Getting Choline on a Vegetarian and Vegan Meal Plan

How much choline should you get if you eat a vegetarian or vegan diet? Which foods are high in choline? What’s the best choline supplement? I’m answering your top questions on the hot topic of Getting Choline on a Vegetarian and Vegan Meal Plan.

Choline may not be on your radar, but it should be. This essential nutrient has been highlighted recently because Americans aren’t getting enough of it. According to a recent study, only about 11% meet their daily needs, and 65% don’t even know what it is! Yet, choline is critical for your health, particularly in maintaining a healthy liver system and brain.

What is Choline?

Choline is an essential nutrient naturally present in some foods and dietary supplements. Your body needs choline for metabolism, cell membranes, and brain and nervous system functions. Humans can make some choline in the liver, but not as much as the body needs. While everyone needs choline, it seems to be even more important early in life while the brain is developing, and later in life to prevent cognitive decline. In addition, pregnant women need more choline.

How Much Choline Do You Need?

The FDA established a RDI (Reference Dietary Intake) of 550 milligrams (mg) for choline for adults and children 4 and above, and a Daily Value (DV, the daily requirement abased on 2,000 calories per day), which you may see listed on the Nutrition Facts labels of foods—indicating what percentage of the Daily Value a portion of food provides.

Table 1: Adequate Intakes (AIs) for Choline 

Age	Male	Female	Pregnancy	Lactation
Birth to 6 months	125 mg/day	125 mg/day
7–12 months	150 mg/day	150 mg/day
1–3 years	200 mg/day	200 mg/day
4–8 years	250 mg/day	250 mg/day
9–13 years	375 mg/day	375 mg/day
14–18 years	550 mg/day	400 mg/day	450 mg/day	550 mg/day
19+ years	550 mg/day	425 mg/day	450 mg/day	550 mg/day

 Institute of Medicine. Food and Nutrition Board. Dietary Reference Intakes: Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington, DC: National Academy Press; 1998.

Foods with Choline

Wondering about foods high in choline? The top sources include beef liver, eggs, beef, scallops, salmon, chicken, and cod. But what about vegetarian or vegan choline foods? Vegetarians can get some choline in eggs and milk products. And there are several plant-based, vegan sources of choline, including legumes, tofu, green vegetables, potatoes, nuts, seeds, grains, and fruit—all of which contain some amounts of choline. However, plant sources are fairly low in choline, making it more difficult to reach that RDI of 550 mg/day if you’re vegan. Keep in mind that the average intake for choline in the U.S. is 402 mg in men and 278 mg in women.

We don’t have a great deal of data on choline intakes among plant-based eaters. But here’s a sample menu for a vegetarian eating pattern providing 2000 calories per day:

• Breakfast: Avocado Toast with Hard Boiled Egg
• AM Snack: Apple & Cheddar Cheese Stick
• Lunch: Loaded Sweet Potato with Brown Rice, Black Beans, Guacamole, Cotija Cheese & Sour Cream
• PM Snack: Non-Fat Latte and Dried Dates
• Dinner: Asian Tempeh Bowl

The estimated daily choline intake of this sample menu is 187 mg (37% DV).

However, keep in mind that I analyzed my version of a recommended healthy, well-planned vegan diet, as follows:

Breakfast
1 cup oats
1 banana
2 tablespoons wheat germ
2 tablespoons flax seeds
8 ounces soy milk

Lunch
Salad:
3 ounces extra firm tofu
2 cups kale
1/4 cup almonds
1/2 cup broccoli florets
1/2 cup cherry tomatoes
2 tablespoons tahini
1 slice whole grain bread + 1/2 avocado

Dinner
1 cup chickpeas
1 cup masala sauce
1 cup cooked quinoa
1 cup cooked brussels sprouts
1 apple

The estimated choline intake from this vegan menu (2452 calories) is 255 mg choline.

If you are aiming to get about 500-550 mg of choline per day, here is a suggested vegan meal plan:

Suggested Choline-Rich Vegan Meal Plan

Breakfast:
1 cup oats (17 mg)
1 banana (12 mg)
1 cup soy milk (57 mg)
1 ounce almonds (7 mg)

Lunch:
1 cup chickpeas (70 mg)
1 whole wheat pita bread (17 mg)
1 cup broccoli (63 mg)
1/2 cup cooked quinoa (30 mg)
2 dates (20 mg)

Snack:
1 ounce peanuts (15 mg)
1 orange (16 mg)

Dinner:
1 cup spaghetti (13 mg)
1 cup tomato sauce (15 mg)
1/2 cup tofu (35 mg)
1 cup brussels sprouts (63 mg)
1 apple (8 mg)

Snack:
2 tablespoons peanut butter (20 mg)
1 slice whole wheat bread (9 mg)
1 cup soy milk (57 mg)

Total: 529 mg choline

How to Meet Your Choline Needs on a Vegetarian or Vegan Meal Plan

So, what should you do? First off, my recommendation for all vegans and vegetarians is to eat a diet rich in whole, minimally processed plant foods, including portions from all the major food groups at each meal: pulses (beans, lentils, peas) or soyfoods, nuts or seeds, whole grains, fruits, and vegetables (green vegetables daily). This will help supply a source of important essential vitamins and minerals to your diet, including calcium, iron, zinc, and choline. If you aim for a diet filled with whole plant foods, you may come pretty close to meeting your choline needs, as evidenced in my sample vegan meal plan. Adult women should aim for 425 mg per day, and men for 550 mg per day. 

Choline Supplements

My second recommendation for plant-based eaters (particularly for vegans) is to supplement smartly. It is important to supplement a few key nutrients. One is vitamin B12, which is found primarily in animal foods. In addition, I recommend that you consume fortified sources of calcium and vitamin D (for example, in plant-based milk) and evaluate whether you need to take an additional supplement to meet your needs. Other nutrients that may be worth supplementing include long chain omega-3s (algae DHA and EPA) and iodine. And, considering the recent news on choline, it seems that you might want to take a closer look at this nutrient in your diet.

If you eat a diet filled with whole plant foods, you may come pretty close to meeting your needs. However, if your intake is lower than 2000 calories per day for women, or 3000 calories per day for men, you may fall short of choline. So, you may want to supplement your diet a few times per week with choline. However, keep in mind that new research has linked high choline intake and blood levels with increased mortality. That’s because high choline intake has been linked with increased production of TMAO, which has been associated with significantly higher risk of heart attacks and strokes compared with lower levels. So, it may not be a good idea to over supplement with choline. As with all dietary supplements, you should discuss them with your health care professional before taking them. It may be beneficial to take small doses of choline (about 250 mg) a few times per week to balance out low intake, but it’s not a case of more is better! Look for a plant-based (vegan and vegetarian) choline made from a reliable manufacturer (I like this brand). Here is a really good article on this topic of choline intake and heart risks written by one of my colleagues and nutrition experts, Carrie Dennett.

I prefer to approach supplementation from the perspective that you should supplement your diet with the nutrients you fall short on, not the whole kitchen sink in one pill. For example, plant-based eaters typically get higher levels of vitamins E, A and C, thiamin, riboflavin, and folate than omnivores. So, why supplement all of these nutrients, which may come along for the ride in a multi? And multivitamins may not contain those nutrients you are looking for, such as calcium and choline. A supplement should be just that—a supplement to your diet, covering the shortfall. You may need to only take half the recommended level to meet your diet half way. And remember that overdoing supplements is never a good thing. I recommend sticking as close to the recommended daily level as possible, factoring in that you gain some of these nutrients in your diet, too.

Please note that it is important to discuss any dietary supplement regimen with your healthcare practitioner. In addition, you should discuss your own personalized vegan meal plan and nutrient needs with a trained, plant-based health care practitioner, such as a registered dietitian or physician knowledgeable in this area.

Vegan and Vegetarian Food Sources of Choline

The following plant foods offer sources of choline.

Source: USDA

Image: This Harvest Grain Bowl, which is rich in choline, is featured in my new book California Vegan.

For other blogs on vegan nutrient needs, check out the following: 

How to Get Vitamin B12 on a Vegan Diet
Meeting Your Nutrient Needs on a Vegan Diet
6 Tips for Boosting Protein on a Plant-Based Diet
Power Up on Plant-Based Calcium

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