This review identifies critical dietary deficiencies common in vegan diets, including inadequacies in vitamin B12, iron, calcium, vitamin D, iodine, zinc, and omega-3 fatty acids, and explores strategies to mitigate these risks. These deficiencies result in chronic diseases like anemia, osteoporosis, and neurological disorders.
The biggest red flag is B12. Vitamin B12 deficiency in vegetarians has been evidenced and there is a consensus on the need of supplementation of this vitamin. Unlike other nutrients, B12 simply doesn’t exist in reliable amounts in plants. Your body stores it for months, so you feel great at first, then fatigue, tingling, cognitive fog and megaloblastic anemia can appear.
Other gaps:
Iron: Plant iron (non-heme) has low bioavailability. Vegan women are especially at risk.
Calcium & Vitamin D: Without dairy and with limited sun, bone density can suffer.
Iodine, Zinc, Selenium: Systematic reviews show vegan diets may come short in these trace minerals.
Omega-3 (EPA/DHA): Algae oil helps, but conversion from flaxseed is poor.
The risk of nutritional deficiencies can be reliably reduced by supplementation but requires risk-awareness. That is the key sentence: it can be managed, but only if you know about it.