-3s: Essential for Brain and Body

Omega-3 fatty acids play a vital role in our overall health. There are two main categories: essential and long-chain. Alpha-linolenic acid (ALA) is the only essential omega-3, meaning we must get it from our diet. The long-chain omega-3s, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are not considered essential because your body can make them from ALA. However, the conversion rate is pretty low, so you likely need to supplement.

Why are long-chain omega-3s so important? They play a structural role in the brain and eyes and are crucial for brain development and reducing the risk of inflammation, depression, breast cancer, and attention deficit hyperactivity disorder. EPA and DHA are mostly found in animal products like fatty fish and fish oil, which presents a challenge for those on a vegan diet.

Plants with a high ALA content include flax seeds, chia seeds, walnuts, hemp seeds, and soybeans. However, studies estimate that the conversion of ALA to EPA may be as low as 5–10% and to DHA may be near 2-5%. Vegetarians and vegans tend to have up to 50% lower blood and tissue concentrations of EPA and DHA than omnivores.

Most health professionals agree that 200–300 mg of EPA and DHA per day should be sufficient, and this can be achieved by supplementing with algae oil. To maximize your intake, minimize your intake of omega-6 fatty acids from oils like corn, safflower, sunflower, and sesame oils.

Iron: Meeting Your Needs

Iron is a crucial nutrient for producing red blood cells, carrying oxygen in the blood, and supporting energy metabolism. Iron deficiency, known as anemia, can lead to fatigue, weakness, and decreased immune function. The RDA for iron is 8 mg for adult men and post-menopausal women, 18 mg for adult women, and 27 mg for pregnant women. Iron is found in two forms: heme and non-heme. Heme iron is only found in animal products, whereas non-heme iron is found in plants. Because heme iron is more easily absorbed, vegans are often advised to aim for 1.8 times the normal RDA. However, more research is needed to confirm if this higher intake is truly necessary.

If you're a vegan concerned about your iron intake, focus on eating iron-rich foods like cruciferous vegetables, beans, peas, dried fruit, nuts, and seeds. Iron-fortified foods like cereals, enriched breads, and some plant milks can also help. You can further enhance iron absorption by using cast-iron pots and pans to cook, avoiding tea or coffee with meals, and combining iron-rich foods with a source of vitamin C.

However, keep in mind that unnecessary iron supplementation can be harmful, potentially damaging cells or blocking the absorption of other minerals. It's best to get your hemoglobin and ferritin levels checked by your doctor to determine whether supplementation is necessary.

Calcium: Building Strong Bones

Calcium is a mineral that's crucial for bone and teeth health. It also plays a role in muscle function, nerve signaling, and heart health. The RDA is set at 1,000 mg per day for most adults, and increases to 1,200 mg for adults over the age of 50.

Plant sources of calcium include bok choy, kale, mustard greens, turnip greens, watercress, broccoli, chickpeas, calcium-set tofu, and fortified plant milks or juices. While some people believe that vegans have lower calcium needs, research suggests that vegans consuming less than 525 mg of calcium per day have an increased risk of bone fractures.

This is why all vegans are encouraged to aim for the RDA. Make sure you're consuming at least 525 mg of calcium per day through a diverse diet or fortified foods, and consider taking a daily supplement if needed.

Zinc: Supporting Immunity and Growth

Zinc is a crucial mineral for metabolism, immune function, and the repair of body cells. An insufficient intake can lead to developmental problems, hair loss, diarrhea, and delayed wound healing. The RDA is set at 8–11 mg per day for adults, 11–12 mg for pregnant women, and 12–13 mg for lactating women.

While not all vegans have low blood levels of zinc, research shows that vegetarians and especially vegans have lower intakes and slightly lower blood levels of zinc than omnivores.

To maximize your intake, focus on consuming zinc-rich foods like whole grains, wheat germ, tofu, sprouted breads, legumes, nuts, and seeds. You can also boost absorption by soaking nuts, seeds, and legumes overnight, eating enough protein, and consuming fermented foods. If you're concerned about your zinc intake or are experiencing symptoms of deficiency, consider taking a daily zinc gluconate or zinc citrate supplement that provides 50–100% of the RDA.

Iodine: A Vital Element for Thyroid Health

lodine is crucial for healthy thyroid function, which controls our metabolism. An iodine deficiency during pregnancy and early infancy can result in irreversible intellectual disability. In adults, an iodine deficiency can lead to hypothyroidism, causing symptoms like low energy levels, dry skin, tingling in your hands and feet, forgetfulness, depression, and weight gain.

Vegans have lower blood iodine levels than vegetarians. The RDA is 150 mcg for adults, 220 mcg for pregnant women, and 290 mcg for breastfeeding women. The best source of iodine is iodized salt, but vegans who don't want to consume it or eat seaweed several times per week should consider taking an iodine supplement.

A Few Frequently Asked Questions

Q: What is the best way to ensure a well-balanced vegan diet?

A: It all comes down to variety and planning. Focus on a diet rich in plant-based foods like fruits, vegetables, whole grains, legumes, nuts, seeds, and plant-based alternatives like soy milk or almond milk. Seek guidance from a registered dietitian to create a personalized meal plan that meets your specific needs.

Q: Are there any vegan diets that are not healthy?

A: While a well-planned vegan diet can be incredibly healthy, it's important to note that poorly-planned or restrictive vegan diets can lead to nutritional deficiencies. These diets may be too low in calories, protein, or certain essential nutrients. It's always best to consult with a healthcare professional to ensure you're meeting your individual needs.

Q: If I'm not sure what to supplement, what should I do?

A: It's always best to consult with your healthcare provider to discuss your individual needs and any potential deficiencies. They can guide you on the appropriate supplements and dosages.

Q: Can a vegan diet be safe for children?

A: Yes, a well-planned vegan diet can be safe for children. However, it's vital to take extra care to ensure they are getting enough protein, iron, calcium, zinc, vitamin B12, and vitamin D. It's best to work with a registered dietitian or a healthcare professional to create a personalized meal plan and discuss supplementation needs.

By focusing on the key nutrients discussed above and working with your healthcare provider, you can confidently embrace a vegan lifestyle and ensure you're getting the nutrients you need to thrive. Remember, a vegan diet is about more than just food choices; it's a commitment to a healthy and sustainable lifestyle that can provide numerous benefits for your mind and body.

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