Have heard of dozens more of similar cases from friends of friends. I think the vegetarians and vegans are indeed falling ill, it just happens over a long period if time and not very noticeable.
Regarding cholesterol, why would I need any additional cholesterol? Liver and cells make enough for what the body needs. Choline RDA is questionable and European food agencies are lowering RDA for Choline. But anyhow when I track my food intake through apps like Cronometer I consume RDA levels of choline from plants only.
As for the Retinol/Beta carotene, RDA for retinol is about 3000IU/day, just one sweet potato has about 30 000IU of beta carotene, so even with a low conversion rate it is very easy to go over RDA for Retinol.
Calcium is abundand in whole food plant based diets too. And osteoporosis is not a simple issue as the amount of calcium, D and K2 vitamins are very important for this issue too, for example Japanese vegan woman who eat Natto (k2) and low (what is concidered low) calcium do not have problem with osteoporosis.
Point is that you can have crap diet being vegan or not but you can also have very healthy one if you are smart with the food. And again, if vegans miss on some very essential nutrient (except maybe b12 which should be suplemented), why are vegan populations living longer on average?
It occurred to me that nutrient deficiency might be an indicator of inadequate caloric intake, which might explain the increased lifespan.
Natto does have K2, but that is not the common form that Westerners consume at all. Meanwhile soy has quite a lot of lectins and phytic acid that inhibits uptake of nutrients.
The thing is with a vegan diet it requires this carefully balanced cocktail of complex foods that require fermentation, sprouting, etc to get around the many trade offs in the diet. And people just pitch it as some cure all approach to human health.
Hong Kong eats 50% more beef per capita on average than Americans do and they're the 3rd longest living population in the world. The Sami (an indigenous group of carnivore reindeer herders in Northern Scandinavia) and Swedish people (mostly omnivorous) have comparable life expectancies, but the Sami suffer from lower rates of heart disease.
India has a very large population of vegetarians, and their life expectancy is less than 69 years.
Furthermore, some plants like Spinach for example, have oxalates that bind to nutrients and prevent your body from absorbing them. It binds to calcium and prevents your body from absorbing it. Animal foods have a lot of calcium. Plants not so much, and you couple that with the antinutrient effect of some plants and you end up with deficiencies. That's not even getting into lectins and phytic acid.
Broccoli has plenty of calcium.[1] B12 is easily supplemented and also present in dairy (which vegetarians consume) and eggs (which also many vegetarians consume). I'd never heard of vitamin K2 but it also is apparently present in eggs, butter, cheese and natto (fermented soy).[2] I love meat but let's not state with complete confidence that eating animals is mandatory for good health. India has more lacto-ovo vegetarians than the rest of the world put together and they're doing fine.
1. https://www.iofbonehealth.org/osteoporosis-musculoskeletal-d...
2. https://kresserinstitute.com/vitamin-k2-consuming-enough/
Boiling vegetables removes a lot of oxalate. Recommended for people with a predisposition toward kidney stones.
Almost all women experience menopause, and some lost their ability to reproduce.
Becoming a vegan and getting nutrients you need is especially hard and almost all vegans fail on that.