Dairy Products with High Lactoglobulin Levels
Lactoglobulin is a primary component of whey, the liquid byproduct of cheese production. As such, any food containing whey or milk from bovines and other mammals like sheep will contain lactoglobulin. The concentration can vary, but for those with an allergy, any amount is a concern. Common dairy products that contain lactoglobulin include:
- Milk: All forms of cow's milk (whole, low-fat, skim, dry) contain lactoglobulin as a fundamental whey protein.
- Yogurt: Since yogurt is made from milk, it retains the whey proteins, including lactoglobulin.
- Cheese: Particularly soft cheeses or those with whey added back into them will contain lactoglobulin.
- Ice Cream and Frozen Yogurt: These frozen treats are milk-based and, therefore, contain the whey protein.
- Butter: While clarified butter (or ghee) removes the milk solids, standard butter contains trace amounts of milk protein, including lactoglobulin.
Processed Foods and Hidden Sources
Lactoglobulin is not confined to the dairy aisle. Due to the widespread use of dairy-derived ingredients, it can be a 'hidden' allergen in many processed foods. Food manufacturers use whey protein and other milk derivatives as functional ingredients to improve texture, taste, and nutritional profile. Here are some less obvious sources:
- Baked Goods: Many commercial breads, biscuits, and pastries use milk solids or whey in their recipes.
- Cereals and Granola: Check the ingredient list of breakfast cereals and granola, as they often contain whey or milk solids for flavor and texture.
- Processed Meats: Certain deli meats, sausages, and hot dogs use milk derivatives as binders or fillers.
- Instant Mashed Potatoes: Dehydrated potato flakes are frequently combined with milk solids for a creamy texture.
- Protein Bars and Shakes: High-protein products often use whey protein concentrates or isolates, which are high in lactoglobulin.
- Soups and Sauces: Some creamy soups and pre-made sauces use milk powder as a thickener.
- Margarine: Some brands of margarine may contain milk solids or other milk derivatives.
- Baby Formulas: Cow's milk-based infant formulas contain lactoglobulin unless they are extensively hydrolyzed.
The Effect of Heat Treatment on Lactoglobulin
While some allergens are heat-stable, the whey proteins alpha-lactalbumin and beta-lactoglobulin are heat-sensitive. Heating milk can cause these proteins to denature and break down. However, this does not eliminate the allergenicity for all individuals.
Comparison: Cooked vs. Raw Dairy
| Feature | Raw Milk/Dairy Products | Cooked/Heated Dairy Products |
|---|---|---|
| Lactoglobulin Status | Intact, native protein form. | Denatured, or broken down, due to heat exposure. |
| Allergenicity | High potential to trigger an allergic reaction in sensitive individuals. | Can reduce or alter the protein's allergenic properties for some people. |
| Safety | Raw milk carries risks of bacterial contamination. | Heat treatment (pasteurization) improves safety by killing pathogens. |
| Tolerability | Some individuals with a cow's milk allergy can tolerate certain products where the whey proteins have been denatured through extensive heating or processing. | |
| Allergenicity Caveat | Note that casein, another major milk protein, is heat-stable and can still trigger a reaction regardless of heating. |
The Difference Between Lactoglobulin Allergy and Lactose Intolerance
It is vital to distinguish between a lactoglobulin protein allergy and lactose intolerance, as they have different causes and require distinct management.
- Milk Protein Allergy: An allergic reaction is an immune system response to specific proteins in milk, such as lactoglobulin or casein. Symptoms can range from hives and wheezing to severe anaphylaxis and can appear anywhere from minutes to hours after ingestion. Strict avoidance of milk protein is necessary.
- Lactose Intolerance: This is a digestive issue, not an immune response, caused by a deficiency of the enzyme lactase needed to break down lactose, the sugar in milk. Symptoms are typically gastrointestinal, including bloating, gas, and diarrhea, and vary depending on the amount of lactose consumed. Many lactose-intolerant people can tolerate small amounts of lactose, and lactose-free dairy products are available.
Conclusion
Lactoglobulin is a widespread whey protein found in cow's milk and a vast range of products containing milk-derived ingredients. Its presence is a significant concern for those with a cow's milk protein allergy. Even heat-treated products may not be safe for all individuals, and vigilance is required when checking food labels for milk proteins and whey. For individuals sensitive to lactoglobulin, strict dietary avoidance is the key to preventing an allergic reaction, though it is not a consideration for those with simple lactose intolerance.
[1] Milk Processing Affects Structure, Bioavailability and Gastrointestinal Immune Response of β-Lactoglobulin
[2] β-Lactoglobulin Influences Human Immunity and Promotes Cell Proliferation via a Receptor-Mediated Mechanism in Hybridoma Cells
How to Read Food Labels
Manufacturers in countries like those in the EU and the U.S. are required to declare milk as an allergen on food labels. However, different names for milk ingredients are used that can indicate the presence of lactoglobulin. Always check the allergen statement, but also scan the ingredients list for terms like:
- Whey or whey protein (concentrate, hydrolysate, isolate)
- Lactalbumin
- Lactoglobulin
- Milk protein or milk solids
- Butter fat or butter oil
- Caseinates
- Yogurt or cultured milk products
Common Symptoms of Milk Protein Allergy
Milk protein allergies can affect various body systems. Common symptoms include:
- Skin: Hives, eczema, rash, or swelling of the face, lips, or tongue.
- Gastrointestinal: Vomiting, diarrhea, stomach cramps, or blood in the stool.
- Respiratory: Wheezing, coughing, or shortness of breath.
- Anaphylaxis: A severe, potentially life-threatening reaction requiring immediate medical attention.
The Role of Lactoglobulin in Nutrition
For those without a milk allergy, lactoglobulin is a highly valued nutritional protein due to its rich essential amino acid profile. It is a key component of whey protein supplements used by athletes and fitness enthusiasts for muscle growth and repair. Its ability to bind and transport nutrients, such as fatty acids and vitamins, is also noted.
Lactoglobulin and Other Species' Milk
While most commonly associated with cow's milk, lactoglobulin is found in the milk of many other mammals, such as sheep, goats, and water buffalo. An individual with a cow's milk allergy may also react to these types of milk due to similarities in the protein structure. Goat's milk and sheep's milk are not safe alternatives for someone with a cow's milk allergy.
Non-Dairy Lactoglobulin-Free Alternatives
For those needing to avoid lactoglobulin, numerous dairy-free alternatives are available:
- Plant-Based Milk: Options such as soy, almond, oat, and rice milk do not contain lactoglobulin.
- Dairy-Free Products: Soy yogurts, nut-based cheeses, and sorbets offer alternatives for various dairy-based foods.
- Clarified Butter (Ghee): This is made by removing the milk solids, which contain the protein, but label reading is necessary to ensure purity.
- Alternative Protein Powders: Choose protein powders derived from plant sources (soy, pea) instead of whey.