Raw Milk: Risks and Realities


Raw Milk: Risks and Realities

You’ve likely seen the buzz: raw milk is trending. From social media to high-profile public figures, raw milk is framed as somehow superior to pasteurized milk.

But let’s get clear: raw milk is milk that hasn’t been heat-treated (pasteurized) to kill harmful germs. While it might sound “natural” or “old-school,” the fact is that it’s illegal or restricted in many states because it poses real and significant risks.


What Raw Milk Is — and Why It’s Been Restricted

Raw milk is simply milk from cows, goats, or other dairy animals that has not been pasteurized. That means it hasn’t been heated for a set time and temperature that reliably destroys pathogens. As a result, sales are either banned or highly regulated in many U.S. states. The federal government prohibits the interstate sale of raw milk for human consumption. 


The Alleged Benefits — and Why The Claims Don’t Hold

Proponents argue that raw milk is “better” because it retains enzymes, beneficial bacteria, or nutrients that pasteurization supposedly destroys. Some claim improved immunity, digestion, or vitality. But major public health agencies say there is no credible evidence that raw milk has meaningful health advantages over pasteurized milk. In contrast, the risk of illness is well documented. 


Pasteurized Milk – What It Is and What Standards It Meets

Pasteurized milk is milk that has been heated to a specific temperature for a specific time to kill harmful bacteria. Legal standards in the U.S., including the Grade “A” Pasteurized Milk Ordinance and federal regulations (see 21 CFR Part 131), define requirements for beverage milk, including minimum milk-fat and solids-not-fat levels and mandated pasteurization.  Short hand: from whole to fat-free milk, there are required standards and definitions.

The law also mandates the fortification of many fluid milks with vitamins A and D; these vitamins must be added to milk. 

“Homogenized” milk means the fat globules have been mechanically broken down so the cream doesn’t separate. That process doesn’t affect safety; pasteurization does. Also, note that when you see “vitamin D milk,” it does not mean only whole milk; many milk types are fortified with vitamin D.

Why Someone Buys Raw Milk — Then Boils It?

Some raw-milk advocates suggest buying raw milk and then boiling it yourself to “preserve nutrients, then kill germs.” Seriously. But boiling is not the same as regulated pasteurization. Home boiling may destroy microbes, but it also damages heat-sensitive nutrients and offers no guarantee of safety or consistent temperature/time control. In other words: if you’re going to boil it, you end up with something very much like pasteurized milk — but without the regulated safety standards or guaranteed nutrient retention.

Pasteurized milk requires 212° F for 0.01 second with the proper equipment. For reference, the boiling point of water at sea level is 212° F – so boiling it for longer than that 0.01 second would do more “damage.”


Legal Requirements and Safety: Pasteurized Milk vs Raw

Pasteurized milk sold for beverage use must comply with federal standards (see 21 CFR 131), and the Grade “A” PMO outlines inspection, bacterial testing, antibiotic residue checks, processing, and handling requirements. 

Raw milk, by contrast, is either prohibited or restricted in many states. Where it is legal, oversight is inconsistent, and many standard sanitary, testing, and fortification requirements do not apply. Yes, some farms may voluntarily follow standards, but the risk remains significantly higher.


Risks and “Benefits” of Raw Milk
 

Risks: Raw milk is far more likely to be contaminated with pathogens such as E. coli, Salmonella, Listeria, Campylobacter, and Brucella.  Studies show consumers of unpasteurized dairy are hundreds of times more likely to get sick from it than consumers of pasteurized dairy.  Young children, pregnant women, older adults, and those with weakened immune systems are especially vulnerable and are at risk of death (or miscarriage) from these various pathogens.

Claimed benefits: Raw-milk advocates say it has more “live enzymes,” better flavor, or more nutrients. But the research does not support significant nutrient advantages. For the average person, pasteurized milk provides the same major nutrients —such as calcium, protein, and vitamin D — with far less risk.


Risks And Benefits Of Traditional Pasteurized Milk

Pasteurized milk provides the same essential nutrients under strong regulatory safety systems. Its benefits: protein, calcium, vitamin D (when fortified), high bioavailability, and broad availability. The risk is minimal with proper handling/storage. One must still store and handle milk properly, but processing significantly reduces the risk of foodborne illness.


Bottom Line

I am 100% clear with no wiggle room: raw milk is risky. For children, pregnant women, and anyone with a compromised immune system, it’s extremely dangerous. The claimed benefits are poorly supported and do not outweigh the documented hazards. People pushing raw milk as healthier are ignoring decades of public health data.

If you want milk, choose pasteurized, properly handled and stored, and worry less about whether your carton says “raw,” “cream-top,” “unpasteurized,” or whatever marketing spin. Your health, and especially your family’s health, matters too much to gamble on a trend.

But then of course, this is still a free country. You can do what you want, but this expert strongly cautions against raw milk.


Shelley Rael, MS RDN

Shelley A. Rael, MS RDN, is a dedicated Registered Dietitian Nutritionist based in New Mexico, USA. As the owner of Real World Nutrition, her private practice, she's passionate about guiding individuals toward eating and living healthier in the real world. Beyond one-on-one consultations, Shelley is a multifaceted professional. She's a podcaster, author, speaker, and consultant known for her commitment to dispelling nutrition myths and providing evidence-based information. Her mission is to empower people to achieve improved health, wellness, and energy without resorting to restrictive diets or misinformation.

https://www.shelleyrael.com/
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