tldr: Have your blood checked.
[1] https://www.hindawi.com/journals/crinm/2012/487080/
EDIT: As most follow up comments seem to center around diet as a cause, I wanted to point out that there are several other causes.
tldr: Have your blood checked.
[1] https://www.hindawi.com/journals/crinm/2012/487080/
EDIT: As most follow up comments seem to center around diet as a cause, I wanted to point out that there are several other causes.
The vegan diet is a diet of deficiencies, and since none of them are particularly careful about what they eat, I worry that it is making them all worse off. Iron and B12 may be the most obvious, but also D3, calcium, zing, animal based nutrients like creatine, and I'm sure others.
Unfortunately, this becomes a touchy subject with them very quickly, and most of them believe "being vegan is healthier," but are uninterested in engaging with or supporting this claim.
First off, B12 is important, but most vegan milk-substitute things have 25% or 50% of the US RDA of B12 per serving. Not all - a lot of almond milk isn't supplemented with B12 (to which i grumble). They're often also iron-supplemented. Here, for example, is the nutrition label for Silk Organic Unsweetened Soy Milk:
https://silk.com/sites/default/files/products/nutrition/SK_2...
Note the vitamin D and calcium in there as well. The FDA is generally clever about the requirements they put on things -- the potential for such deficiencies is well-known, and so is addressed at a few places.
Creatine isn't a necessary nutrient - our kidneys and livers synthesize it.
Finally, I, at least get a lot of "zing" in my diet by being creative about what we cook. (Sorry, couldn't resist) Zinc, however, you should pay attention to, but eating a diversity of beans and nuts (and tofu) covers it quite well.
Seriously, though: It's not hard to have the bases covered. If you're really concerned and not just concern-trolling, sit down with your friends and a copy of Cron-o-Meter, which is one of the most comprehensive meal nutrition profilers around. It's what I used when figuring out the overall layout for our family's meals, and it did lead me to a few cheats -- like favoring molasses as a sweetener, throwing flaxseed in place of part of the flour in a bunch of recipes, etc., to make sure we were hitting all the targets. Useful software.
(Not concern-trolling, just a vegetarian who was disgruntled to discover how easy it is to become zinc deficient, after specifically asking a GP if I needed to take any supplements, and was told no. I take a 25mg daily supplement now.)
Source: https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/
In other words, you should probably be just as worried about your non-vegan friends who eat too much meat, not enough leafy greens, not enough vitamins, etc.
I was vegetarian for almost a decade, basically my 20s, and what became clear immediately was that I had to figure out different stuff to eat. Default food wouldn't work anymore, so I have to branch out a lot and find foods that I would've never thought about before. I think my experience is relatively common.
That having been said, it IS easier to have a deficient diet, if you're not paying attention. "Carbitarian" is what some people call veg-ns who just hork down pasta, bread, and whatever other unhealthy nonfood is technically animal-free.
So I think it's possible that veg-ns have a more diverse diet on average, and that they also are statistically more likely to have deficiencies (something like a bimodal distribution).
Obviously, these are empirical questions.
I'm typically vegetarian to suit my own wacky body chemistry and slow metabolism (tldr; lowered/normalized my blood pressure, cholesterol, lost weight etc by diet changes and exercise) and would like to underline the point you're making about finding dietary substitutes. Protein consumption was the hardest thing for me to adjust back into nominal ranges. It's pretty easy to overconsume carbs (carbitarianism) on the way to getting the 50-100g of protein needed for a typical semi-active to active day.
The folks who eat frozen pizza every night probably aren't the most balanced eaters.
Vegans trying to find substitutes for some of those general food types doesn't mean they end up being more diverse just that they have to look at more alternatives but the body doesn't really care if you eat iceberg and romain and baby spinach it cares that you eat fibers and protein and minerals.
I am not an expert it just seems to me that by not excluding things from your diet like meat you are getting a for much less (eating meat gives you not just protein but ex. iron)
Things that other protein substitutes doesn't necessarily give you.
Calcium can inhibit iron absorption, but not to this degree. A typical healthy individual will still be able to absorb iron from dairy products, because dairy products themselves contain iron. Where it becomes a problem is for people who are already anemic.
Remember that the body doesn't need very much iron in the first place, since it's capable of recycling it. It only needs to replace the small amount that's lost in this cycle. And furthermore, the body's absorption of iron is already pretty inefficient, so the effects of naturally-occurring calcium in dairy aren't this extreme.
How does it lack diversity? There's far, far more non-animal foodstuffs in the world than types of meat/fish... Also, most traditional and 'varied' diets contain far more vegetable matter than meat anyway.
What omnivores can consume is different from what they do consume.
Furthermore, the combination of meats, vitamin D-added milk, and enriched cereals, the latter two courtesy of the FDA who have centuries of history fighting malnutrition, and who for example introduced hominy grits to the South to combat pellagra, tends to hit everybody's basic nutrition requirements with the exceptions of dietary fiber, vitamin C, and potassium. While good health is still dependent on eating a variety of vegetables, it's important to give the US food system its due -- it produced pretty good results before the modern Age of Excessive Sweeteners.
Founded in 1906.
Iron and calcium are in plants, D is in fact added to milk, and can be added to a plant based diet via a pill as well if you don't synthesize enough. You are an animal; your body creates enough creatine (creatine production is in fact downregulated when you consume meat). B12 can also be added via a pill, and it is already added to many foods like cereal.
When you look deeper into the facts, you will see that the Standard American Diet faces far more deficiencies, the most obvious being fiber.
Eating meat is a fantastic last resort if you don't have enough food and your only other option is malnutrition/starvation, but it's terrible for you as anything other than a stopgap until you can eat some plants/fungi.
Eating meat is fantastic because it contains a lot of macro and micro nutrients. With a vegan diet it is extremely hard to impossible to get all micronutrients.
2/3 of people trying to become vegetarian start eating meat again. Meat reduction simply is more viable.
Of course eating too much of this powerful food is bad for you. But also sunlight causes a variety of diseases and we don't try to live without sunlight. Obesity and cardiovascular diseases are not really an issue if you have a reduced intake of meat. Red and processed meats increase the risks of colorectal cancer with relative increases that seem really high, but with tiny absolute increases as colorectal cancer is extremely uncommon.
Eating meat seems like a viable strategy for many other species, not sure why it isn't a viable one for humans as well, especially given that we seem to be highly evolved as hunters (I mean, we are, by a long shot, the most successful predator in recent evolutionary history).
After allowing for measurement error, a 3% increase in the consumption of energy intake from animal protein was associated with a 15% higher risk (95% confidence interval [CI]: 3-30%; p(trend) = 0.01) and a 2% increase in energy from plant protein intake was associated with a 23% lower risk (95% CI: 36-7%, p(trend) = 0.006).
It makes sense to just eat a balanced diet.
http://www.smh.com.au/lifestyle/diet-and-fitness/the-great-a...
Just an FYI: no diets have been conclusively shown to definitely be good. The science simply has never been done. The two competing diet regimes (high carb, low fat and low carb, high fat), are recommended by their supporters based on proxies for their theoretical long term benefit, not based on their measured long term benefit.
The move away from Milk products & Eggs seems to open a huge nutrient gap that the vegan population hasn't adequately identified how to fill.
Source: The Dietitian's Guide to Vegetarian Diets, 3rd edition, 2011. See page 192.
https://books.google.com/books?id=eJ10HoYQ2woC&pg=PA183#v=on...
Indians dont have a practice of regular/ preventive doctor visits, annual checkup and diagnostic testing. They only go to doctor when there are significant medical issues. So these issues are not found until they morph into bigger problems.
I have a quite a few younger cousins who died in their 30's. Not a single one ever was tested for cholesterol despite poor eating habits and obesity.
Recently I noticed a few startups in India focusing on diagnostic testing. But their user base seems to still be elderly than young people.
In India, vegetarians typically do eat dairy products (although not eggs). Dairy doesn't contain a ton of iron and cobalamin (vitamin B12), but it's a non-negligible amount, and it's possible that that alone accounts for the difference. Remember that vegetarians in India also eat a ton of lentils, which are a great source of iron when consumed in large quantities.
(While it's hard to ingest the full daily recommended amount of each from dairy products alone, an otherwise-healthy individual can make do with a lot less than the recommended levels without developing anemia).
Ghee has plenty of fatty acids and vitamins and the vegetarian food you usually get in India is soaked in it.
Indian food is also very heavy in spices many of which contain iron, zinc and many other minierals.
Women lose iron during menstruation and feel anemic sometimes.
There's sects that enforce not eating underground veg (potato/onion/ginger/etc) at anytime. Others avoid eating these only during 4 months of monsoon. Others maintain no restrictions.
One of the the core tenets is non-violence, and the Jain ideology provides levels of life, from animals, to trees, to wind and fire. Violence to sensory animals is seen as abhorrent, whereas violence to plants is unavoidable. Underground plants seem to have a higher level of life as many animals are part of their ecosystem. (One hypothesis I have is that these rules actually came about due to the seasonality of these vegetables during the inception of the ideology -- we no longer are similarly restricted in our farming.)
Lapsed members such as myself form a large part of the community -- hence the above claim is only partially true.
On a sidenote, more and more science fiction I've been reading seem to have elements (like Gaia) that provide a higher level of respect to vegetation than non-life, which has provided for some stimulating ideas.
This is, unfortunately for you, completely fabricated. I'd recommend at least checking Google Scholar before making silly claims on HN.
If you'd like to make a claim, cite your source. If you'd like to circlejerk the "vegan is bad, meat is good" fiction, downvote instead.
As a child, I insisted on being a vegitarian - as long as my parents cooked for me (and were careful to see to it that I had a balanced diet, compete proteins, lots of nutritional yeast, etc... They had spent time as vegetarians themselves, so knew how to do that.) I was quite healthy.
After I moved out? I did very poorly, because I wasn't willing or able to put in the effort to see to it that I had balanced nutrition.
That's the thing; as a meat eater? There are a lot of ways for me to get complete nutrition (and yes, it comes with a lot of other things that I don't need, but at least I get what I do need.) - so even someone who puts minimal effort into eating a balanced diet is not going to suffer from deficiencies very often, if they eat meat in the traditional manner. (Quite the opposite, really.) If you put the same effort in but avoid all meat and animal products? at least in the place and time where I live? You are probably going to make yourself sick.
In a culture where most people eat meat, you need to put in a lot more effort and research in order to avoid deficiencies as a vegetarian.
You could argue that this is a truism and that the same could be said for a meat-eater in a culture that just ate vegetables. Most cultures have evolved a traditional set of foods that won't leave you with severe deficiencies of anything, and so if you cut out certain classes of food from that tradition, you need to pay more attention to what you are consuming in order to see to it that you get enough of the nutrients you need.
I'd wager a sedentary lifestyle and stimulants are a major culprit.
I had IDA for over a year. My doctor tried to fix/ mask it with iron supplements, turns out was a coeliac. Which explains why I was constantly felt lethargic/ hung-over.
Pro tip: Don't trust everything your doctor says (new Dr suspected it and ordered tests straight away).
I've been having some unexplained medical issues lately and asked for some specialized blood tests and was refused (this being Canada, you go to the doctor with your hat in your hand, begging that they actually take your problems seriously, and if they don't want to help you, you're out of luck.)
...is a whopping 10-35 mL per period—hardly enough to cause a nutrient deficiency.
http://www.nhs.uk/Conditions/Anaemia-iron-deficiency-/Pages/...
Would whatever tests they do as part of a routine blood tests in a physical include it or is it something separate you'd have to ask for?
That being said, theres nothing about routine physicals/wellness exams that are standard. Every doctor/clinician has a different idea of what a routine physical is and many (most?) ignore official guidelines. I've had routine physicals from many different doctors (I've moved a lot) and ever single one of them do something different. One didn't actually touch me other than blood pressure (which was done by a medical assistant) but ordered a ton of "routine" blood work and talked to me a real lot. One listened to my heart, lungs, looked at my eyes, nose, throat, and felt every single one of my organs (that she could) but didn't order any blood work at all. Some call to see me every year some don't call until a few years later. Then there's this nonsense - https://sciencebasedmedicine.org/32293/
So absolutely nobody knows what your doctor orders, you'll have to ask them. (Which you should do anyways).
Routine screening of individuals without symptoms or other indications can also harm, so caution is warranted: https://sciencebasedmedicine.org/a-skeptical-look-at-screeni...
"I would like to be screened for anemia" is what you would say to your doctor.
I'm not an expert, but from what I understand iron deficiency anemia (IDA) would show in several of these standard blood test values. Not only would Hemoglobin levels be low but also the size of red blood cells be influenced. For a more specific diagnosis of IDA you could ask for ferritin levels, which are not part of the CBC.
https://www.sciencedaily.com/releases/2014/04/140423170903.h...
http://www.cbc.ca/news/technology/stroke-risk-linked-to-iron...
http://goaskalice.columbia.edu/answered-questions/does-cooki...
Someone I knew took some extra strength Pepto Bismol to treat an upset stomach and diarrhea. Her stool ended up turning black, which I advised is a sign of intestinal bleeding.
She went to the emergency room and learned that bismuth, the active ingredient in Pepto Bismol, can temporarily turn stool black. [0]
[0] https://www.pepto-bismol.com/en-us/faq/black-stool-black-ton...