Alternative diets have been recognized for centuries. In his 1813 pamphlet, A Vindication of Natural Diet, the poet Shelley wrote, “There is no disease, bodily or mental, which adoption of vegetable diet and pure water has not infallibly mitigated, wherever the experiment has been fairly tried” (1). In the rapidly expanding multicultural population of North America, vegetarianism is a popular dietary practice. It may be based on religious or cultural beliefs, or on economic, health or ethical concerns. A 2002 survey (2) found that approximately 4% of Canadian adults consumed a vegetarian diet that excluded meat, poultry and fish. Furthermore, 20% to 25% of adults in the United States reported eating four or more meatless meals weekly, or that they ‘usually or sometimes maintain a vegetarian diet’, suggesting an increasing interest in vegetarianism (2). Because parents are the principal providers of what their infants eat, vegetarian parents often wean their children onto the family’s vegetarian diet. It is important to note that atypical diets are more likely to cause problems of malnutrition in children than in adults due to their greater nutrient requirements relative to body weight. Thus, without the appropriate care for these children, health issues may arise that could concern health care professionals. Vegetarianism is a very broad category consisting of diets with varying degree of animal product consumption. This distinction is important because the more strictly vegetarianism is followed, the more difficult it becomes to guarantee an adequate diet for growing infants and children. For example, lacto-ovo-vegetarians include eggs, milk and dairy products along with a plant food selection; however, they refrain from animal flesh. On the other hand, a lacto-vegetarian diet consists of plant foods such as grains, legumes, nuts, fruits and vegetables, complemented with milk and milk products, with avoidance of eggs and animal flesh. Pure or total vegetarians (or ‘vegans’) reject all foods of animal origin, including milk and eggs. Finally, another atypical diet that is far more restrictive than pure vegetarianism is the macrobiotic diet. The original macrobiotic dietary regimen comprised of 10 diets, ranging from the lowest level, which includes 10% cereal, 30% vegetables, 10% soups, 30% animal products, 15% salads and fruits, and 5% desserts, to the highest level, which is composed of 100% cereals (3). The revised macrobiotic diet may contain whole-grain cereals (mainly unpolished rice), vegetables and pulses, with small additions of seaweeds, fermented foods, nuts, seeds and seasonal fruit (4).