Vegan Diet — Diets

Complete exclusion of animal products for health, environmental, and ethical considerations with growing evidence for cardiometabolic benefits.

Overview

A vegan diet excludes all animal-derived foods including meat, dairy, eggs, and honey. The EPIC-Oxford study and Adventist Health Study-2 provide the largest cohort data, showing vegans have lower BMI, lower total and LDL cholesterol, lower blood pressure, and reduced type 2 diabetes risk compared to omnivores. A 2023 twin study from Stanford demonstrated significant cardiovascular risk factor improvements in twins randomized to vegan vs. omnivore diets over 8 weeks. Unlike WFPB, vegan diets may include processed foods, oils, and refined products. Critical nutrient attention is needed for B12, vitamin D, omega-3, iron, zinc, calcium, and iodine.

Indications

  • Cardiovascular risk reduction
  • Type 2 diabetes prevention and management
  • Weight management
  • Environmental sustainability

Mechanism of Action

Zero dietary cholesterol intake combined with high fiber reduces hepatic cholesterol pool and upregulates LDL receptor expression

Dosing

CompoundDoseFrequencyNotes
Vegan DietAll plant-based foods; no animal productsDailyQuality matters: whole foods preferred over processed vegan products

Evidence Grade

GRADE C

Safety & Contraindications

  • Vitamin B12 supplementation is absolutely essential
  • Risk of deficiency in D, omega-3 DHA/EPA, iron, zinc, calcium, iodine
  • Processed vegan foods can be high in sodium, sugar, and seed oils
  • Requires nutritional knowledge for long-term health
  • Growing children, pregnant/lactating women need careful planning