Understanding Dairy Restrictions in the AIP Diet
The Autoimmune Protocol (AIP) is an elimination diet designed to identify and reduce inflammation in individuals with autoimmune diseases. In its initial elimination phase, a number of foods that are commonly inflammatory or irritating to the gut are removed from the diet. Dairy is a major component of this elimination, as many people with autoimmune conditions are sensitive to its proteins (casein and whey) or lactose. Likewise, the AIP diet also removes all nuts and seeds, which are the source of many popular commercial non-dairy milks. This leaves many people wondering how to find a suitable substitute for milk in their coffee, cooking, or smoothies.
Approved Milk Options for the AIP
When navigating the AIP elimination phase, the key is to choose alternatives that are free from all restricted ingredients, including dairy, nuts, seeds, and most additives. Here are the primary compliant milk options:
- Coconut Milk: This is by far the most common and versatile milk alternative used in the AIP diet. It is derived from the meat of the coconut, which is a fruit (botanically a drupe), not a tree nut. It provides a creamy texture and rich flavor for both cooking and beverages. It's crucial to select the right type, as many store-bought varieties contain non-compliant ingredients.
- Additive-Free Canned Coconut Milk: The best choice for canned coconut milk is a brand that lists only coconut and water on its ingredient label. Many companies use thickeners and emulsifiers like guar gum or xanthan gum, which can be disruptive to gut health and must be avoided.
- Homemade Coconut Milk: The safest way to ensure your coconut milk is completely additive-free is to make it at home using shredded coconut and hot water.
- Coconut Milk Powder: This can also be a good option, but you must check the ingredient list for additives. Some powders are simply dehydrated coconut milk, while others have fillers.
 
- Tigernut Milk: Contrary to its name, a tigernut is a small, edible tuber, not a nut. This makes it a safe and compliant option for those avoiding tree nuts and seeds. Tigernut milk has a slightly sweet, nutty flavor and can be made by soaking and blending tigernuts with water. It offers a good alternative for those who may have a coconut sensitivity.
- Avocado Milk: A lesser-known but valid option, avocado milk is made by blending avocado with water and a pinch of salt. It produces a thick, creamy beverage that is great for smoothies, but its flavor profile may not suit all applications. Be sure to use a ripe but not over-ripe avocado for the best result.
- Banana Milk: For a naturally sweet and simple milk alternative, blending a ripe banana with water is an excellent choice. This is a great option for smoothies and other recipes where a fruity flavor is welcome. It requires no cooking or complex preparation.
- Sweet Potato Milk: Using cooked white sweet potato blended with water can create a surprisingly creamy, starchy milk. The result is a mild-tasting milk that works well in both sweet and savory recipes, offering a unique coconut-free and nut-free option.
What to Avoid: Restricted Milk and Additives
During the AIP elimination phase, it's just as important to know what to avoid as what to eat. When it comes to milk, this means being vigilant about ingredients.
Commonly Restricted Milks:
- All dairy milks (cow's, goat's, sheep's, etc.)
- Almond milk
- Cashew milk
- Oat milk
- Rice milk
- Soy milk
- Hemp milk
- Flax milk
Non-Compliant Additives:
- Gums: Guar gum and xanthan gum are common thickeners in store-bought milks but can negatively alter the gut microbiome and are not AIP-compliant.
- Sugar and Sweeteners: Many commercial non-dairy milks contain added sugar or other sweeteners that are restricted on AIP.
- Inflammatory Oils: Some processed milks include vegetable and seed oils, which should be avoided.
Store-Bought vs. Homemade AIP Milk
Here is a comparison of the pros and cons of commercial AIP-compliant milk versus homemade versions.
| Feature | Store-Bought (Compliant) | Homemade | 
|---|---|---|
| Ingredients | Checked for additives, simple list (e.g., coconut, water). | Full control, often just main ingredient + water. | 
| Additives | Requires careful label reading to ensure no gums, sugars, or oils. | None. Purity is guaranteed. | 
| Convenience | Ready to use, widely available, requires less time. | Requires preparation time for soaking, blending, and straining. | 
| Cost | Can be more expensive than making your own, especially additive-free brands. | Often more cost-effective, especially for frequent use. | 
| Nutrient Profile | Consistent nutrient content, but processing can reduce some benefits. | Can be more nutrient-dense and fresher, depending on the recipe. | 
A Simple Recipe for Homemade AIP Coconut Milk
Making your own coconut milk at home is the best way to ensure it's free of all non-compliant ingredients and provides a fresh, creamy result.
- Gather Ingredients: You will need unsweetened, shredded coconut flakes and hot, filtered water.
- Combine and Soak: In a high-speed blender, combine 1 cup of shredded coconut with 4 cups of hot water. Let the mixture sit for 15 minutes to allow the flakes to soften.
- Blend: Blend on high speed for 1-2 minutes until the mixture is smooth and creamy.
- Strain: Pour the mixture through a nut milk bag, fine-mesh strainer, or cheesecloth into a bowl or jar. Squeeze to extract all the liquid, leaving the pulp behind.
- Store: Transfer the milk to an airtight container and refrigerate. It will stay fresh for 3-4 days. Separation is normal; just shake well before use.
For those interested in exploring more about the AIP diet and its foundational principles, the book The Paleo Approach by Sarah Ballantyne is an excellent resource.
Conclusion: Embracing AIP Milk Choices
While the AIP diet requires eliminating standard dairy and many common non-dairy milks, it offers a variety of compliant alternatives. The most popular choice is additive-free coconut milk, but options like tigernut, banana, and sweet potato milk provide valuable variety, especially for those with coconut sensitivities. Whether you choose a carefully vetted store-bought product or make your own from scratch, understanding what to look for and what to avoid is the key to successfully integrating these alternatives into your AIP journey. By focusing on whole, unprocessed ingredients, you can continue to enjoy creamy textures and rich flavors while supporting your body's healing process.