Raw milk, long debated as healthier and nutritious than pasteurized milk by enthusiasts but strongly cautioned against by health practitioners, is now a hot topic in health and wellness circles with the increasing popularity of "natural" and "unprocessed" foods. The dangers surrounding raw milk have been brought to the forefront with the outbreak of H5N1 bird flu, highlighting the risk of contamination in raw milk supplies. All about raw milk, its risks, and the latest science.

What Is Raw Milk?

Raw milk is unpasteurized milk taken directly from cows, goats, or other similar animals. Unpasteurized milk does not go through the heat treatment process meant to destroy harmful pathogens and bacteria. Raw milk proponents say that pasteurization kills nutrients and enzymes. And that might be one false claim after another, as science continues to disprove it.

According to Dr. Meghan Davis of Johns Hopkins Bloomberg School of Public Health, pasteurization does not significantly alter the concentration of minerals or the quality of proteins in milk. In fact, it's a critical step to ensure food safety, particularly for animal-derived products prone to contamination.

Wellness influencers have in recent times advocated for raw milk as the "clean" and "natural" alternative to commercial milk distributed in stores, using claims from improved digestion to the stimulation of the immune system. However, these claims are not scientifically proven. Although raw milk contains antibodies, the amounts are too small to be worth anything for health.

Health Risks of Drinking Raw Milk

Raw milk consumption poses immense risks. It can become contaminated in two major ways:

1. Internal Contamination: Pathogens such as E. coli, Salmonella, and Campylobacter can seep into milk through infected animals.

2. External Contamination: Polluted water, dirt, manure, and contaminated equipment introduce harmful microorganisms.

The infections acquired from raw milk include diarrhea, stomach cramps, nausea, and fever, and severe effects can be experienced by infants, the elderly, pregnant women, and even immunocompromised people. Some other rare but serious diseases like hemolytic uremic syndrome, which may bring about renal failure or stroke, have also been associated with raw milk.

Bird Flu Impact on Raw Milk Safety

Raw milk has become a focal point of the latest bird flu outbreak as preliminary genetic analysis indicates the H5N1 virus, which causes avian flu, may have begun infecting cattle earlier than thought. And the CDC says viral particles have been found in raw milk, which adds one more risk to consuming unpasteurized dairy.

A notable case was with sick and dead cats on a Texas dairy farm that resulted from ingesting unpasteurized milk from infected cows. This presents how unpasteurized milk can be a vector for transmitting diseases.

Legal Status of Unpasteurized Milk

To reduce the risk, the FDA prohibited the interstate sale of unpasteurized milk in the United States. Different states, however, have their respective regulations on this matter:

- 20 states completely banned the sale of unpasteurized milk.

- 30 states allow raw milk sales under specified conditions.

Although these laws exist for protection of public health, many consumers are not even aware of the dangers associated with their consumption.

Why Pasteurization Is Important

Pasteurization destroys harmful bacteria without affecting the nutritional content of milk. Several studies in *Nutrition Today* report that pasteurization does not change the nutrient profile of milk. Pasteurized milk is free from pathogens and, therefore, also a safer alternative for all consumers, especially vulnerable ones.

Myths About Raw Milk Products

It's not just raw milk that's hazardous. Cheese, yogurt, and ice cream with unpasteurized milk carry the same dangers. To anyone tempted by the supposed health value of raw dairy, experts say in one voice: stick to pasteurized, and avoid illnesses like bird flu or salmonella infection.

Should You Drink Raw Milk?

Health organizations, including the FDA, CDC, and American Academy of Pediatrics, strongly advise against consuming raw milk. Beyond the personal health risks, drinking raw milk can also endanger others by increasing the spread of harmful bacteria and viruses.

The emergence of H5N1 in cattle and its link to raw milk calls the world to wake up to better preparedness. Like COVID-19, bird flu has demonstrated vulnerabilities in our food safety systems. The presence of avian flu in raw milk underscores the imperative for strict rules, public education, and investments in the prevention of these diseases.

Could this outbreak push governments and health organizations to step up surveillance and vaccination efforts against zoonotic diseases? The lessons learned from COVID-19 suggest a coordinated approach is essential to prevent future pandemics.

On the other hand, raw milk is far riskier and has far fewer benefits than its apparent healthy, "natural" choice. From bacterial contamination to the allowance of viruses like H5N1, there is evidence that is clear: pasteurization cannot be wished away. As we face new health challenges, it will be science over trends that safeguard public health.

Sorbitol is often seen as a healthier alternative to sugar. The sugar alcohol is widely used in sugar-free chewing gum, candies and other low-calorie foods, offering sweetness with fewer calories than regular sugar.

But new research suggests that sorbitol may not just pass through the digestive system as it was previously assumed.

Scientists have found that after reaching the liver, sorbitol may be converted into a compound related to fructose, where it could trigger metabolic changes associated with fatty liver disease.

How Sorbitol Interacts With The Body?

Researchers from Washington University in St. Louis used zebrafish models to analyse what happens to sorbitol after it enters the body.

They found that after eating a meal, sorbitol can be produced naturally in the intestine from the glucose. What happens next depends partly on the bacteria residing in the gut.

Certain bacteria, including Aeromonas strains that degrades sorbitol, can consume sorbitol and convert it into a harmless bacterial byproduct. This may act as a protective filter, preventing the compound from reaching the liver.

But when those bacteria are absent, more sorbitol may pass through to the liver. Researchers found sorbitol can be converted into a derivative of fructose.

The researchers describe sorbitol as being “one transformation away from fructose”, because of how closely the two compounds are connected through metabolism.

Also read: Should You Really Cut Out Rice And Roti To Lose Weight? Expert Explains The Truth About Carbs

Could Sorbitol Affect Liver Health?

The metabolism of fructose in the liver has been linked to steatotic liver disease, a condition in which excess fat accumulates in liver cells. The new findings suggest that sorbitol may have some of the same metabolic effects.

The researchers found that sorbitol could contribute to processes linked with liver fat accumulation when the gut's ability to break it down was impaired.

However, this does not mean that eating sugar-free gum or food containing sorbitol will automatically and mandatorily cause fatty liver disease.

The research was conducted in zebrafish, and the study is exploring a biological mechanism rather than demonstrating that ordinary dietary sorbitol causes liver disease in humans.

Also read: Bill Ackman’s Daughter Gets Experimental Treatment For Vision Loss: When Can Mitochondrial Transplants Help?

Gut Bacteria May Make A Difference

One of the more unexpected findings was the potential role of the gut microbiome in preventing this scenario. At relatively low levels, including amounts naturally obtained from fruit, researchers found that bacteria appeared capable of breaking down sorbitol.

Problems may surface when the amount of sorbitol becomes too high for these microbes to process efficiently. That could happen through consuming large quantities of products that contain sorbitol. High glucose intake may also increase the amount of sorbitol produced inside the intestine.

The researchers therefore suggest that how much sorbitol is consumed and the composition of an individual's gut bacteria could influence what happens to the compound and thus shape the risk of liver disease.

The study does not establish that sorbitol is harmful for humans even when consumed in moderate amounts. In fact, sorbitol occurs naturally in fruits such as stone fruits, and the researchers noted that relatively low amounts are generally handled effectively by gut bacteria.

The findings challenge the assumption that sugar substitutes are automatically metabolically healthy simply because they contain less sugar or fewer calories.

Carbohydrates have unfortunately become one of the most misunderstood parts of the diet, particularly when it comes to weight loss.

Cutting out rice, roti or other carbohydrate-rich foods completely is not necessarily the answer. Carbohydrates are an important source of energy, and the issue is more about the quality, quantity and overall balance of the diet than the nutrient itself.

Why Cutting Carbs Completely May Not Be The Answer

For Indians, this becomes particularly relevant because staples such as rice, roti, poha, idli and other grain-based foods are an integral part of our traditional diets.

Removing them completely can sometimes make a diet unnecessarily restrictive and difficult to sustain. It may also mean missing out on foods that provide fibre, vitamins, minerals and other nutrients, particularly when whole grains and minimally processed sources are chosen.

Also read: The New Nutrition Gap: Why Knowing What To Eat Doesn't Mean We Actually Eat It

Not All Carbohydrates Are Created Equal

What matters is understanding the difference between refined and high-quality carbohydrate sources. A diet dominated by refined flour, sugary foods, sweetened beverages and highly processed snacks is very different from one that includes whole grains, millets, legumes, vegetables and appropriately portioned rice or roti.

The Bigger Picture Behind Weight Loss

Another common mistake is replacing carbohydrates with excessive amounts of protein or fat without considering the overall nutritional balance.

Weight loss ultimately depends on overall energy intake, dietary quality, physical activity, sleep and several other factors—not simply whether carbohydrates are present on the plate.

Also read: Protein Is In Everything, But Is Every Source Actually Healthy? Experts Explain

How To Build A More Balanced Indian Plate

A practical approach is to focus on portions and pair carbohydrates with protein, vegetables and healthy fats. For example, roti with dal and vegetables or rice with dal, vegetables and curd can form a balanced meal. Choosing less-refined carbohydrate sources and paying attention to portion sizes can make the diet both nutritious and sustainable.

Carbohydrates do not need to be feared or completely eliminated. The goal should be to eat the right kind, in appropriate portions, as part of a balanced diet rather than following the latest anti-carb trend.

Healthy eating is something every individual is aware of, not only because of various online conversations around it but also because it is one of the subjects that is being discussed widely amongst individuals today.

From taking up diet charts with the help of AI to taking details from social media reels shared by several wellness influencers – information about food and health is readily available for all age groups at any time and it is customised according to their preferences, thanks to our algorithms.

Most people are aware that a healthy diet includes vegetables, fruits, home cooked meals, adequate water intake, and most importantly, limited consumption of outside food like fried and processed foods.

Unhealthy Eating Habits Continue To Rise Despite Awareness

Also read: From Pickles to Papad: Which Everyday Indian Foods Could Be Worth Rethinking for Cancer Prevention?

Despite growing awareness amongst the population, unhealthy eating habits continue to rise, which is eventually contributing to various lifestyle diseases like obesity, diabetes, cardiovascular diseases, and other health issues.

For most people, lack of information and knowledge about nutrition is not a challenge anymore, but the inability to act on that knowledge and consistently following through the habits and incorporating them into day-to-day life is. This growing gap between knowing what to eat and not being able to follow through is called the new nutrition gap.

Many individuals understand what a healthy diet is? yet struggle due to busy schedules, long working hours, and stress. Also, the convenience of ordering food often leads to dietary choices, that do not support long-term health. It is common for individuals to skip meal preparation, rely heavily on packaged food and snacks or food from restaurants, and beverages during stressful times despite being aware of their harmful impact on health.

“Social settings” add another challenge to sticking to one’s diet as planned. Office celebrations, family gatherings, and social outings are often centred around calorie dense foods and sugary treats. In addition, many people follow an all or nothing approach to eating, believing that a single indulgence has undone all their progress. This mindset can also make healthy eating feel difficult and unsustainable in the long run.

Also read: Protein Is In Everything, But Is Every Source Actually Healthy? Experts Explain

Closing this gap does not require restrictive diets or unrealistic rules. It is about building small, practical and healthy habits that can follow consistently over time. To maintain the same, some of the following small habits can be helpful:

1. Make healthy the easy option

2. Stop punishing yourself

A healthy lifestyle is not determined by a single meal. Occasionally eating a vada pav or enjoying a dessert, festive treats are not going to harm long-term health when it is balanced with nutritious meals throughout the day. Instead of feeling guilty after eating an unhealthy food and worrying over its impact your progress, one should simply focus on continuing the prioritising balanced eating habits with their next meal.

3. Make it personal

Don't eat healthy because an influencer said so. Eat healthy because you want to feel lighter, sleep better, and not feel acidity every evening. It is important to take guidance from a professional like a Certified Registered Dietiian when you are not able to follow through with your diet or are facing any other challenge instead of depending solely on unreliable nutrition advice and social media trends.

Healthy eating becomes easier when one makes conscious choices of maintaining a balanced diet, regular meal planning, mindful eating, and realistic lifestyle changes.

By Vidisha Parekh, Chief Dietician at Lilavati Hospital and Research Centre, Mumbai