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As regards the fully integrated determinant research, This may have a knock-on effect. Cod liver oil has a blood-thinning effect, so it should be taken with caution if you take aspirin or anticoagulant medications such as warfarin, or if you have a bleeding disorder. If you take cod liver oil supplements, you should take the same precautions around that as for the Swank diet. Is the Swank diet healthy? Research published in 2021 suggests that the similar Swank diet might help with fatigue. If you have high energy needs or you’re underweight, excluded foods might make it harder to get the energy you need. Because it’s a very low-fat vegan diet, make sure you can find sources of protein and get enough calcium, vitamin B12 and zinc. But cutting down on meat and dairy products to reduce your saturated fat intake might mean you’re not getting enough protein and iron, so you’d need to find alternative sources like fish, beans and pulses.