Does veganism make you anaemic? Boost your testosterone? Make you B12 deficient? Lower your cholesterol?
It’s been almost a year since I decided to give veganism a try, so last week I bought myself a late Christmas present: a battery of blood tests covering 58 different biomarkers. Not everyone’s idea of fun, but, as a self-confessed data freak, definitely one of mine.
If you’ve ever been curious about what veganism does to an otherwise healthy 38 year old male with Hashimoto’s hypothyroidism, then, boy, are you in for a treat!
Step One: Finding dietary deficiencies
For the two weeks leading up to my blood tests, I also tracked my diet using a web app called Cronometer. It’s got a huge database of different foodstuffs—yes, including maca powder and pea protein—and you can create your own recipes. As easy as it is to use, however, I really can’t be bothered to do it for more than two weeks.
This is what I learned about my current vegan diet.
Don’t be shy to add protein
Without the meat-eaters carnal reflex, vegans can get distracted by the delicious rainbow of vegetables and end up eating less protein than they need. This was something a perspicacious friend noticed after my diet swerved to consist of nothing but incredible curries from Meera Sodha’s Fresh India.
In response to the data, I’m now drinking the odd protein smoothie for breakfast, particularly on days when I do press ups and kettlebell swings. Depending on the exact recipe, that gives me at least 45g of protein before I’ve even started the day.
Tofu and tempeh, beans and lentils are other popular vegan sources of protein and easily added to any recipe that’s otherwise missing that particular macronutrient. Other easy tweaks include exchanging white rice for British quinoa and preparing a 100g bowl of nuts and seeds to graze on through the day.
It’s worth noting that these vegan sources of protein cost 2-5p per gram of protein, a similar range as meat proteins (beef mince costs 2p/g; chicken breast 3p/g; beef steak 5p/g). Tempeh can cost a little more—my source is 7p per gram—but it’s delicious so I’m happy with that.
I have also dabbled with textured vegetable protein (TVP) and even defatted peanut flour—both much tastier than they sound and both excellent value for money at only 1p per gram of protein.
Eat these superfoods every day
One very cool thing about Cronometer is that it gives you a breakdown of where you’re getting your various nutrients from. That means you can easily discover your own personal superfoods: those foods that you should eat every day to make sure you’re getting the full spectrum of vitamins and minerals without having to resort to supplements.
For me, tahina is a superfood. It’s high in Omega-6, iron, saturated fats, vitamin B1, calcium, selenium, manganese and zinc, as well as protein. Plus it’s easy to hide in a meal or spread on toast or tortillas.
Flax, chia and hemp seeds are also superfoods for me. They’re high in Omega-3, vitamin K, manganese, zinc, selenium, magnesium, iron, vitamin B1, as well as protein. I can mix 15-20g of each into my morning oats or into a protein smoothie. Seeds are also a big part of my Bread of Life recipe.
A colourful daily salad is also a superfood, made up of vitamin-rich yellow, red and green leafy vegetables (kale, spinach, okra). However: a daily salad is also a bit of a faff. If it’s too much of a faff (and recently I confess it has been) then I can downgrade this to an emergency carrot, which makes sure I get enough vitamin A so that I can see in the dark.
Another red flag in my Cronometer data is calcium. On only one day in the past fortnight have I managed to hit 100 percent of my recommended daily allowance. That was Pancake Day because I used a fortified oat milk to fuel my flipping overdose. I really should be eating green leafy vegetables like kale, spinach and okra every day. Or, when I’m thrill-seeking, dried figs.
Dr Greger’s savoury blend of ten different spices is also worth a mention in the superfoods column. One teaspoon offers a neat little dose of B vitamins, vitamin K and zinc—and will bring the zing to any lifeless snack.
Finally: nuts. A wee bowl of mixed nuts is fabulous for B vitamins, vitamin E, iron, magnesium, manganese, zinc and the full spread of amino acids. Brazil nuts deserve a special shout out for giving me all the selenium I could ever dream of, as well as a dose of that easily-overlooked calcium.
As a vegan, the Cronometer data confirmed that I must supplement with Vitamin B12 and Vitamin D. Simple as that. I also take a daily multivitamin, which covers all bases, just in case.
More interestingly, I have also been taking a creatine supplement of about 3-5g per day. Creatine is an amino acid found only in meat muscle and is great for intense exercise and building testosterone.
Step Two: What does the blood say?
Now comes the part you’ve all been waiting for: the results of those 58 blood tests.
Drum roll, please… Ta-dah!
I don’t want to blind you with data, so here’s a very brief summary of what the blood told me:
- I’ve been ill recently: my immune system was stressed.
- I have a thyroid autoimmune disease. Nice to know that the NHS hasn’t been gaslighting me all these years.
- Otherwise: all good! That is to say: the remaining 56 biomarkers were all within the normal range.
It turns out that, after almost a year of veganism, I have a healthy liver and kidneys, healthy levels of inflammation, protein and vitamin D. My cholesterol profile is ‘excellent’ and I don’t have diabetes or gout. My homones, including testosterone, are also completely fine.
Side story: Normal testosterone reference levels are different between the UK and the US. Apparently, testosterone has been falling in men for decades and, rather than untangle the environmental factors that may be behind this—stress, noise, pollution, antibiotics—medical scientists have instead been revising down their definition of ‘normal’. This is called shifting baseline syndrome and is also the reason why, as generation cedes to generation, we have been gradually downgrading our expectation of the number of songbirds in our garden. For example.
However: the doctor who interpreted the tests for me did mention that my B12 levels were on the low side. He recommended that I take a further test to check for any underlying problems, such as pernicious anaemia, which is fairly common in patients with Hashimoto’s hypothyroidism.
Then, when I shared my results on a semi-reputable Hashimoto’s internet forum, someone stepped in to tell me that my iron levels were also pretty low for a man. Apparently, people with autoimmune conditions like Hashimoto’s can have trouble absorbing nutrients like B12 and iron. All the more reason to stuff down that kale.
Step Three: What about my day-to-day feels?
It’s all very well analysing dietary and blood data, but what about my day-to-day feels?
Obviously, the past year has been WEIRD. Pandemic isolation was one of the main logistical reasons why I was able to make the leap to veganism in the first place, but the accompanying onslaught of weirdness is also a confounding factor when trying to decide whether I’ve felt stronger in mind and body since changing my diet.
Bearing that in mind, in short, I don’t think I feel any different. I don’t feel awful, but nor do I feel superhuman. And I think I’m still just as much of a hypochondriac as I was before—you can imagine my delight when I saw that the blood tests supported my assertion that I’ve been feeling run down over the past few months.
One thing that has definitely been a huge improvement since going vegan is how much more fun I’m having in the kitchen. As I mentioned earlier, the gift of recipe book Fresh India pretty much changed my eating life. I’ve also really got into baking bread, including tortillas and naans. Veganism has helped me enjoy making an effort—even when that effort is waiting three weeks for kimchi that would last only a weekend.
However, I’m not the only person in the world who has, over the past year, been forced to familiarise themselves with the interior life of hearth and home. If it wasn’t for my whimsical experiment with isolation veganism, would I perhaps be writing to you today about the wonders of knitting? We will never know. But it’s lunchtime now and I’ve got a loaf in the oven—bon appétit!
I have decided to experiment with a dietary change even more radical than eating more kale. Yesterday, I bought and ate 90g of Dorset lamb liver. Yes, I know what you’re thinking: yuck. Also: that’s not vegan. Both excellent observations.
The problem is that there are no wholefood vegan sources of B12. All vegans can do is eat supplements, either in pill-form or in fortified processed food. Even then, I’d need to eat 31 teaspoons of B12-enriched yeast flakes or an entire jar of Marmite to match what I’d get from one serving of liver.
Lamb liver is extraordinarily high in B12 and iron. According to Cronometer, that one portion of lamb liver gave me 2,868 percent of my daily allowance of B12, as well as 93 percent of my iron. Take that, poor absorption!
After reading Spoon-Fed, epidemiologist Tim Spector’s most recent book, I am prepared to at least entertain the idea that eating meat might be better for my body than eating pills.
Side note: I’m pretty sure that eating meat will be worse for the environment, but I am slightly comforted by the thought that the lambs lived very locally and that no one else will eat the liver anyway. Maybe?
B12 is water-soluble and the body doesn’t store much in reserve, which means that I need to get enough B12 in my diet every single day. My liver-vegan experiment will run for the next two months and I intend to eat one portion of lamb liver every week, split over three meals, take high strength B vitamin supplements every day, and continue to add a teaspoon of B12-enriched yeast flakes to my food.
At the beginning of May, I’ll test my levels of B12 and iron again and see what, if anything, has changed.
Rumours circulating on the Hashimoto’s forums indicate that this all-guns-blazing intervention might raise my B12 and iron to the point where I can drop the liver and return to a normal vegan diet. We shall see.
If you’re curious, I got the Ultimate Performance blood test from Medichecks. It’s usually £200, but often discounted. I got mine for £180, including an appointment with a nurse to take the blood.