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A Vegan Diet
  Vegan Diet
 Conditions that suggest it
 Contributing risk factors
 It can lead to...
 Treatment recommendations
 


A vegan diet is a strict vegetarian diet without any eggs or dairy products. A well-balanced vegan diet provides all the essential nutrients you require and has the same overall health advantages as a vegetarian diet. Nutritional guidelines for vegans are essentially similar to those for vegetarians, although vegans lack the option of gaining certain nutrients from dairy products and eggs. Being more restricted than the more common lacto-ovo vegetarian diet, vegan eating plans need to ensure adequate intake of certain nutrients by consuming adequate quantities of appropriate plant-foods.

  • Vitamin B2 (Riboflavin). Certain studies have found vegans to have a low intake of vitamin B2. Good sources of vitamin B2 include: whole grains, mushrooms, almonds, leafy green vegetables and yeast extracts.
     
  • Vitamin B12. Vitamin B12 is absent from plant-foods, being found mainly in meat products, dairy products and eggs. Fortunately, vegans may obtain B12 from a wide range of B12-fortified foods. Such B12-fortified foods include: yeast extracts, veggie-burger mixes, breakfast cereals, vegetable margarines and soy milk. There is widespread belief that (some) people can manufacture (some of) their own B12 in their gut, and that B12 occurs naturally on unwashed (organic) fruits and vegetables. This is still a subject of debate since the amount of B12 required by humans is almost too small to measure.
     
  • Vitamin D. Vitamin D is found in oily fish, eggs and dairy products. It is not found in plant foods. Fortunately, as with vitamin B12, vegans can obtain vitamin D from vegetable margarines, soy milk and certain other foods which are fortified with vitamin D. In addition, our bodies make vitamin D when exposed to adequate sunshine, so vegans without access to sunshine should increase their vitamin D intake accordingly.
     
  • Iodine. Some studies have indicated some vegans have a low iodine intake. Plant-sources of iodine include: seaweeds, vegetables and grains, although amounts of iodine in the last two sources will depend on the iodine content of the soil that they were grown in. Ordinary kitchen salt is often fortified with iodine.
     
  • Calories. Many plant-foods in a vegan diet are high in bulk and may satisfy hunger without providing sufficient calories. Vegans should therefore watch their calorie-intake to ensure they have adequate energy levels. This is, however, not seen as a major problem.





Conditions that suggest A Vegan Diet:
Nutrients  Zinc Requirement
 Vegetarians who consume a variety of legumes and nuts will probably meet their zinc requirement, but otherwise a vegetarian diet may be inadequate in zinc. Since the zinc from plant sources is absorbed less readily, this increases the concern about zinc status in vegetarians who do not consume legumes and nuts.

Risk factors for A Vegan Diet:
Symptoms - Food - Preferences  Vegan diet (confirmed)

A Vegan Diet can lead to:
Hormones  Hypothyroidism
 Sub-clinical hypothyroidism, with raised thyroid stimulating hormone (TSH) levels but mild or absent overt symptoms, has been found to be more common among vegans than the general population. Most vegans have low iodine intakes but a significant minority consume excessive amounts of iodine from seaweed, particularly kelp. Both low and excessively high iodine intakes in vegans have been linked to elevated TSH levels. The optimal range for TSH appears to be 1-2 mIU/l with values below 0.5 suggesting hyperthyroidism and values above 5 suggesting hypothyroidism.

Recommendations and treatments for A Vegan Diet:
Animal-basedNot recommended:
  Chitosan
  Heparin
  Fish Oils
  CLA (Conjugated Linoleic Acid)
  Thymic Factors
  Colostrum / Transfer Factor
  Bile Salts
  Glucosamine / Chondroitin Sulfate
  Lactoferrin

Diet

Not recommended:
  Increased Fish Consumption

Lab Tests/Rule-Outs

  Test for B12 Levels
 For longer-term vegans who have not been too careful about consuming enough B12 (in the form of supplements or fortified foods), it would be wise to have B12 levels assessed and to commence dietary supplementation immediately. Some 80% of people who have been vegan for over 2 years have a functional B12 deficiency, meaning their homocysteine is too high.

Mineral

  Iodine
 Vegans who don't eat sea vegetables or use iodized salt should consider supplementing their diet with iodine. Using excess salt is not good for the bones, but if you do use table salt, use iodized salt.

  Zinc
 Vegetarians may need as much as 50% more zinc than non-vegetarians because of the lower absorption of zinc from plant foods, so it is very important for vegetarians to include good sources of zinc in their diet.

Vitamins

  Vitamin B12 (Cobalamine)
 B12 supplementation is highly recommended for those on a vegan diet.


KEY
Strong or generally accepted link
Proven definite or direct link
May do some good
Highly recommended
Avoid absolutely


GLOSSARY

Cobalamin (B12, B-12, Cobalamine, Vitamin B12)
Essential for normal growth and functioning of all body cells, especially those of bone marrow (red blood cell formation), gastrointestinal tract and nervous system, it prevents pernicious anemia and plays a crucial part in the reproduction of every cell of the body i.e. synthesis of genetic material (DNA).

Hormones (Hormone)
Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.

Hyperthyroidism (Hyperthyroid)
An abnormal condition of the thyroid gland resulting in excessive secretion of thyroid hormones characterized by an increased metabolism and weight loss.

Hypothyroidism (Hypothyroid)
Diminished production of thyroid hormone, leading to low metabolic rate, tendency to gain weight, and sleepiness.

Iodine
A essential mineral that is an integral part of the thyroid hormones, thyroxin and triiodothyronine which have important metabolic roles and govern basal metabolism. The best known iodine deficiency symptom is goiter. Other iodine deficiency problems are reduced vitality, hypothyroidism, inability to think clearly, low resistance to infection, loss of control of the muscles of the mouth resulting in mouth contortion and drooling, defective teeth, tendency to obesity and cretinism which is a congenital abnormal condition marked by physical stunting and mental deficiency.

IU (mIU, uIU)
International Unit: An arbitrarily defined but agreed upon unit that depends on what is being measured.
mIU: 0.001 or one thousandth of an IU.
uIU: 0.000001 or one millionth of an IU.

Riboflavin (B2, B-2, Vitamin B2)
A B-complex vitamin that acts as a coenzyme that activates the breakdown and utilization of carbohydrates, fats and proteins. It is essential for cellular oxidation and necessary for healthy skin and eyes.

Thyroid (Thyroid Gland)
The thyroid gland is an organ with many veins, anchored around the front of the throat near the voice box. It is essential to normal body growth in infancy and childhood. It absorbs iodine from the diet and releases thyroid hormones - iodine-containing compounds that help govern the rate of the body's metabolism (its total life processes), affecting body temperature, and regulating protein, fat and carbohydrate catabolism in all cells. They keep up growth hormone release, skeletal maturation, and heart rate, force, and output. They promote central nervous system growth, stimulate the making of many enzymes, and are necessary for muscle tone and vigor. To a high degree, metabolism is regulated by the hormone thyroxine, which can be made by the thyroid if enough organic iodine is available. An enlarged thyroid gland that is not cancer is sometimes called goitre.

Vegan (Veganism, Vegans)
A person who consumes no animal products of any kind. In other words, vegans do not consume meat, fish, fowl, dairy products, eggs, honey, or products containing gelatin or any other animal-derived ingredients such as whey powder or food colorings.

Vegetarian (Lacto-Ovo-Vegetarian, Vegetarianism, Vegetarians)
A person who consumes no meat, fish or fowl (chicken, turkey, etc.), but who may consume animal products such as dairy products (milk, cheese, butter, etc.), eggs or honey.

Vitamin D
A fat-soluble vitamin essential to one's health. Regulates the amount of calcium and phosphorus in the blood by improving their absorption and utilization. Necessary for normal growth and formation of bones and teeth. For Vitamin D only, 1mcg translates to 40 IU.

Yeast
A single-cell organism that may cause infection in the mouth, vagina, gastrointestinal tract, and any or all bodily parts. Common yeast infections include candidiasis and thrush.

Zinc
An essential trace mineral. The functions of zinc are enzymatic. There are over 70 metalloenzymes known to require zinc for their functions. The main biochemicals in which zinc has been found to be necessary include: enzymes and enzymatic function, protein synthesis and carbohydrate metabolism. Zinc is a constituent of insulin and male reproductive fluid. Zinc is necessary for the proper metabolism of alcohol, to get rid of the lactic acid that builds up in working muscles and to transfer it to the lungs. Zinc is involved in the health of the immune system, assists vitamin A utilization and is involved in the formation of bone and teeth.




Last updated: Apr 13, 2008


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