Dear Winterberry. Six years ago I went vegan. I don’t recall any major changes with my pouch but I chew a lot more now to keep things from clogging tube - chopped kale, mushrooms, etc. I love being vegan and eat just about everything but try to avoid portobellos and pineapples (and NO potato 🥔 skins, oh how I miss those). Each year I’m stronger and healthier. Plus I love carbs but try to keep them to just a few a day.