Ana a lacto-ovo-zamasamba ali ndi kukula ndi chitukuko chofanana ndi anzawo omwe sadya zamasamba. Pali chidziwitso chochepa chomwe chilipo pakukula ndi kukula kwa ana osadya nyama pazakudya zopanda macrobiotic, koma zowonera zikuwonetsa kuti ana otere ndi ocheperako pang'ono poyerekeza ndi anzawo, koma akadali mkati mwazolemera ndi kutalika kwa ana azaka izi. Kusakula bwino ndi chitukuko chalembedwa pakati pa ana pa zakudya okhwima kwambiri.
Kudya pafupipafupi komanso zokhwasula-khwasula, pamodzi ndi zakudya zolimbitsa thupi (tirigu wa chakudya cham'mawa, mkate wothira ndi pasitala) zidzalola ana odyetsera zamasamba kuti akwaniritse bwino mphamvu ndi zosowa za thupi. Kuchuluka kwa mapuloteni m'thupi la ana osadya zamasamba (ovo-lacto, vegans ndi macrobiota) nthawi zambiri amakumana ndipo nthawi zina amaposa zomwe amafunikira tsiku lililonse, ngakhale kuti ana osadya masamba amatha kudya zakudya zomanga thupi zochepa kuposa osadya masamba.
Ana anyama amatha kukhala ndi kufunikira kwa mapuloteni ambiri chifukwa cha kusiyana kwa digestibility ndi ma amino acid omwe amapangidwa kuchokera ku zakudya zamasamba. Koma chosowachi chimakhutitsidwa mosavuta ngati chakudyacho chili ndi mphamvu zokwanira zopangira mphamvu zamagetsi ndipo kusiyana kwawo kuli kwakukulu.
Chisamaliro chapadera chiyenera kutengedwa kuti tisankhe magwero olondola a kashiamu, chitsulo ndi nthaka, pamodzi ndi kusankha zakudya zomwe zimalimbikitsa mayamwidwe a zinthuzi, popanga zakudya zamasamba ana. Gwero lodalirika la vitamini B12 ndilofunikanso kwa ana osadya nyama. Ngati pali nkhawa yokhudzana ndi kaphatikizidwe ka vitamini D kosakwanira, chifukwa cha kuchepa kwa dzuwa, mtundu wa khungu ndi kamvekedwe, nyengo, kapena kugwiritsa ntchito mafuta oteteza dzuwa, vitamini D iyenera kutengedwa yokha kapena muzakudya zolimbitsa thupi.