Is Homogenized Milk Bad For You?

How does the homogenization process affect the health properties of milk? Is unhomogenized milk better for you?

Monica Reinagel, MS, LD/N, CNS,
March 7, 2012
Episode #179

Most commercial cow’s milk—including most organic milk—goes through a few stages of processing before it reaches the store shelf. It’s usually pasteurized in order to kill any pathogenic bacteria it may contain. You can read more about the pros and cons of unpasteurized, or “raw” milk, in my special two-part series on that subject.

Most commercially-sold milk is also fortified with vitamins A and D, in an effort to ensure adequate intake of these nutrients in the general population. Commercial milk is also usually homogenized—a mechanical process that breaks the fat globules into smaller droplets so that they stay suspended in the milk rather than separating out and floating to the top of the jug. Before milk is homogenized, some of the fat may be skimmed off to reduce the amount of fat in the end-product.

Homogenization was invented around the turn of the 20th century and quickly became the industry standard because people preferred the convenience of milk that didn’t have to be vigorously shaken to distribute the fat every time you wanted to use it. These days, of course, we tend to see food processing as something that reduces the nutritive value of foods.  And some have suggested that homogenization might have a negative impact on how the milk affects your body.

In fact, it’s getting more common to find milk that’s pasteurized but not homogenized. Sometimes it’s labeled “cream-line.” Let’s take a closer look at whether unhomogenized milk might be a better choice.

The podcast edition of this article was sponsored by  Audible.  Download one free audiobook when signing up for a 14 day trial. Details are at audiblepodcast.com/diva.

Is Homogenized Milk Bad for Your Heart?

When you homogenize milk, you not only change the size of the fat globules, you also rearrange the fat and protein molecules—which could alter how they act in the human body. In the 1970s, Kurt Oster proposed the hypothesis that homogenized milk might increase your risk of heart disease.

There wasn’t (and still isn’t) any evidence that the widespread adoption of homogenization led to an increase in heart disease rates. Nonetheless, researchers spent the next decade or so testing various aspects of Dr. Oster’s rather ornate hypothesis. Ultimately, research failed to validate any part of this theory and most scientists considered the matter settled—but the notion that homogenized milk is a culprit in heart disease lives on in certain corners of the internet, among other outdated myths and rumors.

See also: Nutrition Zombies: 10 Nutrition Myths that Refuse to Die

Does Homogenization Affect Digestion?

Some studies suggest that homogenization increases the digestibility of milk-- particularly in people with diseases that impair their ability to digest fats. Because the protein and fats are broken down into smaller particles, there is more surface area for enzymes to work on and this leads to more efficient digestion. If, however, you are lactose intolerant or allergic to milk, homogenization isn’t going to make milk any more or less tolerable for you.

Some people who are neither allergic nor lactose intolerant still feel that they tolerate unhomogenized milk better than homogenized. However, when researchers did double-blind tests, they found that subjects were just as likely to report symptoms with unhomogenized as with homogenized milk, suggesting that the perceived difference is mostly a placebo effect.

Does Homogenization Affect Vitamin D Absorption?


Just this week, someone posted a comment on the Nutrition Diva website claiming that the smaller fat particles in homogenized milk bind to vitamin D, which then impairs your body’s ability to absorb calcium. Quite frankly, this was news to me.

I’m always interested to hear from you about new research or research that I’ve overlooked. Unfortunately, this particular commenter included no references or citations. Despite an extensive search, I was unable to find a single study, paper, or reference to support the idea that homogenization has a negative impact on either your vitamin D or your calcium status.   Rather, I found evidence that consuming homogenized milk that’s been fortified with vitamin D leads (as you might expect) to improved vitamin D and calcium status.

That said, as I’ve discussed in previous articles, although cow’s milk is a good source of calcium and vitamin D, it is certainly not the only source for either nutrient, nor is milk essential to a healthy diet.

Homogenization vs. Pasteurization

Finally, I want to be sure we don’t confuse homogenization with pasteurization, because the two have nothing to do with one another. Pasteurization has to do with killing bacteria; homogenization has to do with emulsifying fat—and milk can be either, neither, or both. Organic certification is also completely unrelated to whether the milk is homogenized or pasteurized.

Here’s the bottom line on homogenization: If you like the idea of eating closer to nature, unhomogenized milk is definitely less processed. You may also enjoy the flavor or texture (or perhaps the nostalgia) of milk where the cream floats to the top. Unhomogenized milk is always full-fat whole milk, by the way. If you want reduced fat milk, you’ll need to pour off some of the cream before shaking it up. If, on the other hand, you prefer the flavor, texture, or convenience of homogenized milk, there doesn’t appear to be any danger in choosing that instead.

Have thoughts on this topic? Post them in Comments below.

Milk image from Shutterstock