A one-year-old boy in Milan, allegedly being raised on a strict vegan diet, has been taken away from his parents after being hospitalized weighing just five kilograms.

The boy was taken to Milan’s Fatebenefratelli hospital by his grandparents on July 2nd, but doctors were shocked to discover the one-year-old weighed as much as an average three-month-old, Corriere reported.

Blood tests revealed the child was severely malnourished, having a level of calcium, which doctors described as “the minimum needed to survive”.

The malnourished child was also suffering from a heart condition which left him needing emergency surgery. While the condition was not caused by diet, the child’s chronic lack of calcium is thought to have aggravated the problem as low calcium levels cause irregularities with the cardiac rhythm.

The child survived the surgery and is recovering well, but concerned medical staff reported the incident to social services after the parents allegedly refused to change the diet they were feeding their child.

A Milan court has ruled the child will remain in the custody of the Policlinico San Donato hospital, where he underwent the lifesaving surgery, pending further investigation.

“It’s clear the child was being fed a strict vegan diet which was incompatible with his young age,” Judge Ciro Cascone told Corriere, adding that the child’s parents had failed to provide him with any dietary supplements.

It is the fourth case of a vegan child being hospitalized within the last 18 months and follows a similar incident last month in Genoa, where a malnourished two-year-old spent several days in intensive care.

Veganism is on the rise in Italy, with 2.9 percent of the population now avoiding all animal products.

While a vegan diet can be extremely healthy, doctors have warned that parents need to fully inform themselves before raising their children as vegan.

Comment: Why you should think twice about vegetarian and vegan diets:

Plant-based diets typically include large amounts of cereal grains (refined and unrefined) and legumes, both of which are low in bioavailable nutrients and high in anti-nutrients such as phytate. Vegan diets, in particular, are almost completely devoid of certain nutrients that are crucial for physiological function. Several studies have shown that both vegetarians and vegans are prone to deficiencies in B12, calcium, iron, zinc, the long-chain fatty acids EPA & DHA, and fat-soluble vitamins like A & D. The effects of B12 deficiency on kids are especially alarming as it can lead to long-term neurological disorders in infants and toddlers fed vegetarian diets, as well as impaired cognitive performance, spatial ability and short-term memory.

“It’s not a problem if parents want to raise their children using alternative or even unusual diets,” head pediatrician at Fatebenefratelli told the Corriere.

“But care needs to be taken to make up for any nutritional shortfalls using supplements. For example, the one-year-old child we are treating should have been taking iron and calcium supplements.”

Last summer, the vegan parents of an 11-month-year-old baby treated for severe malnutrition at a hospital were investigated by police. The incident came shortly after an Italian court ordered a vegetarian mother to cook meat for her son at least once a week after the boy’s father complained that his son wasn’t being fed a proper diet.