Healthy Vegetarians

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Disclaimer: This material is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it. It is not intended to provide medical advice, diagnosis or treatment, nor does it replace the advice or counsel of a doctor or health care professional. Reference to a specific commercial product or service does not imply endorsement or recommendation of that product or service by CPCMG.

Information about staying healthy while following a vegetarian diet

What Do Vegetarians Eat?

Classification

Foods Included

Foods Avoided

Vegan

Grains, legumes, nuts, seeds, fruits, vegetables, all soy products.

All animal-based meat products, which includes poultry, fish, eggs, dairy, honey, casein/whey-based products.

Lacto-Vegetarian

All the above plus dairy products.

All animal-based meat products including poultry, eggs, and fish.

Lacto-Ovo-Vegetarian

All the above plus dairy and eggs.

All animal-based meat products including poultry and fish.

Pescatarian

All of the above and plus fish and seafood.

All animal-based meat products including poultry and eggs.

What Do I Need to Stay Healthy?

  • Protein:

    • Include beans, lentils, soy, peanuts, peas, dairy, or eggs in meals.

    • Vegans may need to eat a larger amount of these protein-based foods (beans, lentils, soy, peanuts, and peas) because plants do not always have the same level of protein found in dairy and eggs.

  • Iron:

    • This is harder to get enough of from non-meat sources.

    • Vegetarians do need to eat more iron to make sure they have enough.

    • Eating too little iron can lead to anemia.

    • Include foods that are iron-rich. Examples are soy, lentils, chickpeas, black-eyed peas, beans, and seeds like sesame, and hemp in meals for iron.

    • Your body absorbs iron better when you eat Vitamin C foods at the same time.

      • Foods high in Vitamin C: oranges, cantaloupe, kiwi, mango, papaya, pineapple, strawberries, broccoli, brussels sprouts, green and red peppers, kale, and cabbage.

  • Zinc:

    • Be sure to eat foods with lots of zinc, as this can be harder to get enough of as a vegetarian.

      • Good sources: soy, beans, lentils, peanuts, tree nuts, peas, grains (especially breads like sourdough, rye, pumpernickel, and whole wheat), and seeds.

    • Your body can absorb zinc better if you soak nuts, seeds, and grains in water prior to eating them.

    • Fermented foods like sauerkraut, pickles, kefir (found in the dairy aisle), yogurt, kimchi, and sourdough bread help the body absorb zinc better.

Children with vegetarian diets maintain similar growth and nutrition ...

  • Vitamin B12:

    • This vitamin is found largely in animal products, but most vegetarians can consume enough.

    • If your child is a vegan, taking a Vitamin B12 supplement or making sure they eat fortified B12 sources like fortified nutritional yeast, some meat substitutes, and some soy milks.

      • Be sure to read product labels.

    • Sources that contain smaller amounts: nori, chlorella, spirulina, unfortified nutritional yeast, and some fermented foods like tempeh.

  • Calcium:

    • Some veggies have calcium in them, but sometimes other substances in the veggies make it harder for the body to absorb.

      • Good sources the body can absorb well: kale, turnips, Chinese cabbage, and bok choy, fortified plant milks, soy, white beans, almonds, tahini, figs, and oranges.

  • Vitamin D:

    • Sources that have smaller amounts, egg yolks and certain mushrooms.

    • Sources with higher amounts are cow’s milk, tofu, fortified orange juice and plant-based milks (examples: almond, soy), some margarines and breakfast cereals.

    • Spending time in the sun with sunscreen on is helpful for absorbing Vitamin D.

  • EPA + DHA Omega 3 Fatty Acids:

    • These are healthy fats.

    • It is harder to get a good amount in a vegetarian diet and nearly impossible in a vegan diet because these mainly come from cold-water fish.

    • Sources to include in your meals: seeds (flax, chia, camelina, canola, and hemp), walnuts, and their oils.

Helpful Tips:

  • Eating a rainbow of fruits and vegetables is key.

  • Make sure you get well balanced meals.

  • This Well Clinic Cookbook has quick ideas for healthy meals and snacks.

  • For more help or questions reach out to your child’s primary care provider.

This publication was adapted from information within American Academy of Pediatrics Patient Education Handouts and Healthychildren.org

Reviewed by: TT D.O., AR D.O. 09/24

vegetarian, vegan, health, nutrition, pescatarian