Skip to content

Why can I drink milk in Europe but not the US? The surprising science behind the difference

4 min read

While roughly 80% of the global population experiences some degree of lactose malabsorption, many people report being able to drink milk in Europe but not the US. This phenomenon isn't due to lactose content but a surprising combination of regulatory, genetic, and processing differences that shape the dairy landscape on each continent.

Quick Summary

The ability to tolerate European milk but not American milk stems from differences in pasteurization methods (UHT vs. HTST), the ban on rBGH hormones, and genetic variations in dairy cow protein types.

Key Points

  • Pasteurization Methods: Europe widely uses UHT, which sterilizes milk for long-term, unrefrigerated storage, while the US uses HTST, which requires refrigeration and has a shorter shelf life.

  • Hormone Regulations: The EU bans the use of artificial bovine growth hormones (rBGH/rBST), which are still permitted in the US, reflecting different regulatory philosophies.

  • Beta-Casein Protein Type: Due to genetic differences in dairy breeds, European milk may contain A2 beta-casein, while much US milk contains A1, which some sensitive individuals find harder to digest.

  • Genetic Lactose Tolerance: Many Northern Europeans have a genetic predisposition for lactase persistence, contributing to lower rates of lactose intolerance in those populations.

  • Precautionary Principle: European regulations often follow a 'precautionary principle,' leading to stricter rules on food additives and processes with potential, though unproven, risks.

In This Article

The experience of drinking milk without issue while traveling abroad, only to return home and find dairy causes discomfort, is a common travel story. It prompts the question: 'Why can I drink milk in Europe but not the US?' The answer is complex, involving everything from how the milk is processed and what’s in it to the genetic makeup of the dairy cows themselves. What seems like a single product is, in fact, a tale of two different dairy industries.

The Role of Pasteurization: HTST vs. UHT

One of the most significant differences between American and European milk is the standard pasteurization method used. In the United States, High-Temperature Short-Time (HTST) pasteurization is the norm.

  • HTST Process: Milk is heated to approximately 161°F (72°C) for 15-20 seconds. This process kills harmful bacteria like E. coli and Salmonella but leaves behind some non-pathogenic bacteria.
  • HTST Outcome: Because some bacteria can survive, HTST milk has a relatively short shelf life, typically around 10-21 days unopened, and requires constant refrigeration.

In contrast, Ultra-High Temperature (UHT) pasteurization is common throughout Europe.

  • UHT Process: Milk is heated to a much higher temperature, at least 280°F (138°C), for just a few seconds. This intense heat sterilizes the milk, killing all bacteria and spores.
  • UHT Outcome: This process creates a shelf-stable product that can be stored for several months at room temperature in aseptic packaging until opened. The higher temperature can, however, give the milk a slightly sweeter, 'cooked' flavor that some consumers notice.

The Impact of Hormones: rBGH and Regulation

Another major divergence is the use of recombinant bovine growth hormone (rBGH), also known as recombinant bovine somatotropin (rBST).

  • US Regulation: The FDA approved rBGH in 1993 to increase milk production in cows. While the FDA maintains its safety, its use is widespread in the United States unless a milk product is explicitly labeled 'rBGH-free' or organic.
  • EU Regulation: The European Union banned the use of rBGH in 1990, citing concerns about animal welfare and potential public health risks, despite some scientific uncertainty. This reflects the EU's 'precautionary principle' approach to food safety, which prioritizes avoiding potential harm even without definitive proof.

While the direct human health impact of rBGH is debated, the difference in regulatory philosophy leads to a fundamentally different final product. Some believe the hormones may influence sensitivity, though evidence is inconclusive.

Cow Genetics: A1 vs. A2 Beta-Casein Proteins

Genetic variation among dairy cows also plays a critical role in milk digestion. All cow's milk contains the protein beta-casein, but the type can differ.

  • A1 Beta-Casein: Many modern US dairy herds, particularly Holstein-Friesians, produce milk with the A1 beta-casein protein. During digestion, A1 beta-casein can release a peptide called beta-casomorphin-7 (BCM-7), which has been linked to digestive discomfort in sensitive individuals.
  • A2 Beta-Casein: Traditional European cows, and some heritage breeds, often produce milk with the A2 beta-casein protein. The A2 protein does not release the same BCM-7 peptide, leading to anecdotal reports that A2 milk is easier to digest for some people. A2 milk is now marketed in the US for this reason.

Comparison: US Milk vs. European Milk

Feature US Milk (Typically HTST) European Milk (Often UHT)
Pasteurization High-Temperature Short-Time (HTST) at ~161°F (72°C) for 15-20 seconds. Ultra-High Temperature (UHT) at ~280°F (138°C) for a few seconds.
Shelf Stability Requires constant refrigeration and has a short shelf life (10-21 days). Shelf-stable for several months unopened; needs refrigeration only after opening.
Hormones Use of rBGH/rBST is permitted unless specified as 'organic' or 'hormone-free'. Use of rBGH/rBST is banned across the EU since 1990.
Flavor A familiar, fresh dairy flavor. A slightly sweeter, 'cooked' flavor due to the higher heat treatment.
Beta-Casein Protein Many common breeds produce A1 beta-casein protein. Many traditional breeds produce A2 beta-casein protein.
Regulatory Approach Primarily evidence-based (requires proof of harm to ban). Precautionary principle (potential risk is enough for prohibition).

Conclusion

For many, the question of why they can drink milk in Europe but not the US is not about a simple case of lactose intolerance but rather a complex interplay of different factors. The widespread use of UHT pasteurization in Europe, the ban on artificial growth hormones like rBGH, and a higher prevalence of A2 beta-casein proteins in some European dairy herds all contribute to a final product that can be dramatically different from the standard American milk offering. Combined with genetic predispositions for lactase persistence, these differences can result in a more tolerable experience for some individuals. For travelers, this means understanding that a 'glass of milk' can refer to a vastly different product depending on your location.

Additional Factors in Dairy Production

Beyond the major points, other nuances contribute to the final product. For instance, the diet of dairy cows can impact milk composition. European dairy farms often emphasize grass-based diets, which can result in slightly different nutrient profiles compared to US farms that rely more on concentrated feed. While these factors are less prominent than pasteurization or hormone use, they add to the overall picture of how milk varies across regions. Ultimately, the ability to enjoy dairy on one side of the Atlantic but not the other is a testament to the diverse and highly regulated nature of food production today.

Frequently Asked Questions

Yes, due to the higher heat treatment, UHT milk often has a slightly different flavor profile that some describe as sweeter or 'cooked,' though for many, the difference is minor, especially when served cold.

Both American and European milk undergo strict safety regulations to kill harmful pathogens. However, they differ in their approach to non-pathogenic factors like hormones, which is a matter of regulatory philosophy (evidence-based in the US vs. precautionary in the EU).

Yes, ultra-pasteurized or UHT milk is available in the United States and can be found in shelf-stable cartons, often in the grocery aisle rather than the refrigerated section.

While UHT treatment may reduce some heat-sensitive nutrients like Vitamin C, the main nutritional components of milk, such as protein and calcium, remain largely intact.

The import of milk and meat from cows treated with artificial growth hormones like rBGH is banned in Europe, meaning some American dairy products are not permitted for sale there.

For many, it is not just about lactose intolerance. The combination of genetic differences in cows' proteins (A1 vs. A2 beta-casein), different pasteurization methods (UHT vs. HTST), and varying regulations on hormones contributes to the overall effect.

European milk processed with Ultra-High Temperature (UHT) pasteurization is sterilized and packaged in aseptic containers, making it shelf-stable for months until it is opened, at which point it requires refrigeration.

References

  1. 1
  2. 2
  3. 3
  4. 4

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.