Which milk is best for you?: A guide to non-standard milks

Cow’s milk has ample competition these days, surrounded by an every-growing array of ‘milks’ made from almonds, cashews, peas, oats, hemp and more.

These plant-based milk alternatives make us feel like we’re doing something good for our bodies, but are they really any better for us?  The answer is complicated. 

All varieties of cow’s milk will contain some level of naturally-occurring growth hormones. Many types of milk are also made with the addition of rgGH or rbST, a synthetic growth hormone. 

Cow’s milk also contains a significant amount of sugar – 12 grams per eight-ounce cup – in the form of lactose, a naturally-occurring milk sugar. And with eight grams of protein in a cup of regular cow’s milk, that means that cow’s milk has 50 percent more sugar than protein. 

Ultra-filtered milk – familiar in varieties like Fairlife and Trader Joe’s – improves these stats, with 50 percent more protein and 50 percent less sugar than regular milk. Maple Hill takes ultra-filtering even further with their Zero Sugar milk. Each of these still provides the expected benefits of milk, like one-third of a day’s worth of calcium and a hefty dose of vitamins A and D. 

When it comes to ‘non-milk’ plant-based milks, the protein content can vary widely, ranging from zero to 10 grams of protein per cup. Added sugar is one of the main drawbacks, with even ‘original’ or ‘plain’ varieties of many plant-based milks packing in nearly a day’s worth of added sugar. 

Most plant-based milks are made from nuts, seeds or grains that are mixed with water and salt; many of the major brands also include thickeners and emulsifiers like guar gum or gellan gum. (MALK, Forager and Three Trees are three brands that do not include any stabilizers or emulsifiers – essentially just the nuts or seeds, water, and potentially flavor enhancers like sea salt or vanilla beans). 

The good news is that for those who wish – or need – to avoid cow’s milk for dietary, nutritional or environmental reasons, there is a milk alternative to suit nearly any taste preference, intolerance or sensitivity.

The key is to check labels closely to find the milk alternative that has the majority of the nutrients you’re looking for, without the stuff that you don’t want.

If you’re looking for a very-low calorie, low-carb milk alternative that’s fortified with calcium and D, for example, then unsweetened almond milk, cashew milk, coconut milk or flax milk could each be a fit, with just 25-45 calories and 0-1 gram of carb per cup.

But if you’re looking to get more of a protein boost from your non-milk milk while still keeping sugars in check, then an option like Ripple’s Unsweetened Pea Protein ‘milk’ with 8 grams of protein may be a better fit, or a protein-fortified milk alternative like Orgain’s Organic Protein Almond Milk with 10 grams of protein per cup.

Two big questions I get are “how does it taste – and which one is best?”

When it comes to comparing the flavors, we’re definitely not comparing apples to apples. One isn’t necessarily better than the other – and taste, appearance and texture vary widely – so it really comes down to individual preference.

Finding the one you like best may require a bit of trial and error.

Here’s a guide to what you’ll see on labels, what the numbers mean, and why certain ingredients are added. We’ve also included the nutrition facts for nine different milk alternatives, along with a recipe for DIY homemade almond milk (or any type of nut milk).

What to look for on labels

Calories. Just because it’s almond milk (or coconut, cashew or any other “milk”) doesn’t mean it’s low in calories. Depending on the type of milk and whether it’s sugar-sweetened, calories can range from a very-low 25 calories per cup, to as much as 190 calories per cup.

Protein. Compared to 8 grams of protein per cup of cow’s milk, many non-milk alternatives fall short with as little as 0 or 1 gram of protein per cup. Some brands have a little more – 3 to 5 grams of protein – and still others are fortified with protein (often pea protein) to boost protein to 8 grams per cup.

Sugar (and carbs). If you see sugar listed on the nutrition facts label, this is almost always added sugar (e.g. organic cane sugar, dried cane syrup, or brown rice syrup) – not the naturally-occurring milk sugar found in regular cow’s milk.

Unsweetened varieties usually have little or no sugar, while the sweetened varieties can cram in as much as 28 grams of sugar – more than a day’s worth of added sugar – into a single cup.

Oat milk – even the unsweetened variety – is higher in carbs that most other milks. Cup-for-cup, unsweetened oat milk has about 50 percent more carbs and about 60 to 75 percent less protein than regular cow’s milk.

Calcium and Vitamin D. If you’re getting plenty of calcium and vitamin D from other foods in your diet, these nutrients are less critical to try to get from your choice of milk.

Keep in mind, however, that many of us don’t get enough of these. It’s estimated that 75 percent of Americans are deficient in vitamin D, and milk and milk alternatives are among the top sources of vitamin D in our diets. With that in mind, look for milk options with at least 30 percent of the daily value for calcium and at least 25 percent of the daily value for Vitamin D.

NUTRITION SUMMARY OF PLANT-BASED MILK ALTERNATIVES

Note: 1 cup nonfat cow’s milk contains 90 calories, 12 grams carbs, 12 grams sugar, 8 grams protein 

LOW CARB, MODERATE PROTEIN 

Pea Protein Milk (original, unsweetened) – e.g. Ripple
Per cup: 80 calories, 0 carbohydrate, 0 sugar, 8 grams protein

Ingredients include pea protein, sunflower oil, algal oil, vitamin/mineral blend, water, sunflower lecithin, sea salt, organic guar gum, gellan gum

Orgain Organic Protein Almondmilk 

Per cup: 80 calories, 4 grams carbohydrate, 0 sugar, 10 grams protein

Ingredients include filtered water, almonds, pea protein, vitamin/mineral blend, sea salt, gums (e.g. locust bean gum and/or gellan gum), sunflower lecithin

Protein-Fortified Flax Milk (original, unsweetened) – e.g. Good Karma Flaxmilk + Protein
Per cup:  60 calories, 1 gram carbohydrate, 0 sugar, 8 grams protein

Ingredients include filtered water, cold pressed flax oil, pea protein, vitamin/mineral blend, sunflower lecithin, sea salt, gellan gum, xanthan gum

Soy Milk (original, unsweetened) – e.g. Silk
Per cup: 80 calories, 4 grams carbohydrate, less than 1 gram sugar, 7 grams protein

Ingredients include non-GMO soymilk (water, organic soybeans), vitamin/mineral blend, sea salt, gellan gum

LOW CARB, LOW PROTEIN 

Almond Milk (original, unsweetened) – e.g. Almond Breeze, So Delicious
Per cup: 25-30 calories, 1 gram carbohydrate, 0 sugar, 1 gram protein

Ingredients include filtered water, almonds, vitamin/mineral blend, sea salt, gums (e.g. locust bean gum and/or gellan gum), sunflower lecithin

Cashew Milk (original, unsweetened) – e.g. Silk, So Delicious
Per cup: 25-35 calories, 1 gram carbohydrate, 0 sugar, less than1 gram protein

Ingredients include water, cashews, sea salt, locust bean gum, gellan gum, vitamin/mineral blend, non-GMO canola oil (in So Delicious cashew milk), almond butter (in Silk Cashew milk)

Coconut Milk (original, unsweetened) – e.g. Silk, So Delicious
Per cup: 45 calories, less than 1 gram carbohydrate, 0 sugar, 0 protein

Ingredients include water, coconut cream, vitamin/mineral blend, sea salt, sunflower lecithin, locust bean gum, gellan gum

MALK (original, unsweetened) | MALK is one of a growing number of brands on shelves without added thickeners, stabilizers, or emulsifiers.

  • Unsweetened Almond MALK: Per cup: 130 calories, 5 grams carbohydrate, 1 gram sugar, 5 grams protein. Ingredients: Organic almonds, Himalayan salt, filtered water

  • Unsweetened Cashew MALK: Per cup: 100 calories, 5 grams carbohydrate, 1 gram sugar, 3 grams protein. Ingredients:  Organic cashews, Himalayan salt, filtered water

HIGH CARB, LOW PROTEIN 

Oat Milk (original, unsweetened)

Per cup: 90 calories, 19 grams carbohydrate, 2 grams fiber, 4 grams sugar (including 4 grams added sugar), 2 grams protein

Ingredients include oatmilk (water, oats), calcium carbonate, dipotassium, phosphate, sea salt, gellan gum, vitamin A, D2, riboflavin, vitamin B12

Rice Milk (original) – e.g. Rice Dream
Per cup: 120 calories, 23 grams carbohydrate, 10 grams sugar, 1 gram protein

Ingredients include water, brown rice, organic oil, sea salt

The bottom line:  The answer to ‘which milk is best’ really depends on which milk is best – for you. Low carb, higher protein varieties exist for both cow’s milk and plant-based milks. Sugar and protein content vary widely, as do calcium and vitamin D. Start by identifying what matters most to you, in terms of taste preference, lifestyle needs and nutritional needs, and see which of the milk varieties best suits your needs and your wants. 

Molly Kimball, RD, CSSD is a registered dietitian + nutrition journalist in New Orleans, and founder of Ochsner Eat Fit nonprofit restaurant initiative. Tune in to her podcast, FUELED | Wellness + Nutrition and follow her on Facebook, Instagram and Twitter at @MollyKimballRD. See more of Molly’s articles + TV segments at www.mollykimball.com, and sign up for Eat Fit Wellness Bites weekly newsletter, here

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