Nutrients to Watch When Starting a Vegetarian Diet

Kate Keirsey
April 18, 2025

Starting a vegetarian diet can be a challenging shift—whether it’s for your health, your values, or your family’s mealtime preferences. A well-planned vegetarian diet can support every stage of life, from toddlerhood through adulthood, but there are a few nutrients that deserve a closer look when meat is no longer part of the plate.

As a family dietitian, I often support individuals and families navigating plant-based eating. Below are the top nutrients I monitor when someone begins a vegetarian diet. With just a bit of intention and planning, these nutrients can be covered beautifully through food and, when needed, supplements.

Vitamin B12: Essential for Energy and Brain Health

Vitamin B12 is vital for nerve function, red blood cell production, and long-term brain health. Since it’s only found naturally in animal products, vegetarians need to look to fortified foods or supplements. It is especially important for older adults, as it becomes harder for our bodies to process with age.

How to get it:

  • Fortified foods like plant-based milks, breakfast cereals, and nutritional yeast
  • A daily or weekly B12 supplement (especially important for vegans)

Even mild B12 deficiencies can cause fatigue, memory changes, or neurological symptoms—so it’s a smart nutrient to stay ahead of.

Iron: Crucial for Kids, Teens, and Menstruating Women

Iron helps your body carry oxygen and supports focus, growth, and immune health. While plant-based sources like beans, lentils, tofu, and leafy greens provide iron, it’s not absorbed as efficiently as the iron found in meat.

Tips for better absorption:

  • Pair with vitamin C-rich foods (like bell peppers, oranges, or tomatoes)
  • Avoid tea or coffee with iron-rich meals
  • Cook in cast iron when possible

Iron needs are especially high during periods of rapid growth and menstruation. If you or your child seem unusually tired, pale, or easily winded, it may be time to check iron status with your pediatrician.

DHA: A Brain-Supporting Omega-3 Fat

DHA is an omega-3 fatty acid important for brain and eye development in babies and children—and for brain and heart health in adults, too. Most DHA comes from fatty fish, but vegetarians can get it from algae-based DHA supplements, which are widely available.

Consider supplementing if you’re:

  • Pregnant or breastfeeding
  • Raising children on a vegetarian or vegan diet
  • Not eating fish or seafood regularly

You can also include plant-based omega-3s from walnuts, chia seeds, flaxseed, and canola oil—but know that the body converts them to DHA only in small amounts.

Zinc: Small But Mighty for Growth and Immunity

Zinc supports the immune system, wound healing, and growth—especially important during childhood and adolescence. While zinc is present in plant foods like whole grains, legumes, nuts, and seeds, it may be less bioavailable than zinc from meat.

To support absorption:

  • Include a variety of zinc-rich foods throughout the week
  • Soak or sprout beans and grains when possible
  • Work with a dietitian if your child is a selective eater

Zinc supplements are not always necessary but may be helpful in some cases.

Protein: Easier Than You Think, Especially for Kids

Let’s clear up a common myth: it is absolutely possible to meet your protein needs on a vegetarian diet—even for growing kids and active adults. It just takes a little more mindfulness.

Vegetarian protein sources include:

  • Beans and lentils
  • Tofu and tempeh
  • Eggs and dairy (if included)
  • Nuts, seeds, and whole grains

For children, protein needs are often lower than what parents assume. Most kids can meet their needs through a balanced vegetarian diet without protein powders or supplements. The key is variety—offering protein at most meals and snacks helps ensure daily needs are met.

If you’re raising a picky eater or a child with food sensitivities, a family nutritionist can help you make sure they’re still getting enough.

Thinking About a Pescatarian or Flexible Approach? It Might Be a Smart Middle Ground

If you're aiming to eat more plant-based meals but are open to including fish, a pescatarian diet can be an excellent option. In fact, pescatarian diets—those that emphasize plants but also include fish and seafood—may offer even greater health benefits than strict vegetarian diets, especially when it comes to heart health and getting enough long-chain omega-3s like DHA.

Fish is a rich, natural source of nutrients that can be more difficult to get on a vegetarian diet, including vitamin B12, iron, iodine, and DHA. Including fish just a couple of times per week can help fill nutritional gaps, especially for kids, pregnant individuals, and those at higher risk for deficiency.

If your motivation for going vegetarian is health (rather than ethical or environmental concerns), a flexible or pescatarian approach may give you the best of both worlds—offering the benefits of a plant-forward diet while making it easier to meet your body’s needs.

A Final Word—and How I Can Help

A vegetarian diet can support vibrant health across the lifespan. But like any diet change, it takes a little knowledge and intention. The good news? You don’t have to figure it out alone.

As a registered dietitian specializing in family nutrition and vegetarian and plant-based eating, I offer practical, evidence-based support tailored to your life and your goals. Whether you're a parent trying to raise a confident vegetarian eater, a teen transitioning to plant-based meals, or an adult wanting to protect your long-term health—I'll help you feel confident in your choices and stay nourished along the way.

Need a family dietitian or a vegetarian nutrition expert?
I’d love to support you.

Together, we’ll create a plan that’s sustainable, realistic, and rooted in real food.

👉 Get Started Today – Schedule your consultation and take the first step toward feeling your best on a vegetarian diet.

Kate Keirsey
Wellfed Family Nutrition