Improvements attributed to adopting a vegan diet may be due to broader lifestyle changes such as cooking at home, reducing alcohol and smoking, and avoiding restaurants and processed sugars.

“you're like well I say Vegan that means no meat but what else did you change you used to keep everything else exactly the same and you only dropped meat and they say oh yeah yeah I went vegan and I feel better okay so you still drink you still smoke you go out to restaurants you're eating you're eating sugar you're drinking sodas you're having cookies all these oh no no no no I only E I only cook for myself I don't go to restaurants I stop drinking I don't smoke anymore and uh you know I cook all my food myself”