Protein drinks and powders have become staples for many looking to build muscle, manage weight, or supplement their diet. Made from sources like whey, casein, soy, and pea, these supplements offer a concentrated dose of protein. However, excessive consumption, underlying health conditions, and product quality can lead to a variety of unwanted side effects.
Potential digestive issues from protein drinks
Digestive discomfort is one of the most commonly reported side effects, especially with dairy-based protein powders like whey and casein.
Lactose intolerance and dairy-based proteins
Many whey protein concentrates contain lactose, a milk sugar that a large portion of the global population struggles to digest due to a lactase enzyme deficiency. This can lead to symptoms such as:
- Bloating
- Gas
- Stomach cramps
- Diarrhea
Those with lactose sensitivity can often tolerate whey protein isolate, which contains minimal lactose, or can opt for plant-based alternatives.
Other gastrointestinal side effects
Even without lactose intolerance, protein shakes can upset the stomach. Excessive protein intake, a low-fiber diet, or drinking a shake too quickly post-workout can all contribute to digestive distress. Some plant-based powders, such as pea protein, may also cause bloating due to high fiber or FODMAP content. The fermentation of amino acids from high-protein diets in the colon can disrupt the gut microbiome and produce harmful metabolites.
Impact of excessive protein on the kidneys and liver
While healthy kidneys can typically handle an increased protein load, consistently consuming more protein than the body needs puts additional strain on these organs, particularly for individuals with pre-existing conditions.
- Kidney strain: When the body processes protein, it produces nitrogenous waste products like urea. The kidneys must work harder to filter and excrete this waste. Long-term, excessive intake may worsen function in those with pre-existing kidney disease. A high-protein diet may also raise calcium and oxalate levels in the urine, increasing the risk of kidney stones in susceptible individuals.
- Liver workload: Similarly, the liver's workload increases when processing excess protein. While evidence is mixed for healthy individuals, people with severe liver disease must exercise caution, as a high-protein diet can lead to elevated blood ammonia levels.
The risk of contamination in supplements
Since protein powders are regulated as dietary supplements, the FDA's oversight is not as stringent as it is for food and drugs. This can lead to potential contamination issues.
- A study by the Clean Label Project found that some popular protein powders contained heavy metals, such as lead, arsenic, cadmium, and mercury.
- Other potential contaminants include bisphenol-A (BPA) from plastic packaging, pesticides, and unlisted additives.
Consumers should choose third-party tested products (e.g., NSF Certified for Sport) from reputable manufacturers to minimize exposure risks.
How to mitigate side effects
Comparison of protein sources and side effects
| Feature | Whey Protein | Casein Protein | Plant-Based Protein (Soy, Pea, Hemp) | 
|---|---|---|---|
| Source | Dairy (fast absorption) | Dairy (slow absorption) | Legumes, seeds, rice | 
| Common Side Effects | Bloating, gas, diarrhea (especially with concentrate) | Bloating, gas, digestive discomfort (due to slow digestion) | Gas, bloating, stomach cramps (often milder) | 
| Intolerance Risk | High for lactose-sensitive individuals | High for lactose-sensitive individuals | Low; good for dairy allergies/intolerances | 
| Contaminants | Potential risk in some brands; choose third-party tested | Potential risk in some brands; choose third-party tested | Potential risk in some brands; choose third-party tested | 
| Best For | Post-workout recovery | Overnight protein drip | Lactose intolerant or vegan diets | 
Conclusion
For most healthy adults, protein drinks are safe when consumed in moderation and as part of a balanced diet. However, risks increase with excessive intake, reliance on supplements over whole foods, or for individuals with pre-existing health issues like kidney or liver disease. Common side effects, such as digestive problems, are often tied to dairy sensitivity or excessive amounts, which can be managed by adjusting intake or switching to a different protein type. It is crucial to select third-party tested brands to avoid potential contaminants and prioritize whole food sources of protein to ensure a well-rounded nutrient intake. Always consult a healthcare provider or dietitian before making significant changes to your diet, especially if you have underlying health conditions.
For more information on protein intake guidelines, consult the National Institutes of Health. [https://pmc.ncbi.nlm.nih.gov/articles/PMC4424780/]