Americans put off health care because of cost — how you can save

 

Much more individuals in the U.S. are choosing to hold off on health care care for fiscal factors.

The share of Us residents who say they or a loved ones member delayed healthcare remedy owing to cost rose to 38{bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f} in 2022 from 26{bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f} in 2021, according to the success of a Gallup poll produced Jan. 17.

That share is the highest considering that the polling business began taking the measurement in 2001, at which level 19{bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f} of persons answered they’d postponed wellness care mainly because of income. The hottest result also marks the sharpest 12 months-over-12 months increase in the survey’s heritage.

A massive share of the delays in treatment method final 12 months have been for health problems that the respondents described as either relatively or really major.

“Persons are stretching out medications and steering clear of health care provider visits for diabetic issues, heart illness and other serious conditions, which can lead to the issues to spiral out of handle,” mentioned Carolyn McClanahan, a accredited fiscal planner and health practitioner who is the founder of Everyday living Organizing Associates in Jacksonville, Florida.

If you are struggling with overall health-care expenses, taking these actions can aid, gurus say.

1. Get started with in-network providers

Just one way to save on professional medical bills is to make guaranteed your medical practitioners are in network for your insurance policy prepare, “as out-of-community care can be pretty pricey,” mentioned McClanahan, a member of CNBC’s Monetary Advisor Council. The identical goes for hospitals, labs and other professional medical companies you anticipate making use of.

You can test with your insurer as perfectly as the service provider you would like to see to come across out if they are in community. Sometimes, doctors depart a community, McClanahan claimed, so you want to check out this once again if you haven’t viewed a provider in some time.

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“Generally commence with your major treatment medical doctor, the place your copay or out-of-pocket cost will be lowest,” explained Caitlin Donovan, a spokeswoman for the Countrywide Client Advocate Basis.

2. Make the most of achieving your deductible

Arranging for care with consideration of your deductibles is a further price-preserving technique, McClanahan said.

Your deductible is the total you have to pay back for your overall health treatment ahead of your protection kicks in. The typical solitary worker experienced a deductible of all-around $1,760 in 2022, in accordance to the Kaiser Relatives Foundation.

If you reach your deductible, you could want to squeeze in other treatment or treatments in just the similar calendar year to slash prices, McClanahan explained.

Particular preventive care, together with screenings and immunizations, are frequently coated without consideration of your deductible.

In truth, early detection for situations like cancer can help you save your existence.

Caitlin Donovan

a spokeswoman for the Countrywide Client Advocate Basis

Those who pass their out-of-pocket optimum for the yr — the most you have to pay back for included companies in a system calendar year — would in particular benefit from seeking any other necessary treatments inside of the yr. They really should be entirely included just after that stage, McClanahan claimed.

“For instance, do you have pores and skin lesions that you require checked? Do you have joint or muscle mass problems that could profit from bodily therapy? Is it time for your colonoscopy?” she said.

3. ‘Be an engaged patient’

Doing work to keep informed about your health and fitness and any vital treatment plans, along with practising a minimal skepticism about what you might be advised by clinical experts, can also assistance preserve down expenditures, McClanahan explained.

“Be an engaged affected individual to make positive you get the ideal treatment,” she explained. “If a medical doctor wants to purchase a test or do a technique, check with the following: ‘How will this exam transform what you do for me? If it just isn’t going to improve something, does it truly need to have to be completed?'”

“Pointless testing provides expenses and places the individual at risk of bogus positive testing, which indicates the physician has to do extra assessments to establish some thing is not completely wrong,” McClanahan mentioned.

Americans put off health care because of cost — how you can save

Generally, she explained, there are alternatives to possibly high priced remedies, tests and methods. For case in point, in some instances, large cholesterol or high blood pressure can be turned all around by nutritional and life style variations, she reported.

Last of all, she advises people to keep thorough histories of their healthcare data, which include any methods or tests they’ve had done, to cut down on useless and perhaps costly redundant types down the road.

4. Search for assist with expenses

If you are anticipating a medical center stay, review its web-site for information about economic help programs, Donovan mentioned. “You may possibly qualify for a reduced or even no-cost stay,” she explained.

In some circumstances, you can set up a payment plan with a healthcare facility or provider.

There are also a amount of charitable businesses that aid men and women with their wellness-care charges, Donovan mentioned. For instance, at Copays.org, you can utilize for money to set toward copays, premiums, deductibles and about-the-counter medications.

The Nationwide Affected person Advocate Basis has a fiscal useful resource listing in which you can look for for area assist for everything from dental care to close-of-life expert services.

Some older People might be eligible for support with their monthly premiums beneath the Medicare Price savings System, Donovan explained. “If you qualify, your premiums, deductibles and copays will be included, which would be an enormous economic aid for anyone,” she said.

In addition, all those enrolled in Medicare Element D, which covers prescriptions, must seem to see if they qualify for Extra Aid. That system can minimize the expenditures relevant to your medicine, Donovan included.

But the final matter you want to do is put off taking treatment of oneself, she said.

“Acquiring onto a procedure program instantly may possibly delay the debilitating results of a situation, like muscle mass degeneration,” Donovan said. “In actuality, early detection for situations like most cancers can help you save your lifestyle.”

How to save more than $767 billion in health care costs

Over the final 20 a long time, the United States has produced terrific strides in expanding obtain to wellness treatment, with 92{bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f} of Us residents now protected by health insurance policy — a historic high.

Nonetheless thousands and thousands of people today nonetheless battle to pay out for their well being care, from paying for prescription drugs to grappling with exorbitant medical center payments. These issues can be mentally and emotionally taxing when obtain to top quality treatment ought to carry peace of thoughts.

The explanation for the affordability disaster is apparent: increasing prices for overall health care companies and prescription medications. Simply just mentioned, soaring fees end result in better premiums and out-of-pocket charges. According to the Well being Treatment Price tag Institute, health care selling prices enhanced at roughly double the charge of standard inflation in between 2016 and 2020.

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People are not just shelling out additional: they are paying out more for poorer well being. A Commonwealth Fund study exhibits that the United States spends much additional on well being treatment — but with even worse results — than other high-cash flow international locations. They deserve greater health at decreased fees. The significance of this obstacle requires motion. Now.

The ideal methods that tackle the ideal complications can supply real results. Which is why the Blue Cross Blue Protect Association, which I direct, has released “Affordability Solutions for the Health of The usa,” a sensible established of policy suggestions that Congress can get to collectively minimize health treatment charges by more than $767 billion around the upcoming 10 yrs, such as lowering personal insurance rates by $298 billion.

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These options tackle the root leads to of growing wellness treatment expenses in three locations.

Build insurance policies that generate competitors among the health and fitness treatment vendors

In industries ranging from air travel to telecommunication, levels of competition lessens the rates that shoppers pay back. Congress really should do the exact same for wellbeing care by enacting competition-inspiring insurance policies that foster fair and clear billing tactics, such as preventing physician tactics owned by hospitals from charging steeper charges triggered by a alter in observe ownership.

Persons have to be protected from being overcharged for a healthcare service merely mainly because a physician follow comes about to be owned by a clinic. This commonsense remedy would conserve individuals and taxpayers $471 billion about 10 many years. No 1 should really spend a lot more for health and fitness treatment because a clinic is gaming the technique.

As hospitals proceed to acquire health practitioner tactics, they often optimize revenue by charging greater prices than they would have been capable to just before they have been acquired by the hospital. In 2021, virtually 70{bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f} of doctor procedures had been owned by hospitals, health and fitness units, non-public fairness firms, and other corporate entities — a 12{bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f} raise in just two many years. When large hospitals and overall health units receive private practices, the prices they charge improve by an typical of 14{bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f}.

Maximize entry to decrease-price prescription medications

People in america also bear the brunt of the mounting expense of prescription medications which, on typical, are 190{bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f} larger than what individuals pay in other substantial-revenue nations around the world. In the past calendar year alone, prescription drug charges rose at an ordinary amount of 31.6{bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f}, with some expanding up to 500{bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f}, according to the U.S. Office of Well being and Human Solutions.

Extra levels of competition and extra alternatives will generate down prices and produce far more selections to clients. Congress will have to stop drug companies’ ability to exploit the patent system and leverage authorized loopholes that block competitors, and make it a lot easier for generic and biosimilar medications — which price tag significantly less and are just as efficient and safe as manufacturer title prescription drugs — to be obtainable and obtainable to sufferers.

Several bipartisan charges now moving as a result of Congress would crack down on drug companies’ anti-aggressive practices, resulting in improved accessibility to prescription drug alternatives like generics and biosimilars that reduced prices for people. These expenses contain the Preserve Access to Inexpensive Generics and Biosimilars Act, the Stop STALLING Act, and the Economical Prescriptions for Sufferers Act.

Guarantee the delivery of the best-high quality wellbeing treatment

Rising the adoption of products that transfer away from payment-for-services payments will reward providers for delivering risk-free, high-top quality care. They can also enable near equity gaps. In addition, modernizing the prior authorization course of action will empower companies to make harmless, correct, and value-successful procedure decisions with their patients, when also improving transparency and lowering unwanted burdens.

Details interoperability and excellence are crucial for increasing efficiencies across the health and fitness care technique. Details must be interoperable and shareable amongst all health and fitness care stakeholders, like insurers and companies, to advertise over-all customer cost transparency and inspire far more expense-efficient choices for persons who will need wellbeing treatment. Policymakers will have to support federal enforcement of rules that stimulate protected knowledge-sharing amongst suppliers, providers and insurers, and prohibit company methods that block the clear sharing of info, in accordance with federal and condition privacy and defense guidelines.

Affordability stays a single of the U.S.’s prime well being treatment problems. Enacting sound insurance policies and passing legislation could help reach that by conserving 3-quarters of a trillion dollars in wellness treatment expenditures around the future 10 years.

Kim Keck is the president and CEO of the Blue Cross Blue Protect Association.

Could a Healthy Lifestyle Save You from Irritable Bowel Diseases?

Could a Healthy Lifestyle Save You from Irritable Bowel Diseases?A new examine suggests that individuals with balanced way of life routines could be at a appreciably decrease danger for acquiring inflammatory bowel ailment.

The get the job done, released in the journal Gut, implies that sustaining a nutritious way of living could avoid up to 60 percent of Crohn’s illness and ulcerative colitis.

That is large news, specially if you’re concerned about the problem and are having more mature. Which is since the older you get, the less of a position your genes play in your risk of creating an inflammatory illness.

Inflammatory bowel ailment (IBD) has an effect on additional than three million adults in the U.S. Its indicators contain diarrhea, stomach pain, cramping, and tiredness. Crohn’s and ulcerative colitis are the two types of IBD.

Older research have demonstrated that specific way of life elements are related with the affliction, but it was earlier unfamiliar if sticking to certain behaviors can reduce Crohn’s or colitis. Researchers arrived up with two lists of overall health things that are considered to impact IBD possibility.

1 of the lists was “modifiable way of living factors” and bundled:

  • Obesity (having a BMI of 30 or extra).
  • Smoking
  • NSAID use frequency (extra than 2x for each week)
  • Lack of bodily exercise
  • Minimal each day ingestion of fruits, greens, fiber, nuts, and seeds
  • Higher consumption of red meat

The other record was far more particular and integrated quite a few balanced practices that have been made use of to produce a “lifestyle possibility score” for IBD. It involved:

  • Possessing a BMI amongst 18.5 and 25
  • Never ever using tobacco
  • Frequent work out
  • Restricting alcohol usage to 1 consume for every working day for girls and 2 for gentlemen
  • Taking in at least 8 each day servings of fruits and veggies
  • Limiting red meat to much less than half a serving for every working day
  • Eating fish 2 times for every 7 days
  • Acquiring 25 grams of fiber for every day
  • Having at the very least fifty percent a serving of nuts and seeds for every day

Scientists then seemed at how each individual set of life-style components could predict irrespective of whether participants in three significant U.S. studies, featuring just about 290,000 people today, designed Crohn’s or ulcerative colitis.

They identified that a low score on the modifiable danger things could reduce about two of just about every 5 situations of every. They also discovered that getting a significant way of life risk element score could have prevented more than 60 {bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f} of Crohn’s and 42 {bf0515afdcaddba073662ceb89fbb62b6b1bf123143c0e06b788e1946e8c353f} of ulcerative colitis cases.

The components may perhaps all lead to IBD chance in diverse ways. Some endorse swelling, while other folks combat it. Some others may perhaps hurt digestive microbes in the gut, although some others are effective.

In any event, this research signifies that your way of life could greatly influence your possibility for irritable bowel disease.

The Race to Save Medical Research

Most Americans probably aren’t aware that the Department of Veterans Affairs (VA) healthcare system, along with the National Institutes of Health (NIH), is the best and biggest medical research powerhouse in the United States. Millions of veterans have benefited from VA research breakthroughs, including pioneering treatments for PTSD, Agent Orange, and prosthetics.

But it’s not just veterans who benefit. All Americans have profited from VA advances, such as the shingles vaccine, the implantable cardiac pacemaker, and the nicotine patch. The VA is on the frontlines of investigations on the risks of long COVID and studying why prostate cancer is so lethal for Black men. 

Quite distressingly, this peerless research system is now under threat. In a November hearing before the Senate Veterans Affairs Committee, the VA’s Under Secretary for Health, Shereef Elnahal, warned of catastrophic consequences should the Senate fail to follow the lead of the House and pass the VA Infrastructure Powers Exceptional Research (VIPER) Act. This legislation reverses a misguided Department of Justice (DOJ) ruling prohibiting VA employees from being paid by academic affiliates for joint research initiatives. Elnahal explained that without VIPER, “major clinical trials answering key questions across all of American medicine” will be at risk.

For decades, the VA has partnered with 90 percent of the nation’s academic medical centers like Boston University, Dartmouth, Yale, and many others. Through these partnerships, VA researchers who devoted up to 40 hours a week doing research, teaching students, and caring for veterans, could secure supplemental funds to investigate everything from the impacts of burn pits to potential cures for Alzheimer’s disease. Although the VA has its own stream of research funding, these academic partners are the conduits for researchers to receive money from non-VA sources like the Department of Defense (DOD), the Centers for Disease Control and Prevention (CDC), the NIH, as well as numerous private foundations like the Prostate Cancer Foundation. These partnerships are critical because federal law prohibits the VA from administering such funds. The funding also supplements VA salaries which are not competitive with those in the private sector. It enables the VA to attract and retain top scientists who devote their careers to the care of the nation’s veterans.

The DOJ ruling that caused the current predicament was issued in 2021. It reinterpreted federal law governing the payment of federal employees conducting research at the VA in partnership with the private sector medical centers. This applies to many of the VA’s key academic partners, such as Columbia, Baylor, Stanford, and Harvard, among many others. For 75 years, VA researchers were permitted – even encouraged – to receive part of their funding from private-sector academic medical centers. Suddenly, the DOJ decided those supplemental payments were illegal. A peculiar double standard was applied to partnerships with public universities like the University of California at San Francisco, which were deemed permissible.

Some researchers could lose a third of their income and face criminal prosecution. After attending a recent meeting of VA trauma researchers, a former VA official said that many clinicians are “heading for the hills.”

The VIPER Act will keep them from fleeing, and that’s why it passed the House with overwhelming bipartisan support.  But time is the enemy in the slower-moving Senate as the last days of this congress tick away.

Critical research hangs in the balance. As the VA’s 2024 budget request states unequivocally, the VA’s most important studies and initiatives involve “large multi-center clinical trials and epidemiological studies,” which depend on collaboration between private and public academic medical centers.

Consider, for example, the VA COVID-19 Observational Research Collaboratory (CORC) – a multi-site project that includes public and private universities. The collaborative has a database of 250,000 veterans infected with COVID-19. VA researchers recently released two studies detailing the severe consequences of long COVID.

Another area that could be impacted is prostate cancer research. In 2016, the Prostate Cancer Research Foundation gave the VA a $50 million grant hailed as a “unique public-private biomedical research partnership.” Why? Because the VA, over time, has millions of patients who have prostate cancer, and their data goes back decades. As the CEO and president of the foundation said at the time, the VA can help clarify “why, of 287 different kinds of cancer, even with identical care, prostate cancer is more aggressive and lethal in African-American men.” [MC4] Since 2016, VA has worked with researchers at various public and private universities to answer other critical questions about prostate cancer.

If not immediately reversed, the DOJ rule will also have catastrophic effects on brain research that depends on the VA’s Biorepository Brain Bank.  This partnership with Boston University has the world’s most extensive brain tissue collection. The seven-component VA-BU brain banks focus on ailments including PTSD, CTE, and ALS.  In 2018, Time magazine named its director, Ann McKee, one of the 50 most influential people in health care.  Her research on the brains of veterans and football players has helped establish a link between multiple concussions and the development of CTE. McKee and her colleagues may have to curtail their vital work if the DOJ action is not reversed. PTSD research being conducted by the VA’s National Centers for PTSD in collaboration with Boston University and Dartmouth will also be impacted. 

Again, these VA researchers’ knowledge and innovations don’t just help veterans. They’ve helped first responders suffering from PTSD following the 9/11 attacks and many other emergencies. To get to the president’s desk before the end of the year, Senators must attach VIPER to must-pass legislation such as the National Defense Authorization Act or the Omnibus Appropriations bill. If VIPER passes this year, the VA’s pivotal role in the American research enterprise will survive intact.  If not, a letter supporting VIPER addressed this week to the Senate by the American Psychological Association and the Association of American Medical Colleges and signed by more than 86 primary medical schools, veterans service organizations, and medical foundations and associations warned “thousands of research projects focused on improving veterans’ health led by VA scientists” will be disrupted.

How a plant-based lifestyle is NOT better for your health – and it certainly won’t save the planet

In recent years we’ve been lectured by Netflix documentaries, celebrities and charities that going vegan is the single best thing you can do for your health.

And the powerful message seems to have cut through — with up to eight million Americans and 1.5million Britons  following a plant-based diet, representing an up to ten-fold uptick from a decade ago.

One of the biggest selling points of veganism was that it cuts out red meat and mince, which have long been linked to cancer.

But a growing body of evidence suggests going vegan may also be detrimental to your health, especially without heavy supplementation.

Studies have shown vegans are more likely to face broken bones and anemia, because the restrictive diet leaves them missing out on key nutrients that only dairy and meat can provide in high enough quantities.

And while some research indicates that a plant-based diet may decrease your risk of a heart attack or type 2 diabetes, the deficiencies it triggers may raise the likelihood of suffering a stroke.

In recent years there has been a surge in highly-processed vegan foods — made to taste like the real thing — which experts say are just as bad, if not worse, for our health.

Entire supermarket aisles have been dedicated to plant-based products, from vegan cheeses to meat-free burgers and non-dairy ice cream.

To achieve the impossible task of making bland vegetables or tofu credible substitutes, food makers often have to cram them full of unhealthy oils, starch and other ingredients high in saturated fat, sugar and salt. 

In many cases, they are higher in calories and lower in vital nutrients than animal-based products.

DailyMail.com reveals how going vegan isn’t always a good health choice: 

How a plant-based lifestyle is NOT better for your health – and it certainly won’t save the planet

Many people are sold veganism over benefits that it can help with weight loss and even reduce the risk of some types of cancer. But switching to the diet also carries a number of health risks because it can lead to someone becoming deficient in nutrients normally acquired from vitamins and animal products

Bone fractures

The 2018 Netflix documentary ‘The Game Changers’ was a smash hit for the streaming service, estimated to be its ‘most watched’ documentary ever at the time.

It claimed that eating meat could hinder an athletes performance, and wreak havoc on the heart, sexual function and lead to an early death.

Yet studies in the years since have shown vegans are much more likely to suffer from a calcium deficient diet than meat-eaters — putting them at greater risk of brittle bones and an energy deficit.

The human body needs about 1,300 milligrams (mg) of calcium per day to maintain healthy bones, which most get from yoghurts, cheese and milk. 

But vegans must rely on broccoli, spinach and rye bread — which they need to eat in unmanageable amounts — to get enough of the mineral.

WHAT SHOULD A BALANCED DIET LOOK LIKE?

  •  Eat at least 5 portions of a variety of fruit and vegetables every day. All fresh, frozen, dried and canned fruit and vegetables count;

  • Base meals on potatoes, bread, rice, pasta or other starchy carbohydrates, ideally wholegrain;

  • 30 grams of fibre a day: This is the same as eating all of the following: 5 portions of fruit and vegetables, 2 whole-wheat cereal biscuits, 2 thick slices of wholemeal bread and large baked potato with the skin on;

  • Have some dairy or dairy alternatives (such as soya drinks) choosing lower fat and lower sugar options;

  • Eat some beans, pulses, fish, eggs, meat and other proteins (including 2 portions of fish every week, one of which should be oily);

  • Choose unsaturated oils and spreads and consuming in small amounts;

  • Drink 6-8 cups/glasses of water a day;

  • Adults should have less than 6g of salt and 20g of saturated fat for women or 30g for men a day.

    Source: NHS Eatwell Guide

When there is a deficiency, the body starts to re-absorb calcium from bones and use it for other functions such as helping muscles contract or regulating heart rhythm.

Vegans are more than twice as likely to suffer a hip fracture, ankle injury or other bone damage on their leg, a study from 2020 warned.

They were consuming nearly half the amount of daily calcium as meat eaters, having about 611mg a day compared to 1,058mg among meat eaters.

Scientists behind the research believe a lack of calcium consumption was behind the higher risk of fractures among vegans.

They also pointed the finger at rapid weight loss — a cited benefit of veganism.

They said that losing weight would leave less ‘cushioning’ for bones when someone falls, raising the risk of a fracture. They also said that being lighter means bones need to carry less weight, leading to them being weaker.

Another paper from 2022 warned vegetarian women had a higher risk of breaking their hips later in life compared to meat-eaters. 

It involved 26,000 middle-aged women and revealed those who did not eat meat had a 33 per cent higher risk of fractures. Although these women still consumed milk and eggs, the results also suggest vegans are more at risk.

Another paper from 2008 also warned that vegans are more likely to suffer bone fractures.

The study looked at 26,000 women and 8,000 men, including 1,100 vegans. It found that after five years vegans were on average 30 per cent more likely to suffer a fracture than meat-eaters.

But for vegans that consumed supplements of about 525mg a day, they were just as likely to suffer fractures as others.

Supporters of veganism argue, however, that it is possible to avoid this effect by planning a diet well to ensure it contains enough calcium. They also recommend supplements.

Anemia

Normally the body manufactures enough red blood cells to supply adequate oxygen to all cells, allowing them to carry out their daily functions.

But in anemics, there are too few red blood cells for this task — triggering symptoms including tiredness, pale skin, irregular heartbeats and shortness of breath.

Vegans are at a much higher risk of anemia than meat-eaters because their diets cut out animal products, key sources of the iron and vitamin B12 needed for making red blood cells.

Some 6.6 per cent of vegans suffer from anemia, a 2019 study suggested, double the 2.9 per cent of meat-eaters that had the condition. Among vegetarians the rate was 3.9 per cent.

This paper had a large sample size, involving more than 200,000 people in the UK, including 6,500 vegans.

Vegetarian women are a THIRD more likely to suffer hip fractures

Vegetarian women have a higher risk of breaking their hips in later life compared to meat-eaters, research suggested in August.

A study of more than 26,000 middle-aged women has revealed those who do not eat meat and fish have a 33 per cent higher risk of hip fractures.

This could be because they have a lower intake of nutrients that are linked with bone and muscle health, the researchers said.

And it reinforces advice that vegetarians should fortify their diets with key nutrients, they added.

A team from Leeds University investigated the risk of hip fracture in occasional meat-eaters, pescatarians – who eat fish but not meat – and vegetarians compared to regular meat-eaters.

Among 26,318 women, 822 hip fracture cases were observed over roughly 20 years – meaning around 3 per cent of women experienced them.

Analysis, published in the journal BMC Medicine, found that after adjusting for factors such as smoking and age, vegetarians were the only diet group with an elevated risk of hip fracture.

The team also discovered the average BMI among vegetarians was slightly lower than the average among the regular meat eaters.

Previous research has shown a link between low BMI and high risk of hip fracture, which could help explain the finding.

Lead author James Webster said vegetarian diets can vary, with some still being unhealthy.

‘Our study highlights potential concerns regarding risk of hip fracture in women who have a vegetarian diet,’ he said.

‘However, it is not warning people to abandon vegetarian diets. As with any diet, it is important to understand personal circumstances and what nutrients are needed for a balanced healthy lifestyle.

‘Vegetarian diets can vary widely from person to person and can be healthy or unhealthy, just like diets that include animal products.

‘However, it is concerning that vegetarian diets often have lower intakes of nutrients that are linked with bone and muscle health. These types of nutrients generally are more abundant in meat and other animal products than in plants, such as protein, calcium, and other micronutrients.

‘Low intake of these nutrients can lead to lower bone mineral density and muscle mass, which can make you more susceptible to hip fracture risk.’

Another paper from 2016 also warned that vegans need to ensure they get enough nutrients, after finding adherents of the diet were more likely to suffer from borderline anemia than meat-eaters.

Women need about 15mg of iron a day up to the age of 50 years, but after menopause this drops to 8.7mg. Men need about 8mg a day.

Red meats including beef, lamb and pork as well as liver, poultry and salmon are rich in iron and vitamin B12.

But vegans will need to eat copious amounts of lentils, chickpeas, tofu and fortified cereals to meet their daily recommended intakes.

A fifth of vegans are already thought to be deficient in vitamin B12, according to a 2019 study, which doctors warn leaves them at risk of irreversible nerve damage that could result in numb hands and feet. 

They are also at higher risk because the iron in plants is not as easily absorbed by the body as the iron in meat, meaning they will need to consume more.

Again, supporters of the diet recommend vegans take iron and vitamin B12 supplements to avoid the deficiency — and the resulting anemia. 

Stroke/ B12 deficiency 

Some scientists suggest dining on a vegan diet may actually raise your risk of stroke.

It is well-established that avoiding eating red meat will help lower someone’s risk of suffering heart disease, and also cut their risk of type 2 diabetes.

But a British study involving 48,000 people — including 16,000 vegans — found there were three more cases of stroke per 100,000 people among vegans compared to meat-eaters.

The scientists warned their results were observational, meaning they did not prove that the change in nutrients being taken on in the diet was behind the higher risk.

But in the 2019 paper they did point out that a deficiency of vitamin B12 — more common in vegans — raises the risk of stroke. 

This was because its absence inhibits the clearance of proteins from the blood stream, leading to inflammation — which in turn raised the probability of blood vessels being damaged. This is a key risk factor for stroke.

This connection was not observed in other studies — including one from 2016 that involved 60,000 Britons and 2,200 vegans.

The jury is still out on whether a vegan diet raises someone’s risk of suffering stroke, with experts saying more studies are needed to shore-up the findings. 

Adults need about 2.4mg of vitamin B12 a day to function normally, US officials say.

Top sources for meat eaters include sardines, beef, tuna and animal liver. For vegans, top sources are marmite, fortified soy and some plant-based meats.

Hair loss

There are anecdotal reports that vegan’s are more likely to suffer hair loss than people who eat meat, although the hypothesis is yet to be backed up by any rigorous scientific studies.

Dr Anabel Kingsley — a scalp health expert — previously said, however, that as hair is not an ‘essential tissue’, when there is a deficiency of key nutrients the body may discard it.

‘If you’re not eating enough of the correct foods or your body is not absorbing enough of the nutrients, this can result in excessive shedding,’ she told the Insider. ‘Even if you’re only slightly deficient in a nutrient, the body withholds this from the hair first.’

Loss of hair linked to veganism is temporary scientists say, with the lost strands returning once the nutrient deficiency subsides. This differs from baldness, which is caused by changing testosterone levels.

Hair is made of keratin, which is made from several different proteins found in animal tissue.

A vitamin B12 or iron deficiency could also trigger hair loss, scientists argue, because the anemia it causes would lead to too little oxygen getting to areas like the scalp.

This may lead to hair follicles being unable to regrow lost hairs, leading to balding.

Several studies have previously linked nutrient deficiencies to hair loss, including a paper in 2019 and another from this year. 

Depression

Many believe swearing off meat and other animal products should leave people feeling good about themselves for protecting wildlife and the planet.

But a growing body of evidence suggests people who have turned vegan are more likely to be depressed than those who eat meat.

One study published this year which surveyed 14,000 Brazilians between 35 and 74 years old found those who followed a vegan diet were twice as likely to be depressed — even if they had similar nutrient intakes to carnivores.

A meta-analysis published in 2020 and including 160,000 meat-eaters and 8,500 meat-abstainers also found those who cut meat from their diet were significantly more likely to be depressed.

Many scientists argue this is not connected to the nutritional restrictions that come with veganism. 

Instead, they say it is down to people who choose restrictive diets like veganism being more likely to have eating disorders such as anorexia.

They also suggest people who are already depressed may choose the diet plan because they find it easier to empathize with animals, or want to try a different diet to see whether it eases their depression.