Is Dairy Healthy and Do Humans Need it?

Dairy cow picture

Introduction

Drinking milk beyond weaning is neither natural nor healthy and the consumption of dairy products has been linked to a number of illnesses and diseases.

Drinking milk is the most natural thing in the world – if you’re a baby and you’re suckling from your mum, that is. Like all 5,000 or so species of mammals on this planet, we have evolved to drink the milk of our mothers until weaned. But we are the only mammal to drink milk after weaning and certainly the only one to drink the milk of another species! If this sounds strange, think how you’d feel if your friend told you that they suckle from their pet dog or cat. Or even directly from a cow.

man suckling from a cow

Cow’s milk: ideal for calves not humans

The composition of milk varies widely from animal to animal, providing the perfect first food for the young of that species. Cow’s milk is very different from human milk – which is why you mustn’t give off-the-shelf cow’s milk to a baby – it has to be changed into special infant formula which attempts to replicate the nutrient profile of human milk.

Cow’s milk is ‘designed’ to fuel rapid growth so that a calf can triple his or her weight within a year to a whopping 300-400 kilograms. It is perfect for a calf but can be very unhealthy and even harmful for humans.

Worldwide prevalence of lactose intolerance in recent populations

Lactose intolerance

Did you know that around 70 per cent of the world’s population are lactose intolerant? For example, most people in China, Vietnam, Thailand and Japan are lactose intolerant. This simply means they can’t digest lactose – the sugar in milk. Everyone has the ability to digest lactose when they are born, but most people lose this ability after weaning. If someone with lactose intolerance drinks milk, they may experience diarrhoea, a bloated and painful stomach and, on some occasions, nausea and vomiting. Even in the UK, lactose intolerance is the most common adverse reaction to cow’s milk among adolescents and adults with an estimated eight per cent of people affected.

Lactose intolerance is the normal state for most people – adult mammals (including humans) normally do not need to digest lactose as they don’t suckle beyond weaning. It’s only possible for some people due to random genetic mutations that occurred a few thousand years ago. These mutations offered a selective advantage to populations using dairy products and can be traced back to a minority of pastoral tribes: the Tutsi and Hutu of Rwanda; the Fulani of West Africa; the Sindhi of North India; the Tuareg of West Africa and some European tribes.

 

Every hour is cocktail hour!

In a typical glass of milk or bite of cheese, there are a cocktail of hormones and growth factors, including: IGF-1, oestrogen, progesterone, adrenal, pituitary, hypothalamic and other hormones. Add to that the fact that, in the UK, two-thirds of milk is taken from pregnant cows, with the rest coming from animals who have recently given birth, levels tend to be even higher. These hormones and growth factors carry important messages from mother to offspring directing the rapid growth needed by a young calf but not by an adult human.

 

Taking the pus

Another undesirable component of milk. Milk containing up to 400 million somatic white blood cells per litre is legally allowed to be sold in the UK for human consumption. Why so much? Because modern, intensive dairy farming ensures that 50 to 70 of every 100 British dairy cows each year suffers with mastitis – a painful infection of the udders. Their immune system sends white somatic cells to battle the infection. These, and dead tissue, can ooze into the milk. The worse the infection, the higher the somatic cell count. A high somatic cell count reflects the cow’s almost constant fight against bacterial infection. Pus is made up of white blood cells, bacteria and dead udder tissue cells and some of it finds its way into her milk – although they tell us it’s not pus!

 

Bone health

Worried about your bones? Don’t be, most peoples in the world don’t drink milk and their bones are strong while some of the countries who drink the most milk, in Scandinavia and the US for example, are among those with the highest fracture rates. You don’t need dairy. Cow’s milk is not the best source of calcium; our bones benefit more from plant sources. Weight-bearing exercise (walking, running and dancing), is the most important factor for maintaining healthy bones, followed by improving diet (plenty of fruit, vegetables, wholegrains, pulses, seeds and nuts) and lifestyle. To protect your bones – use ‘em or lose ‘em!

 

Mending a broken heart

Heart and circulatory diseases cause around a quarter of all deaths in the UK, more than 170,000 deaths each year – one every three minutes. Heart disease occurs when arteries carrying blood to the heart become blocked. Gradually, they become furred with ‘plaques’ – a thick sludge formed from cholesterol and other substances. Unhealthy saturated fat found in dairy (hard cheese, cream, ice cream, milk chocolate and butter), red and white meats and eggs, as well as hydrogenated fats in junk foods, raise ‘bad’ cholesterol levels in the blood and increase the risk of heart disease.

Not cool for kids

Acne, allergies and obesity are all linked to dairy. Childhood diabetes (type 1) is increasing dramatically in younger children; early exposure to cow’s milk is a recognised trigger. The number of children and young people diagnosed with type 2 diabetes is on the rise. Lack of exercise and poor diets with high-fat dairy products are to blame. Four-cheese pizzas do you no favours!

 

Milk – the wrong stuff

Drinking milk is unnatural for us. Many people find milk hard to digest, suffering from discomfort and pain. Despite relentless claims by the dairy industry, milk is neither the only nor the best source of calcium. Beans, lentils, broccoli, kale, watercress, nuts, seeds, soya and other plant foods are better and healthier sources.

Ditching dairy products has never been easier as supermarkets and other food shops now stock a wide selection of delicious and nutritious dairy-free alternatives to milk, yoghurt, ice cream, margarine and cheese!

Who drinks milk?

Around three-quarters of the world’s population do not drink milk, but among those who do, the pattern of consumption varies widely between countries. Data collected by the Food and Agriculture Organisation of the United Nations (FAO) provides figures for the consumption of milk (excluding butter) in kilograms per person per year for over 170 countries.

White lies report

The level of milk and dairy product consumption varies widely between countries. The highest levels of consumption are seen in Europe, led by Finland, Sweden and the Netherlands.

The average amount of milk and dairy products consumed per person per year on a global scale is just 87.3 kilograms (up from 79.8 in 2002).

The lowest levels of consumption are seen in Africa and Asia with such low levels in some countries that it is reasonable to assume that many people in these countries do not consume any milk or milk products.

Most people in the world do not drink milk; their reasons may be cultural, economic, historical or biological. Despite this, many people continue to argue that milk is a fundamental component of a healthy diet when it so clearly is not.

What’s in Dairy & Do We Need It?

Dairy milk

Adverts for dairy products are very inventive but rarely tell you the actual facts. We all know milk contains calcium but what else is in it and how does it affect your health? Here are the facts.

Water

The main component of milk is water, around 87 per cent and it’s even more in skim milk, over 90 per cent. Water is necessary for the newborn calf and also serves as a carrier for all the other ingredients in milk. When dairy proponents criticise plant milks for containing a lot of water, they’re conveniently forgetting that dairy milk shares that characteristic too!

Sugar

Milk naturally contains sugar – lactose – about five grams per 100 millilitres. Lactose is a sugar that serves as the main source of energy for the newborn calf.

However, for lactose to be digested the enzyme lactase is necessary. All human babies have this enzyme but only a minority retain it after weaning. In fact, most of the world’s population (70 per cent) are unable to digest lactose after infancy and are therefore described as lactose intolerant.

Protein

The amount of protein in cow’s whole milk is around 3.4 grams per 100 grams (3.5 grams in semi-skimmed milk) while it is only 1.3 grams per 100 grams in human milk. The proteins in milk can be divided into two categories – caseins and whey proteins. Caseins can be difficult to digest, may cause cow’s milk allergy and have been linked to type 1 diabetes. Caseins are so tough they are even used as a basis of some glues! The ratio of caseins to whey proteins is 40:60 in human milk but it is 80:20 in cow’s milk.

Calves need extra protein because they need to grow fast. Human babies, on the other hand, need less protein and more fat to fuel brain development.

How and why is dairy linked to disease

Fat

Most of the fat in whole milk and many dairy products is the unhealthy saturated type. Even though low-fat milk products contain less fat overall, much of the fat in them is saturated. This ‘bad’ fat is completely unnecessary for humans and increases the risk of many diseases including heart disease and stroke, diabetes, metabolic syndrome and has been linked to several types of cancer. Some dairy products, such as butter and cheese, are the biggest saturated fat contributors in Western diets and have been blamed for contributing to the current obesity epidemic.

Cow’s milk contains only a small amount of polyunsaturated fats that are not only essential for the human body but also have a whole range of beneficial properties. These are abundant in plant foods and some plant milks are also a good source.

Vitamins and minerals

Minerals found in cow’s milk include sodium, potassium, calcium, magnesium, phosphorus and chloride, zinc, iron (although at extremely low levels), selenium, iodine and trace amounts of copper and manganese. Vitamins in cow’s milk include retinol, carotene, vitamin E, thiamin, riboflavin, niacin, vitamin B6, vitamin B12, folate, pantothenate, biotin, vitamin C and trace amounts of vitamin D. In the US, but not the UK, cow’s milk is fortified with vitamin D; this leads to some confusion with industry pundits mistakenly saying that cow’s milk is a good source of vitamin D – it is not!

Although cow’s milk contains all these nutrients it is important to note that many are contained at low levels. Furthermore, the mineral content is so out of balance with human biochemistry that it is difficult for us to absorb the optimum amounts required for health.

 

Hormones

Cow’s milk naturally contains a cocktail of hormones and growth factors, including IGF-1 (insulin-like growth factor 1), oestrogen and progesterone, adrenal, pituitary, hypothalamic and other hormones. All these help a calf grow to adult size in just over one year but humans grow at a much slower rate – brain development is more important in the first year for a human baby. The hormones in cow’s milk have been linked to certain cancers such as prostate cancer, for example.

IGF wot not?

IGF-1 stands for insulin-like growth factor 1. It is a growth hormone that controls growth and development in both cows and people but each species has very different rates of growth. Meat and dairy products are linked to raised levels of IGF-1, and higher IGF-1 levels are linked to a higher risk of various cancers including those of the breast and prostate.

Vegans tend to have lower levels of IGF-1 in their blood. One study found compared with meat-eaters and vegetarians, vegan women had 13 per cent lower levels of IGF-1. Vegan men had IGF-1 levels nine per cent lower levels and this difference may be considered enough to lower the risk of prostate cancer. The intake of animal protein was linked with elevated IGF-1 levels and diet explained most of the differences in IGF-1 concentration between the groups.

Cow’s milk vs human milk

The composition of milk varies widely from animal to animal, providing the perfect first food for the young of each particular species. A seal’s milk, for example, is extraordinarily fatty (50 per cent fat) so that seal pups can grow very quickly, depositing a thick layer of blubber that will protect them from the cold and sustain them as they learn to hunt for themselves. Just as we are different from seals, we are different from cows too! It won’t surprise you, then, that cow’s milk is very different from human milk – which is why you mustn’t give off-the-shelf cows’ milk to infants under the age of one and why cow’s milk is reformulated into infant formula, in an attempt to replicate human milk.

Cow’s Milk vs Plant Milks

Ever wondered how dairy products and their plant-based counterparts compare? We’ve done all the hard work for you!

Sugar with your milk?

As you can see in the table below, cow’s milk contains more sugar than most plant milks. Milk sugar – lactose – is a natural component of mammalian milk. It’s a simple sugar, which means it breaks down quickly and is quickly absorbed by your body in the same way as table sugar.

On the other hand, unsweetened plant milks contain very little sugar and even the sweetened varieties are often sweetened with apple juice, which is absorbed more slowly.

The lowest in sugar: soya, almond and hemp milks

Nutrient/100gCow's milk (semi-skimmed)Soya milkAlmond milkOat milkHemp milkRice milkCoconut milk
Total fat2g1.7g1.1g0.5-1.5g2.8g1g0.9-2g
Saturated fat1-1.3g0.3g0.1g0.1-0.2g0.3g0.1g0.9-1.9g
Polyunsaturated (essential) fats0-0.1g1g0.3g0.7g2g0.6g0g
Protein3-4g3g0.4g1g0.6g0.1g0.1-0.2g
Sugar (unsweetened)
Sugar (sweetened)
5g0.1g
2.4g
0.1g
3g
4.1g0.1g
1.8g
3.3-7g1.6-1.9g
Fibre 0g0.5g0.4g0.8g0.5g0.3g0.1g
Calcium120mg120mg120mg120mg118mg120mg120mg

Floating fats

Cow’s milk and dairy products contain saturated ‘bad’ fats which increase the risk of heart disease and stroke. All other plant milks (with the exception of coconut milk) have a healthier fat profile. Hemp milk also comes with an extra dose of essential omega-3 fats, closely followed by soya. Rice, oat and almond milk have the lowest fat content.

Lowest in fat: soya, almond, oat, hemp and rice milk

Packing protein

Protein levels vary and although cow’s milk has about the same protein content as soya milk, cow’s milk proteins (whey and casein) are difficult to digest. Soya not only contains a good amount of protein but it’s healthier, it lowers cholesterol and may reduce the risk of breast cancer.

Best for protein: soya milk

Liquid calcium

The amount of calcium you get from most fortified plant milks is the same as from cow’s milk. Not all plant milks are fortified though, so check the carton. The calcium in dairy milk is why we’ve been told to drink the white stuff but don’t forget that cow’s milk also packs a good dose of hormones and pus. No one needs that!

Best for calcium: all fortified plant milks

Roughage in your drink

All plant milks contain some fibre, which is essential to good health, whilst dairy milk never contains any. Fibre helps to keep your digestive tract healthy and can slow down sugar digestion. Soya, almond, hemp and oat milk are best for fibre but oat milk beats the others.

Best for fibre: oat milk

Environmental impact

It takes 1,020 litres of water to produce one litre of cow’s milk. To produce the same amount of soya milk, you need just 297 litres of water – and even less for other crops such as oats! Almonds drink a bit more but they’re certainly not the culprit behind California’s water crises, as some tabloids claimed. Almonds may not be as environmentally friendly as the vast majority of plant foods, but they still have a lower environmental impact than meat and dairy. See the environmental impacts of different milks here.

And the winner is?

It’s impossible to pick which plant milk is the best. Ultimately, it comes down to taste because you’re most likely to stick with something you enjoy drinking! The fact is, all plant milks are not just more ethical and sustainable than cow’s milk, they’re also healthier.

Dairy yoghurt vs soya yoghurt

When it comes to yoghurt, soya ones are by far the best – providing good amounts of protein, calcium, healthy fat and fibre:

Nutrient/100gPlain low-fat dairy yoghurtAlpro plain soya/ soya-almond yoghurt
Total fat1.5g2.8/2.3g
Saturated fat1.0g0.4g
Polyunsaturated (essential) fats0.044g1.4g
Protein5.2g3.9/4.0g
Sugar7.0g2.2/2.1g
Fibre0.0g1.1g
Calcium183mg120mg

The only thing to watch when it comes to non-dairy yoghurts are some coconut ones which can have a high fat content. They are OK for an occasional treat but try not to eat the too often.

Nutrition

healthy lunch meal fruits calcium

Being dairy-free is a natural and healthy choice. All the nutrients in milk are easily found in plant-based foods that will make you thrive and you won’t miss a thing!

Many of us have been brought up with the idea that we need milk for calcium but it’s nothing more than a successful ploy by the dairy industry. They provide ‘educational’ materials to schools, lobby the Government, organise lectures for healthcare professionals, sponsor research and pay millions for advertising to encourage people to think that we ‘need’ milk. Yet no one needs milk after weaning and no one needs the milk of another species. There’s nothing in cow’s milk that you can’t find in plants, except all the bad fats, hormones and gluey protein!

 

Calcium Question

Calcium is an important mineral that we need for healthy bones, muscle function, numerous metabolic reactions and hormonal balance – adults need about 700 milligrams per day, children a bit less, adolescents and lactating women slightly more (see here for the recommended amounts). And we can get more than enough from non-dairy sources as long as we eat a varied, healthy vegan diet.

The National Osteoporosis Society agrees:

If you don’t eat dairy products, you will need to include lots of other calcium-rich foods such as green leafy vegetables, almonds, sesame seeds, dried fruit, pulses, fortified soya drinks and soya protein (tofu) in your diet. A vegetarian diet is not a risk factor for osteoporosis and vegetarians and vegans do not appear to have poorer bone health than the rest of the population.”

Get your calcium from:

  • Nuts and seeds: almonds, Brazil nuts, sesame seeds and tahini (sesame seed paste used in many recipes)
  • Pulses: peas, beans, lentils, soya and calcium-set tofu
  • Green leafy vegetables: broccoli, kale, spring greens, cabbage, watercress, parsley
  • Dried fruit: figs, apricots
  • Fortified products: plant milks (soya, almond, oat, hemp, rice, coconut), soya yoghurts

Calcium-Rich Foods Poster

Get our calcium-rich foods poster as a reminder of all the great plant sources of calcium!

It has an extendable section with sample portion sizes and the amount of calcium they contain.

Click here to get yours.

Healthy Bones

Our bones need a healthy diet and lifestyle to be strong. Cow’s milk is not just unnecessary for healthy bones – studies show that high intakes may even increase the risk of bone fracture!

Calcium is important for bone health and easy to get from the foods listed above. Another nutrient crucial to maintaining healthy bones is vitamin D. It’s produced in your skin when exposed to the sun in the summer but during the winter months (or if you always protect your skin from sunlight), you might need to take a supplement regardless of your diet (this advice applies to everyone in the UK).

However, we need more than just calcium and vitamin D to build and maintain strong bones. Nutrients such as potassium, magnesium, selenium, zinc, copper, boron, iron, vitamin K, vitamin C, B group, beta carotene (vitamin A) are also necessary but don’t panic! Fruit and vegetables, nuts and seeds, pulses and wholegrains are the best sources and are packed with these important nutrients.

One last thing – bone adapts to the weight and pressure applied to it and it needs this stimulation to stay strong. There’s no need to sweat your socks off but moderate, weight-bearing exercise is a must. This means walking, carrying shopping bags, dancing, gardening, ball games, jogging, yoga, weight-lifting exercise and so on.

More on healthy bones here.

Protein Fiction

Cow’s milk and dairy products do contain protein but it’s certainly not good for us! Casein (the protein in milk) is notoriously hard to digest and it’s so tough that it can be used to make furniture glue. Research suggests that casein encourages prostate cancer to grow. Whey protein (another protein found in cow’s milk) has been linked to acne in teenagers and bodybuilders.

Milk protein can also cause milk allergy and intestinal bleeding in babies – it’s the most common cause of infant anaemia.

There’s an abundance of protein in plant-based diets and it comes in a much healthier package! Among vegan protein heroes are: pulses (beans, lentils, soya, peas, chickpeas), nuts, seeds, wholegrains and ready-made products such as mock meats, hummus, falafel, soya yoghurts and more!

Health Benefits of Being Dairy-Free

Being dairy-free is the natural state for adults. When you decide to go dairy-free, you’ll most likely experience some immediate health benefits but you can expect many long-term benefits too!

Many people notice positive health changes when they cut dairy out of their diet, such as clearer skin, improved breathing and better digestion. It’s no coincidence! A large body of evidence reveals the many different health benefits people experience. Find out more here.

Better skin

The hormones in milk and dairy products can make your skin more prone to acne. Teenagers who consume dairy tend to have worse acne than those who don’t drink/eat it and bodybuilders who use whey protein powders often suffer from bad skin too.

This is what the world-famous actor Woody Harrelson had to say on the subject in an interview with Maxim magazine:

I was about 24 years old and I had tons of acne and mucus. I met some random girl on a bus who told me to quit dairy and all those symptoms would go away three days later. By God she was right.”

Ditching dairy can make your skin clearer but for best results also limit your sugar, fried food and alcohol intake and make sure you eat plenty of green leafy vegetables, fruit, nuts and seeds.

Beach blue sky cheerful

Improved digestion

Dairy is often the cause of indigestion, several inflammatory bowel conditions, constipation and stomach pains. When you cut out cow’s milk and dairy products, your digestion will very likely improve even if you don’t suffer from any serious conditions. Simply by not eating dairy foods that are high in saturated fat, lactose and lacking any fibre, and replacing them with plant foods (rich in fibre, healthy carbohydrates and antioxidants), your digestive tract will become happier and healthier!

Healthier bones

Better bone health without milk? Yes! Sounds counterintuitive thanks to decades of the dairy industry’s brainwashing but it’s true. Research shows that high intakes of cow’s milk and dairy products don’t help your bones but may actually have an adverse effect on them. Countries with the highest dairy intake also have the highest rates of osteoporosis.

Your bones need a range of different minerals and vitamins to be strong, all of which are abundant in plant foods. The best sources of calcium, are: nuts and seeds (almonds, Brazil nuts, sesame seeds and tahini – sesame seed paste), pulses (peas, beans, lentils, soya and calcium-set tofu), green leafy vegetables (broccoli, kale, spring greens, cabbage, watercress, parsley), dried fruit (figs, apricots) and fortified plant milks (soya, almond, oat, hemp, rice, coconut) and soya yoghurts.

And what’s more, plant protein has beneficial effects on bone health whilst animal protein (from dairy, meat and eggs) has been repeatedly shown to have negative effects and even to contribute to calcium losses from bones due to its acid-producing nature.

A healthy vegan diet, active lifestyle (to stimulate bones), sufficient vitamin D intake and low or no alcohol intake is all you need to have healthy bones.

Happier heart

By avoiding dairy you’ll be leaving a lot of saturated fat and cholesterol out of your diet and that’s a great step for a healthier heart and the whole circulation system. Saturated fat, in particular, is a risk factor for heart disease and it can contribute to artery-clogging plaques. Butter is definitely not back – most health experts agree that avoiding saturated fats is one of the best things you can do for your heart health.

A plant-based diet with healthy, unsaturated fats is what your heart needs and the many antioxidants in plants help to protect your blood vessel walls from damage.

Healthy heart dairy free vegan

Lower risk of some cancers

Cow’s milk and dairy products contain a wide range of hormones and growth factors and consuming dairy also increases your body’s production of insulin-like growth factor 1 (IGF-1). IGF-1 can fuel cancer cell growth and people with high IGF-1 levels are at an increased risk of cancers of the prostate and breast.

For ovarian cancer, cow’s milk consumption may also be a risk factor due to the milk sugar lactose. Women consuming it on a regular basis (in a range of dairy products) appear to have an increased risk of the disease.

When you go dairy-free, you stop consuming all these hormones and lactose. Studies also show that vegans have lower levels of IGF-1 in their bloodstream lowering your risk of several cancers and if you make your diet healthy with plenty of fruit and vegetables, wholegrains, pulses, nuts and seeds, you’re lowering your chances of developing cancer even more.

Dairy FAQs

Going dairy-free is great for your health but thanks to decades of the dairy industry’s aggressive marketing, many people are worried about making that step. Here we answer the most frequently asked questions about dairy, your health and dairy-free diets.

What’s calcium, why do we need it and how much?

Calcium is a mineral that naturally occurs in compounds such as limestone and chalk. In the human body, it plays a central role in maintaining bone health and strength; around 99 per cent of our calcium is in the bones and teeth, the other one per cent is involved in the regulation of muscle contraction, heartbeat, blood clotting and functioning of the nervous system.

Government guidelines recommend the following daily amounts:

Children

  • 0-12 months: 525 mg
  • 1-3 years: 350 mg
  • 4-6 years: 450 mg
  • 7-10 years: 550 mg

Males

  • 11-18 years 1,000 mg
  • Over 19 years 700 mg

Females

  • 11-18 years: 800 mg
  • Over 19 years: 700 mg
  • During lactation: +550 mg

 

Studies show that calcium intake above recommended amounts offers no additional protection from fractures and can actually increase the risk.

While milk and dairy products do contain calcium, plant-based sources provide a much healthier source. Good plant-based sources include green leafy vegetables such as broccoli, kale, spring greens, cabbage, parsley and watercress. Also rich in calcium are dried fruits such as figs and apricots, nuts, particularly almonds and Brazil nuts and seeds including sesame seeds and tahini (sesame seed paste). Pulses including peas, beans, lentils and calcium-set tofu (soya bean curd) provide a good source of calcium as does molasses.

Calcium content of some plant foods:

Cauldron Foods plain tofu (100g) – 400mg, almonds (30g – a small handful) – 72mg, Brazil nuts (30g – a small handful) – 87mg, sesame seeds (1 tablespoon) – 56mg, tahini (10g – two teaspoons) – 68mg sunflower seeds (25g – a small handful) – 28mg, broccoli (80g portion boiled in unsalted water) – 32mg, kale (80g portion boiled in unsalted water) – 120mg, watercress (80g portion raw) – 136mg, dried figs (100g – four to six pieces of fruit) – 250mg, fortified plant milks (200ml glass) – 240mg

For more information, see the Calcium page of our A-Z of Nutrients and our Calcium-rich foods poster.

How easily is plant calcium absorbed?

Calcium is absorbed best from foods that also contain good amounts of magnesium – and many plant foods rich in calcium also have plenty of magnesium so it’s an easy equation. These foods are for example kale, cabbage, spring greens, broccoli, bok choy, almonds, other nuts and seeds, beans and dried figs.

Spinach contains a lot of calcium but it’s bound to a substance called oxalate which inhibits calcium absorption, so it’s best to not rely on spinach for calcium too much.

Grains, nuts and seeds contain a substance called phytic acid which was considered to hinder calcium absorption; however phytic acid is now believed to have only a minor influence and cooking, baking and sprouting minimises its effects so it’s nothing to worry about.

Caffeine and smoking have been shown to reduce calcium absorption.

Milk is a natural food... isn't it?

All mammals drink the milk of their mothers until they are weaned. Unlike all other mammals, some humans continue to drink milk after weaning and into adulthood, and not just that, they drink the milk of another species! To state the obvious (but often overlooked) fact – cow’s milk has evolved to help turn a small calf into a cow in less than a year. That’s why cow’s milk contains around four times as much calcium as human milk. Calves need a huge amount of calcium for fast bone growth over the first year of life. A human infant does not require such high levels of calcium; indeed the high mineral content of cow’s milk puts a strain on the human infant kidney which is why most governments strongly recommend that children do not drink normal ‘off the shelf’ milk in the first year.

The proteins in cow’s milk (especially casein) are the most common food allergen and most people in the world are unable to digest milk sugar, lactose, after weaning (they are lactose intolerant). The explanation to this is simple – cow’s milk is not a natural food for humans.

Don’t children need milk for calcium?

No, what they do need is exercise and a healthy plant-based diet. Research shows that physical exercise is the most critical factor for building and maintaining healthy bones, followed by improving the diet and lifestyle – this means eating plenty of fresh fruit and vegetables, plant protein (pulses, nuts and seeds) and – especially important for teenagers – avoiding alcohol and smoking.

Children can get more than enough calcium from nuts and seeds, green leafy vegetables, beans, dried figs, fortified plant milks and yoghurts.

For more information, see Healthy Bones for Life.

Doesn't most of our calcium come from milk?

No, less than half of the calcium in the average UK diet comes from milk and milk products. So despite the misconceived notion that milk is the best (or only) source of calcium the facts show that a large share of the calcium in our diets is derived from sources other than dairy foods. This is not surprising as most people in the world (around 70 per cent) obtain their calcium from plant-based sources rather than dairy products.

While milk and dairy products do contain calcium, plant-based sources provide a much healthier source. Good plant-based sources include green leafy vegetables such as broccoli, kale, spring greens, cabbage, parsley and watercress. Also rich in calcium are dried fruits such as figs and apricots, nuts, particularly almonds and Brazil nuts and seeds including sesame seeds and tahini (sesame seed paste). Pulses including peas, beans, lentils and calcium-set tofu (soya bean curd) provide a good source of calcium as does molasses.

What is lactose intolerance?

Lactose intolerance is the inability to digest lactose, the sugar in milk. In order for lactose to be digested, it must be broken down in the gut by the enzyme lactase into its two component sugars (glucose and galactose). Infants produce lactase but lose their ability to digest lactose after weaning (commonly after the age of two). Losing this ability is a clear indication that after weaning, milk is not a natural food for us. In other words, being lactose intolerant after infancy is the natural state of being for all mammals.

Lactose intolerance occurs in around 90-100 per cent of Asians, 65-70 per cent of Africans and 10 per cent of Caucasians. Symptoms include nausea, cramps, bloating, wind, and diarrhoea.

What causes milk allergies?

Milk allergies occur when the body’s immune system perceives milk proteins (casein or whey) in milk as a foreign invader and launches an attack. Symptoms usually include excessive mucus production resulting in a runny nose and blocked ears. More serious symptoms include eczema/rash, swelling of the throat, tongue or lips, colic, diarrhoea, asthma and vomiting.

Milk allergy is one of the most common food allergies in children. Any animal milk (not just cow’s milk) can cause an allergic reaction.

What is the link between cow's milk and diabetes?

Early exposure to cow’s milk or cow’s milk-based infant formula has been linked to an immune response that can lead to type 1 diabetes in genetically susceptible children. The immune response involves the body’s immune system reacting to a trigger (a protein in cow’s milk). Structural similarities between the triggering molecule and the insulin-producing pancreatic beta cells confuse the human immune system and it attacks the pancreatic cells by mistake. This then limits the ability of the pancreas to produce insulin and may lead to diabetes.

For more information see Viva!Health’s fully-referenced scientific report The Big-D: Defeating Diabetes through Diet and a practical guide The Big-D: defeating diabetes with the D-Diet, both can be downloaded here.

Is there anything I can do to increase my calcium absorption?

Several nutrients help calcium absorption. Vitamin D is very important for both calcium absorption and bone health – it is either obtained from the diet or is made in the skin following exposure to sunlight. Vitamin D deficiency may occur if exposure to the sun is limited (eg in autumn and winter, if you’re housebound or always protect your skin from the sun) and without sufficient vitamin D, your body absorbs less calcium. It is now recommended that everyone in the UK (regardless of diet) takes a vitamin D supplement from October to April and all year round if you cover up in the summer.

Vegans obtain vitamin D from sunlight and fortified foods such as soya milks, cereals and margarines. It is important to get the balance right between being cautious about exposure to the sun and aware of the need for some exposure. It is now advised by the UK government that we apply sunblock after 10 to 15 minutes of exposure to the sun, this is so that we can synthesise vitamin D in our skin.

Aside from vitamin D, we also need magnesium, potassium, vitamin C and vitamin K for good bone health. A healthy vegan diet that includes five to eight servings a day of fruit and vegetables (including green leafy vegetables, such as kale, broccoli or rocket) should optimise the intake of these and other micronutrients required.

Doesn't cow’s milk protect against osteoporosis?

No, osteoporosis occurs most commonly in countries where people drink the most cow’s milk! American women are among the biggest consumers of calcium in the world yet they suffer one of the highest levels of osteoporosis, while African Bantu women eat almost no dairy products at all and have a relatively low calcium intake from vegetable sources yet osteoporosis is virtually unknown among them. Milk consumption does not protect against bone fracture, in fact, an increased dairy calcium intake may even increase the risk of fracture.

Calcium loss from the bones has been linked to high intakes of animal protein. By the age of 80, vegetarians tend to have lost less bone mineral compared to omnivores. Research suggests that the more animal protein you eat, the higher your risk of hip fracture becomes. Cross-cultural studies show strong links between a high animal protein diet, bone degeneration and the occurrence of hip fractures. In a rural community in China where most of the protein in the diet came from plant foods rather than animal foods, the fracture rate was one-fifth of that in the US.

For more information, see Healthy Bones for Life.

Can a vegan diet provide sufficient calcium?

Yes it certainly can. A vegan diet rich in fruit and vegetables, pulses, wholegrains, nuts and seeds can provide all you need for a long and healthy life, reducing the risk of osteoporosis and many other diseases. In contrast, diets loaded with dairy products are associated with increased risk of osteoporosis, certain hormone-sensitive cancers, heart disease, obesity and diabetes.

For more information, see the Calcium page of our A-Z of Nutrients and our Calcium-rich foods poster.

In a nutshell, what do I need to know about dairy and my health?
  • Children and adults do not need dairy foods for good bone health; they do need exercise and a healthy vegan diet to ensure strong bones.
  • You can get enough calcium to cover your body’s needs from green leafy vegetables, nuts and seeds, pulses, fortified plant milks and yoghurts, dried figs and tahini (sesame seed paste).
  • Diets loaded with dairy products are associated with an increased risk of many diseases including asthma, osteoporosis, hormone-sensitive cancers, heart disease, obesity and diabetes.
  • Cow’s milk is not a normal or natural food for humans to consume.
  • Most people in the world are lactose intolerant – it’s a natural state of being as no other mammals suckle past infancy.
  • Many children are affected by cow’s milk allergies and suffer from serious digestive problems if they consume milk and dairy products.
  • Vitamin D, magnesium, potassium, vitamin C and vitamin K are all required for good bone health and a healthy vegan diet is packed with some sun exposure can provide all these.
What can I do to improve my bone health?

Your bones, just like the rest of your body, need a wide range of nutrients to be healthy. Just topping up a poor diet with supplements won’t cut it. A healthy lifestyle is important for healthy bones too – bones adapt to physical stimulation so need you to be active and engage in a weight-bearing activity a few times a week (weight-bearing means anything where you carry the weight of your own body so it includes a wide range of activities apart from swimming and cycling).

These are our top tips for healthy bones:

  • Increase your fruit and vegetable intake to 7-10 per day
  • Use almonds for snacking and tahini (sesame seed paste) in cooking
  • Have some green leafy vegetables (kale, broccoli, cabbage, rocket, watercress) daily
  • Avoid protein from animal sources (meat, dairy, fish, eggs)
  • Exercise regularly, use stairs rather than lift, walk wherever you can
  • When watching TV, get up during ad breaks and walk around or do a few squats.
  • Get adequate vitamin D through sunshine or a supplement
  • Limit your alcohol intake and don’t smoke

For more information, see Healthy Bones for Life.

Is there pus or antibiotics in milk?

When a cow is suffering from mastitis (a painful bacterial infection of the udder), her body produces large numbers of white blood cells to fight the infection. Many of these cells, together with dead cells from the inner lining of the udder, then pass out in her milk. The greater the level of infection, the higher the number of  ‘somatic’ cells (which is just another name for pus) in the milk. Whilst a low level of cells is considered normal, an increased number of somatic cells in the milk indicates infection.

Under EU regulations, milk with a somatic cell count as high as 400 million cells per litre may still be sold for human consumption.

Around 33-50 per cent of dairy cows suffer from clinical mastitis every year and 14 per cent of cows are culled as a result. Clinical mastitis produces symptoms such as swollen, hard udders causing a lot of pain to the cow and discoloured or clotted milk.

Antibiotics are routinely used to treat mastitis and may be injected up the teat canal or administered orally. To help decrease the occurrence of mastitis in dairy herds, most farmers practice 100 per cent dry cow therapy. This involves injecting a long-acting antibiotic into all four teats of all cows, whether infected or not, as soon as they enter their dry period. There are strict limits on antibiotic residues in milk so whilst there are always hormones and varying amounts of pus in milk, antibiotic residues, if any, are very low.

For more information, see the White Lies report.

Are there hormones in milk and dairy products?

Yes, there are over 30 hormones and growth factors naturally present in cow’s milk. These hormones are normal components of milk meant to direct and fuel the rapid growth of a calf. After all, a tiny calf reaches almost adult size within a year!

There are hormones in all milk and dairy products. Sometimes, the dairy industry deflects questions about hormones by saying they don’t inject their cows with hormones (this is permitted in the US but not in the EU) but that only means there are no ‘extra’ hormones in the cows’ milk. That’s hardly reassuring! Dairy cows not only produce hormones naturally but because they are forcibly impregnated whilst lactating, their hormone levels rise even higher with the pregnancy.

Many scientists now warn against dairy as some of the hormones present in it and their effects on the human body have been linked to an increased risk of hormone-sensitive cancers (prostate and breast cancers).

For more information, see the White Lies report.

Resources

White Lies

Cow’s milk is promoted as natural, wholesome and healthy. It is none of these things. The saturated fat, animal protein, cholesterol, hormones and growth factors it contains are linked to a wide range of illness and disease…

Read more

History of Plant Milks

There’s a long history of plant milks and other plant drinks having been made by people over millennia. There’s certainly nothing new or unusual about us consuming them.

Read more

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