Vegan and Vegetarian Nutrition After 60: Protecting Brain and Whole-Body Health

Strong cognitive resilience and healthy aging on a plant-based diet require targeted protein intake, essential micronutrient management, and informed collaboration with your healthcare team.

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September 8, 2026
Nutrition & Brain Performance

Switching to a plant-based diet after 60 is often described as an automatic shield against chronic illness and memory loss. The reality is more nuanced. Plant-based eating creates distinct metabolic trade-offs that require deliberate daily management as your digestive physiology changes.

When you remove or reduce animal products in later life, your margin for nutritional error becomes much narrower. Maintaining cognitive clarity, muscle mass, and bone density requires a precise understanding of what plants supply easily and what they lack.

  • A plant-based diet is a dietary pattern rather than an automatic guarantee of nutritional adequacy or cognitive protection.
  • Aging reduces digestive efficiency, stomach acid production, and appetite, making nutrient density and total calorie intake critical.
  • Long-term neurological and physical health requires consistent attention to vitamin B12, protein distribution, calcium, vitamin D, iodine, iron, and long-chain omega-3 fatty acids.

Understand How Dietary Patterns Change During Aging

The central nervous system depends on a continuous supply of micro- and macronutrients to repair cellular membranes, synthesize neurotransmitters, and manage oxidative stress. In your youth, the digestive tract compensates easily for dietary gaps. As you cross age 60, biological changes alter how your body processes food.

Stomach acid production frequently declines because of atrophic gastritis or common medications like proton pump inhibitors. Lower stomach acidity makes it harder to cleave micronutrients from whole foods, particularly vitamin B12 and dietary minerals. Intestinal transit times change, and the enzymatic efficiency of the brush border in the small intestine decreases.

At the same time, the brain requires reliable vascular flow and steady cellular energy to maintain executive function and memory networks. Diets rich in leafy vegetables, whole legumes, and berries provide polyphenols and antioxidants that support arterial flexibility. Yet, if those same meals fail to deliver enough amino acids or fatty acids, neuronal repair mechanisms slow down.

Achieving brain resilience after 60 is not about choosing between plants and animal foods based on ideology. It is about understanding the biological mechanics of brain aging and neuroplasticity and constructing a daily plate that meets those physiological demands. Every dietary pattern must provide sufficient baseline fuel before it can offer cognitive benefits.

  • Plant Pattern Overview
  • Vegan: Excludes all animal flesh, dairy, eggs, and animal byproducts. Requires dedicated B12 supplementation.
  • Lacto-Ovo Vegetarian: Excludes meat, poultry, and seafood. Includes dairy products and eggs.
  • Pescatarian: Excludes terrestrial meat and poultry. Includes fish, seafood, and often dairy or eggs.
  • Plant-Forward: Centers meals on plants while including modest, occasional portions of animal proteins.

Evaluate What the Cognitive Research Really Shows

Popular wellness culture often claims that cutting out animal foods prevents dementia. The scientific literature presents a far more balanced picture. Observational studies show mixed results, and researchers have not demonstrated a direct causal link between plant-based eating and cognitive preservation.

Large cohort studies provide helpful context. Data from the Adventist Health Study-2 showed that long-term vegetarian dietary habits were linked to better memory and language scores in older adults. However, participants in these cohorts often practiced other health-promoting habits, such as regular physical activity, lower alcohol intake, and low smoking rates. These concurrent lifestyle choices make it difficult to isolate the exact effect of diet alone.

Conversely, some newer observational research suggests potential risks when plant diets are poorly constructed. One study reported a higher risk of cognitive impairment among strict vegans and lacto-ovo vegetarians compared to omnivores and pescatarians. This elevated risk likely stems from uncorrected micronutrient shortfalls, lower protein intake, or low total caloric intake rather than any inherent harm from plant foods.

When researchers examine cognitive protection and brain health, the quality of the overall dietary pattern matters far more than simple dietary labels. A plant-based diet built on ultra-processed meat alternatives, refined white flour, and sweetened beverages lacks the nutrients needed to support brain structure. A well-planned diet featuring whole legumes, seeds, greens, and proper supplementation supports vascular health without starving the brain of core nutrients.

  • Key Research Distinctions
  • Association vs. Causation: Existing studies show dietary associations but do not prove that eliminating animal foods directly prevents or causes cognitive decline.
  • Confounding Variables: Health-conscious vegetarians frequently exercise more, smoke less, and have higher health literacy, which influences study outcomes.
  • Dietary Quality Variations: A whole-food plant diet differs fundamentally from a processed plant diet high in refined carbohydrates and low in micronutrients.
  • Nutritional Vulnerability: Deficiencies in B12, vitamin D, or protein can impair cognitive function regardless of dietary labels.

Secure Sufficient Daily Energy and Manage Satiety

One of the most overlooked challenges for older adults eating plant-based diets is getting enough total calories. As you age, your sense of taste and smell can diminish, and appetite signals often become less pronounced. Early satiety becomes common, meaning you feel full before you have consumed enough energy.

Plant foods are naturally rich in dietary fiber and water. While fiber aids cardiovascular health and bowel regularity, it adds substantial physical volume to meals. An older adult who eats only giant raw salads, vegetable broths, and fresh fruit may feel full while consuming only 1,200 to 1,400 calories per day.

For adults over 60, estimated baseline energy requirements typically sit between 19 and 22 calories per kilogram of body weight each day. A person weighing 68 kilograms (roughly 150 pounds) needs between 1,300 and 1,500 calories simply to maintain basic metabolic function, with higher numbers needed for active days. Prolonged calorie deficits cause involuntary weight loss, lean muscle wasting, and progressive physical frailty.

To prevent unintentional weight loss, you must deliberately increase the energy density of your meals without relying on empty sugars. Integrating healthy fats and concentrated plant foods allows you to meet your caloric goals without overwhelming your digestive capacity.

  • Methods to Increase Energy Density
  • Add 1 to 2 tablespoons of extra virgin olive oil or cold-pressed rapeseed oil to warm dishes after cooking.
  • Stir smooth nut or seed butters into morning oats, whole-grain porridge, or smoothies.
  • Incorporate half an avocado into lunches or dinners for healthy monounsaturated fats.
  • Blend soaked cashews or sunflower seeds into savory sauces, dressings, and vegetable soups.
  • Snack on roasted chickpeas, shelled edamame, or mixed raw nuts between main meals.

Build Muscle and Protect Metabolism with Plant Proteins

Muscle tissue is not just for lifting heavy objects. It serves as a metabolic reservoir for amino acids, regulates blood glucose levels, and protects your physical independence. As you age, your muscles become less responsive to dietary protein, a biological phenomenon known as anabolic resistance.

To overcome anabolic resistance, adults aged 65 and older need approximately 1.0 to 1.2 grams of dietary protein per kilogram of body weight daily. A 150-pound (68 kg) adult requires roughly 68 to 82 grams of protein each day. Individuals recovering from illness, managing chronic conditions, or experiencing frailty may require higher intakes under clinical supervision.

Plant proteins present two distinct challenges for older adults: amino acid composition and lower digestibility. Plant cell walls contain fibrous matrices that reduce how much protein your digestive enzymes can extract. Many single plant proteins contain lower amounts of the amino acid leucine, which is the primary trigger for muscle protein synthesis.

You do not need to combine complementary proteins within the exact same bite. You do, however, need to consume a diverse range of protein sources throughout the day and distribute your protein evenly across your meals. Aiming for 25 to 30 grams of protein at breakfast, lunch, and dinner is far more effective for muscle preservation than eating a small breakfast and a massive dinner.

  • Selected Plant Protein Concentrations (Cooked Portions)
  • Firm Tofu: 15-20 grams of protein per 100 grams
  • Tempeh: 18-21 grams of protein per 100 grams
  • Cooked Lentils: 16-18 grams of protein per 1 cup (200 grams)
  • Cooked Edamame: 17 grams of protein per 1 cup (155 grams)
  • Cooked Black Beans or Chickpeas: 14-15 grams of protein per 1 cup (170 grams)
  • Fortified Soy Beverage: 7-9 grams of protein per 1 cup (240 ml)
  • Hemp Seeds: 10 grams of protein per 3 tablespoons (30 grams)

Preparing plant foods using traditional techniques can significantly enhance protein absorption. Soaking dry beans overnight, discarding the soak water, and pressure-cooking them breaks down phytates and lectins that inhibit digestive enzymes. Fermented soy foods like tempeh and miso are partially broken down by beneficial microorganisms, making their amino acids more accessible to an aging gut.

For older adults with low appetites or chewing difficulties, exploring evidence-based nutrition and brain performance resources can help clarify when supplemental plant protein powders, such as pea or soy isolates, are appropriate additions to daily meals.

Master the Core Micronutrients for Nerve and Bone Health

Removing animal products requires careful planning to avoid missing out on micronutrients. Plants provide plenty of vitamins C, E, and K, but other vital elements are either absent or poorly absorbed. Older adults must manage these specific nutrients with precision.

  • Primary Micronutrient Checklist for Plant Diets After 60
  • Vitamin B12: Non-negotiable for nerve insulation and red blood cell production.
  • Vitamin D: Essential for calcium transport, muscle strength, and immune balance.
  • Calcium: Critical for bone matrix maintenance, nerve conduction, and cardiac rhythm.
  • Non-Heme Iron: Required for oxygen transport and cellular energy production.
  • Iodine: Necessary for thyroid hormone synthesis and metabolic regulation.
  • Long-Chain Omega-3s (EPA/DHA): Structural components of neuronal cell membranes.
  • Zinc and Selenium: Catalysts for antioxidant enzymes and immune defense.

Vitamin B12: The Non-Negotiable Priority

Vitamin B12 maintains the myelin sheath that insulates your nerves and enables swift cognitive processing. Natural, reliable B12 is produced by microorganisms and found almost exclusively in animal foods. A deficiency in B12 can cause permanent nerve damage, balance problems, depression, memory loss, and macrocytic anemia.

The recommended dietary intake for adults is 2.4 micrograms daily. However, the National Institute on Aging notes that up to 30 percent of adults over 50 have trouble absorbing protein-bound B12 because of reduced stomach acid. Because of this physiological shift, all older adults, regardless of diet, are advised to consume crystalline B12 from fortified foods or dietary supplements.

  • Common B12 Misconceptions to Avoid
  • Spirulina and blue-green algae contain inactive B12 analogues that do not treat human deficiency.
  • Fermented soy, tempeh, and miso do not contain sufficient active B12 to prevent deficiency.
  • Seaweeds like nori contain variable, unreliable quantities of active cobalamin.
  • Unfortified nutritional yeast contains zero vitamin B12.

If you follow a vegan or strict vegetarian diet, you must use a daily or weekly B12 supplement (cyanocobalamin or methylcobalamin) or consistently consume foods fortified with confirmed active B12. Do not rely on subjective feelings of energy to gauge your status. Have your physician check your serum B12, complete blood count, and methylmalonic acid levels during regular checkups.

Vitamin D and Calcium: Protecting the Skeletal Matrix

Bone loss accelerates with age, particularly in postmenopausal women and men over 70. The standard calcium target for women over 50 and men over 70 is 1,200 milligrams per day. Men aged 51 to 70 require 1,000 milligrams daily.

Plant-based diets can supply adequate calcium, but your specific food choices matter. Spinach, beet greens, and Swiss chard contain calcium, but they are also high in oxalates. Oxalates bind tightly to calcium in the gut and prevent your body from absorbing it. Lower-oxalate greens, such as kale, bok choy, collard greens, and broccoli, allow much higher calcium absorption rates.

  • Reliable Plant Sources of Calcium
  • Calcium-set firm tofu (look for calcium sulfate in the ingredients): 250-400 mg per 100 grams
  • Fortified plant beverages (soy, pea, almond): 300 mg per 1 cup (240 ml)
  • Cooked collard greens: 260 mg per 1 cup
  • Cooked bok choy or kale: 150-180 mg per 1 cup
  • Unhulled sesame seeds or whole tahini: 120-140 mg per 2 tablespoons
  • Calcium-fortified 100% fruit juice: 250-300 mg per 1 cup

Calcium absorption depends entirely on having adequate vitamin D. Your skin synthesizes less vitamin D from sunlight as you grow older, and kidney conversion of vitamin D into its active form slows down. The National Health Service suggests that all older adults consider a daily vitamin D3 supplement, particularly during autumn and winter months or when living at northern latitudes.

Iron: Navigating Non-Heme Absorption

Iron is central to hemoglobin production and oxygen transport to the brain. Plant foods contain only non-heme iron, which is absorbed at roughly half the rate of the heme iron found in meat. Because of this difference, some guidelines suggest that vegetarians aim for higher daily iron intake than the standard 8 milligrams recommended for adults over 50.

Postmenopausal women no longer lose iron through monthly menstruation, which reduces their daily iron requirements. However, older plant-based eaters can still develop iron deficiency through poor intestinal absorption, dietary phytates, or low overall food intake.

  • Techniques to Enhance Plant Iron Uptake
  • Combine iron-rich foods (lentils, beans, tofu, pumpkin seeds) with vitamin C sources in the same meal.
  • Squeeze fresh lemon juice over cooked dark leafy greens.
  • Add diced bell peppers, tomatoes, or citrus segments to bean salads and lentil stews.
  • Avoid drinking coffee, black tea, or green tea during meals, as polyphenols inhibit iron uptake.
  • Separate your calcium supplements from meals rich in iron to prevent mineral competition.

If an older adult develops iron deficiency anemia, never assume it is simply caused by a vegetarian diet. Unexplained iron loss in adults over 60 must be evaluated by a healthcare provider to rule out gastrointestinal bleeding, occult ulcerations, or malabsorption disorders.

Iodine: Balancing Thyroid Function

Iodine is a building block for thyroid hormones, which regulate resting metabolic rate, body temperature, and cognitive processing speed. Plant-based diets that avoid dairy, seafood, and eggs often fall short in iodine unless the individual uses iodized table salt.

Many people have replaced standard iodized table salt with gourmet sea salts, pink Himalayan salt, or kosher flakes. These specialty salts rarely contain added iodine unless explicitly stated on the packaging.

Relying on seaweed or kelp to meet your iodine needs is unreliable and potentially risky. Seaweed contains widely fluctuating amounts of iodine, and consuming excessive amounts can trigger thyroid dysfunction, inducing either hyperthyroidism or hypothyroidism.

  • Practical Iodine Management
  • Check your kitchen salt container to verify that the label states "Iodized Salt."
  • If you limit dietary sodium for blood pressure control, speak with a doctor about a reliable iodine supplement supplying roughly 150 micrograms daily.
  • Avoid high-dose kelp supplements, which can deliver dangerous spikes of iodine.
  • If you take thyroid medications, coordinate all iodine sources with your prescribing clinician.

Omega-3 Fatty Acids: Distinguishing ALA from EPA and DHA

Omega-3 fatty acids preserve the fluid architecture of brain cell membranes and help regulate systemic inflammation. Plant foods supply alpha-linolenic acid (ALA), a short-chain omega-3 fat found in ground flaxseeds, chia seeds, hemp seeds, English walnuts, and cold-pressed canola oil.

The human body converts ALA into long-chain omega-3 fatty acids, known as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). However, this biological conversion rate is low and becomes even less efficient with advancing age. EPA and DHA are the specific molecules linked to cardiovascular stability and neuronal health in clinical literature.

  • Plant-Based Omega-3 Strategy
  • Eat 1 to 2 tablespoons of freshly ground flaxseeds or chia seeds daily for baseline ALA.
  • Use cold-pressed walnut oil or canola oil for gentle, low-heat cooking or salad dressings.
  • Consider an algal oil supplement supplying 250 to 500 mg of combined EPA and DHA daily.
  • Discuss algal oil supplementation with your physician if you take anticoagulant or antiplatelet drugs.

Algal oil provides a vegan, bioavailable source of preformed DHA and EPA derived directly from marine algae rather than fish. While current evidence does not prove that omega-3 supplements prevent dementia, maintaining adequate cellular levels of EPA and DHA supports overall vascular and neurological health.

Address Common Misconceptions and Nutritional Blind Spots

Adopting or continuing a plant-based diet past 60 requires filtering out wellness myths and focusing on verified nutritional physiology. Misunderstandings about food composition can lead to quiet, progressive nutrient deficits.

  • Common Nutritional Misconceptions
  • Myth: Any diet labeled "plant-based" is automatically heart-healthy and brain-protective.
  • Myth: Eating a large bowl of raw spinach provides sufficient absorbable calcium for your bones.
  • Myth: Natural nutritional yeast automatically provides active vitamin B12.
  • Myth: Older adults require less protein because their physical activity decreases.
  • Myth: Adding large amounts of raw bran and fiber quickly is always healthy for digestion.

A diet can be entirely vegan while consisting of potato chips, sugar-sweetened drinks, white bread, and ultra-processed frozen foods. These foods elevate systemic inflammation, destabilize blood sugar, and accelerate cognitive decline. The health benefits of plant-based eating stem from whole, unrefined plant foods, not from the simple absence of animal ingredients.

Another common pitfall is changing your fiber intake too rapidly. When older adults suddenly switch from a low-fiber diet to large quantities of dry beans, lentils, and raw vegetables, they may experience severe bloating, abdominal pain, and early satiety. Introduce legumes gradually, drink plenty of water, and use cooking techniques like soaking and pressure cooking to ensure comfortable digestion.

  • Comparing Nutrient Sources
  • High-Oxalate Greens (Spinach, Swiss Chard): Rich in vitamins, but calcium absorption is below 10 percent.
  • Low-Oxalate Greens (Kale, Bok Choy, Collards): Superior calcium absorption, often exceeding 40 percent.
  • Whole Raw Nuts: Excellent for healthy fats, but can be difficult to chew or digest with dental appliances.
  • Stone-Ground Nut Butters: Deliver identical fats, proteins, and minerals with less chewing demand.
  • Canned Beans (Rinsed): Easier to digest and lower in gas-producing oligosaccharides than poorly soaked dry beans.

Apply Practical Meal Planning and Preparation Strategies

Translating nutritional goals into delicious, easily prepared daily meals is the most reliable way to stay healthy over the long term. Designing a plant-based plate after 60 requires structuring each meal around a dependable protein source, adding healthy fats for energy density, and incorporating low-oxalate greens and colorful produce.

If you struggle with chewing difficulties, dry mouth, or reduced grip strength, modifying food textures is practical and beneficial. Soft-cooked stews, pureed lentil soups, silken tofu dressings, and blended smoothies allow you to consume concentrated nutrients without physical fatigue.

  • A Daily Three-Meal Framework for Plant Nutrition
  • Breakfast: High-Protein Warm Oatmeal
  • 1/2 cup rolled oats cooked in 1 cup calcium-fortified soy beverage.
  • 2 tablespoons hemp seeds and 1 tablespoon ground flaxseed.
  • 1/2 cup fresh or frozen blueberries.
  • 2 tablespoons smooth almond or peanut butter stirred in for added calories.
  • Lunch: Mediterranean White Bean and Kale Bowl
  • 1 cup cooked cannellini beans, warm and lightly mashed with olive oil.
  • 1.5 cups steamed chopped kale tossed with fresh lemon juice and sea salt.
  • 1/2 cup cooked quinoa or brown rice.
  • 2 tablespoons pumpkin seeds sprinkled on top.
  • Dinner: Tofu and Vegetable Stir-Fry
  • 150 grams firm, calcium-set tofu, cubed and sautéed in sesame or canola oil.
  • 1 cup broccoli florets and sliced red bell peppers.
  • 1/2 cup shelled edamame beans added directly to the stir-fry.
  • Served over 3/4 cup farro or buckwheat noodles with a low-sodium ginger sauce.

Case Examples in Older Plant-Based Nutrition

Examining real-world examples helps clarify how dietary adjustments can address specific health challenges. These illustrative scenarios highlight practical ways to structure plant-based eating for different needs.

  • Case Example 1: Active 67-Year-Old Vegan
  • Profile: Maintains regular walking and resistance training; normal weight; entirely plant-based.
  • Plan: Consumes three structured meals per day, each containing 25 grams of protein.
  • Supplements: Uses a daily 50 mcg vitamin B12 tablet, 1,000 IU vitamin D3, and an algal EPA/DHA capsule.
  • Focus: Consistently uses calcium-set tofu and fortified plant milks to meet skeletal calcium requirements.
  • Case Example 2: 78-Year-Old Experiencing Unintentional Weight Loss
  • Profile: Reduced appetite; lives alone; eats mainly raw salads, fruit, and clear vegetable broths.
  • Risk: Calorie deficit, progressive muscle loss (sarcopenia), and B12 deficiency.
  • Intervention: Shifts to energy-dense, soft-textured meals. Blends nut butters and protein powder into morning oatmeal.
  • Clinical Action: Screened for medication side effects and swallowing difficulties; guided by a registered dietitian.
  • Case Example 3: 71-Year-Old with Early Chronic Kidney Disease
  • Profile: Long-time lacto-ovo vegetarian diagnosed with stage 3 chronic kidney disease.
  • Risk: Potential potassium, phosphorus, and protein imbalances.
  • Intervention: Adjusts whole-grain and legume portions under renal dietitian guidance to protect kidney function.
  • Teaching Point: Plant-based diets must be adapted to individual organ function and cannot follow generic templates.

Partner with Your Healthcare Team and Request the Right Tests

Dietary choices do not exist in isolation from your medical care. Plant-based eating interacts with medications, chronic conditions, and metabolic changes. Working collaboratively with your primary care provider ensures that your diet supports your long-term health safely.

Certain plant foods and supplements interact directly with prescription medications. For example, sudden increases in dark leafy greens high in vitamin K can alter the effectiveness of traditional blood thinners like warfarin. High doses of calcium or iron supplements can bind to thyroid medications or certain antibiotics in your stomach, reducing their absorption.

Schedule a dedicated annual nutrition review with your physician. Request relevant laboratory panels to confirm that your dietary plan is meeting your biological needs.

  • Recommended Laboratory Markers for Plant-Based Adults Over 60
  • Complete Blood Count (CBC): Screens for changes in red blood cell size linked to anemia.
  • Serum Vitamin B12 and Methylmalonic Acid (MMA): MMA detects functional B12 deficiencies early.
  • Serum 25-Hydroxyvitamin D: Evaluates whole-body vitamin D status for bone and muscle support.
  • Ferritin and Total Iron Binding Capacity (TIBC): Assesses internal iron stores beyond circulating serum iron.
  • Comprehensive Metabolic Panel (CMP): Evaluates kidney function (eGFR, BUN) and liver enzyme health.
  • Thyroid Stimulating Hormone (TSH): Assesses baseline thyroid performance and iodine adequacy.
  • Questions to Ask Your Doctor at Your Next Appointment
  • 1. "Given my current health profile and medications, are there specific plant foods or supplements I should time away from my prescriptions?"
  • 2. "Could we include a methylmalonic acid (MMA) test alongside my standard B12 check to ensure my nerve pathways are fully supported?"
  • 3. "Based on my bone density scans and family history, is my current dietary calcium and vitamin D intake sufficient?"
  • 4. "Would a formal referral to a registered dietitian who specializes in geriatric, plant-forward nutrition benefit my health plan?"

Key Principles for Long-Term Cognitive and Physical Health

Following a vegan or vegetarian diet after 60 can support healthy, active aging when planned thoughtfully. Success depends on focusing on your body's nutritional requirements rather than relying on dietary labels alone.

  • Prioritize total daily calories and structured protein intake across every meal to protect muscle mass and physical independence.
  • Maintain strict, non-negotiable vitamin B12 supplementation using reliable crystalline supplements or confirmed fortified foods.
  • Protect your bone health by combining lower-oxalate leafy greens, calcium-set tofu, and fortified plant beverages with adequate vitamin D3.
  • Enhance non-heme iron absorption by pairing legumes and whole grains with fresh, vitamin C-rich fruits and vegetables while separating tea and coffee from meals.
  • Support your thyroid and brain health by verifying your daily iodine sources and considering an algal oil supplement for preformed DHA and EPA.

A well-planned plant-based diet provides the foundation for strong physical health, sharp cognitive function, and long-term independence throughout your retirement years.

Sources

  1. A gradient risk of cognitive impairment with vegetarian diets in older adults: highest for vegan and potential benefit for pescatarian - PubMed
  2. Vegetarian Dietary Patterns and Cognitive Function among Older Adults: The Adventist Health Study-2 - PubMed
  3. Vegetarianism and veganism compared with mental health and cognitive outcomes: a systematic review and meta-analysis
  4. The vegan diet
  5. Vegan diet: nutritional components, implementation, and ...
  6. The effects of plant-based diets on the body and the brain: a systematic review - Translational Psychiatry
  7. Vegan and Vegetarian Older Adults: Sarcopenia and Protein ...
  8. The effects of plant-based diets on the body and the brain - PMC
  9. Healthy eating, nutrition, and diet
  10. The value of dietary plant protein in older people
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