Practiceby Lab 10 Get started ›
Crossfire

Do I have to go all the way to vegan, or is adding more plants enough?

What the experts say

Christopher D. GardnerPhD · nutrition scientist, Stanford Prevention Research Center

Adding plants is the recommendation; going all the way is a preference.

What it rests onHis own trial's finding paired with his own restraint about it: he ran the vegan comparison, got a positive primary outcome, and still says what matters more than going strictly vegan is including more plant-based foods. The paper says the same in its own voice, that excluding all meat or dairy may not be necessary and that clinicians should support patients in choosing a pattern that fits their needs and preferences. The AHA statement he chaired makes the structural version of the argument: ten patterns, many of them non-vegan, can be aligned with cardiovascular guidance.

Source: med.stanford.edu ↗
Michael GregerMD · founder, NutritionFacts.org

For the marker he cares about, partial does not move it.

What it rests onIn the comparison he cites, only vegans, not lacto-ovo vegetarians, showed significantly lower IGF-1 and greater IGF-binding capacity, in both women and men, read through his standing argument that growth signalling serves a child and costs an adult.

Overview

Different endpoints, not different people. Gardner is measuring LDL, fasting insulin and weight over eight weeks in healthy adults; Greger is measuring IGF-1 in a cross-sectional comparison of dietary groups. If you are working on your lipids and someone else is working on IGF-1, the two of you are not being given contradictory advice, and neither man is really arguing with the other.

Where they agree

Both want more plants, both centre legumes, both treat added sugar and refined grain as primary problems, and neither sells anything. The disagreement is entirely about whether the last step from plant-predominant to plant-exclusive buys anything.

What would settle it

Hard outcomes attached to the vegan-versus-vegetarian IGF-1 gap would move Gardner's position. A randomised comparison of plant-predominant against plant-exclusive on lipids and hard outcomes would move Greger's.

Practice does not pick a winner here

You do, and your call is dated, kept, and yours to change. Follow the people you already trust and what they publish turns into a short daily practice.

Get started

Free to sign up and use. We do not ask for a card.