Research shows that vegan diets can be very healthy, but also that certain nutrients are more likely to be low if you don't plan things properly – especially vitamin B12, vitamin D, calcium, iodine, iron, zinc and omega‑3 fats (1–4). The good news is that with a handful of daily habits and (usually) a couple of well-chosen supplements, you can cover these comfortably (1–5).
Vitamin B12
Why it matters: Vitamin B12 is crucial for red blood cells, nerve function and DNA synthesis. Deficiency can cause anaemia, fatigue and neurological problems (1,4).
What the research says: Reviews consistently identify B12 as the key nutrient of concern in vegan diets, because it's not reliably present in unfortified plant foods (1–4). Vegans who do not use supplements or fortified foods regularly almost always show lower B12 status and higher risk of deficiency (2,4).
Simple ways to cover it:
- Use fortified foods most days – nutritional yeast ("nooch"), fortified plant milks, breakfast cereals, and yeast spreads like Marmite often contain B12 (check the label) (3,5,6).
- Follow guidance to either eat B12‑fortified foods at least twice daily aiming for around 3 micrograms per day, or take a B12 supplement such as 10 micrograms daily or 2000 micrograms weekly (5,6).
- For most fully plant-based eaters, a B12 supplement plus some fortified foods is the simplest, most reliable approach (1–4).
Vitamin D
Why it matters: Vitamin D supports bone health, immunity and muscle function (3,5). In the UK, many people – regardless of diet – have low vitamin D, especially over autumn and winter (3).
What the guidance says: UK guidance suggests that everyone should consider a daily vitamin D supplement, particularly between October and March, and some may benefit year‑round (3). Vegan diets can be low because most natural sources are animal-based and sun exposure is often limited (1–3).
Simple ways to cover it:
- Sensible sun exposure in spring and summer when possible.
- Fortified plant milks, spreads and yoghurts with added vitamin D (check labels) (3).
- A vitamin D supplement (often D2 or vegan D3), with dose tailored to you – something we can personalise based on your bloods and risk factors (1,3).
Iodine
Why it matters: Iodine is essential for thyroid hormones, which regulate metabolism, energy and growth (1,2).
What the research says: Vegan diets often have lower iodine intakes and lower iodine status than omnivorous diets, especially where iodised salt isn't routinely used (1,2,7). The 2025 review on vegan deficiencies highlights iodine as a recurrent issue if no strategy is in place (2).
Simple ways to cover it:
- Use iodised salt at home if appropriate for your blood pressure and health context (1,2).
- Include small amounts of seaweed such as nori or wakame; avoid very large amounts of kelp, which can provide excessive iodine (1,2).
- Consider a supplement that includes iodine, particularly if you don't use iodised salt or seaweed regularly – something we can decide together based on your diet and labs (1,2).
Seaweed is powerful; a little goes a long way, so it's worth getting this one right.
Omega‑3 fats (ALA, EPA, DHA)
Why they matter: Omega‑3 fats are involved in heart health, brain function and vision (1,2). On a vegan diet, you get ALA from plants, and your body converts some of it into EPA and DHA.
What the research says: Vegan diets typically provide less preformed EPA and DHA than omnivorous diets, and blood levels can be lower on average (1,2). Health outcomes are still generally favourable, but a sensible omega‑3 strategy is recommended, especially for certain groups (1,2).
Simple ways to cover them:
- Aim for daily ALA sources: ground flaxseed, chia seeds, hemp seeds and walnuts are your go‑tos (1,2,5).
- Use rapeseed (canola) oil as a main cooking oil for extra ALA.
- Many people choose to add an algae-based EPA/DHA supplement, especially if they don't regularly eat ALA-rich foods or have higher needs – something to individualise if we work together (1,2).
Iron
Why it matters: Iron is needed for haemoglobin and oxygen transport; low iron can cause fatigue, weakness and reduced exercise capacity (1,3,5).
What the research says: Vegan diets can actually be quite high in iron on paper, but plant (non‑haem) iron is less readily absorbed than haem iron from meat (1–3). Reviews flag iron as a nutrient to watch, especially for menstruating women, athletes and those with higher requirements (1,2).
Simple ways to cover it with food:
- Build in iron-rich plant foods daily: beans, lentils, chickpeas, tofu, tempeh, wholemeal bread, fortified cereals, nuts, seeds and dark green leafy veg (3,5,6).
- Pair iron-rich foods with vitamin C sources (e.g. peppers, berries, citrus, kiwi, broccoli) to boost absorption (1,5,6).
- Avoid tea and coffee with meals, as they can reduce iron absorption (5,6).
- If you have a history of low iron or symptoms, blood tests and tailored advice (including possible supplementation) are key.
Calcium
Why it matters: Calcium is vital for bones, teeth, muscle contraction and nerve signalling (1,3,5).
What the research/guidance says: Vegan diets can meet calcium needs, but only if you deliberately include calcium-rich foods (1–3,5). Without this, intake is often below recommendations in vegans (1,2).
Simple ways to cover it:
- Choose calcium-fortified plant milks and yoghurts (aim for around 120 mg calcium per 100 ml in milks – check labels) (3,5).
- Include tofu set with calcium sulphate, as well as tahini, almonds and some leafy greens like kale and pak choi (1,3,5).
- A simple pattern is: fortified milk in drinks and breakfast, tofu a few times a week, plus greens and tahini.
Zinc and selenium (briefly)
Zinc supports immunity, wound healing and skin health; selenium is important for antioxidant defences and thyroid function (1,2,4).
Simple ways to cover them:
- Zinc: beans, lentils, chickpeas, whole grains, nuts and seeds (especially pumpkin and hemp seeds) most days (1,2).
- Selenium: a couple of Brazil nuts on most days can meet selenium needs for many adults, alongside whole grains and legumes (2,4).
Bringing it together (without overwhelm)
You do not need to micromanage every nutrient. In practice, a solid plant-based routine might look like:
- Fortified plant milk, nooch and/or Marmite most days for B12 and extra B vitamins (3,5,6).
- Ground flax or chia plus walnuts most days for omega‑3 (1,2).
- Beans, lentils or tofu daily for protein, iron and zinc (1–3).
- Iodised salt and occasional seaweed for iodine (1,2).
- Fortified plant milks, tofu, greens and tahini for calcium (1,3,5).
- A sensible supplement plan for B12 and vitamin D, and possibly iodine and algae‑derived omega‑3 depending on your context (1–3,5).
If you'd like help turning that into meals you actually look forward to – and a nutrient strategy you hardly have to think about – that's exactly what we can build together.
References
1. Craig WJ, Mangels AR. The safe and effective use of plant-based diets with guidelines for health professionals. Nutrients. 2021;13(11):4144.
2. Elorinne A-L, et al. Analytical review on nutritional deficiencies in vegan diets: risks, prevention, and optimal strategies. Nutr Rev. 2025;83(8):e2063–e2085.
3. NHS. The vegan diet – how to eat a balanced vegan diet. NHS.uk; 2025.
4. Consensus Academic Review. Vitamin deficiencies in vegan diets. Consensus.app; 2020.
5. Royal United Hospitals Bath NHS Foundation Trust. Plant based, vegetarian and vegan diets: getting the right nutrients. Patient information leaflet DTT005; 2023.
6. NHS Lanarkshire Dietetic Department. Guidance on following a vegan diet. Patient information leaflet; 2022.
7. Heniková M, Ouřadová I, et al. Dietary intake, nutritional status, and health outcomes among vegan, vegetarian, and omnivorous Czech families. Commun Med. 2025;5:57.
8. UCLH. A nourishing plant-based diet – essential nutrients and plant-based food sources. University College London Hospitals; 2025.