‘World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow’s Milk Allergy (DRACMA) Guidelines’.
60, 000 words. Lots of references. Sounds promising.
1. ‘Milk allergens of various mammalian species cross-react. The greatest homology is among cow’s, sheep’s and goat’s milks protein as Bos (oxen), Ovis (sheep), and Capra (goat) are genera belonging to the Bovidae family of ruminants. Proteins in their milks have less structural similarity with those from the Suidae (pig), Equidae (horse and donkey), and Camelidae (camel and dromedary) families and also from those of humans. The milks of camels and dromedaries (and human milk) do not contain Bos d 5.’
As in, cow, sheep and goats milks (the ones we drink), are most unlike human milk, and make us sick. Unlike pig, horse, donkey, camel and human milk, which we do not drink. And do not make us sick.
2. ‘Caseins are thought to be easily digestible, but they coagulate in an acidic medium (at gastric pH).’
Our stomach is acidic, right? So cows milk coagulates when we drink it? Gross.
3. ‘Blah blah blah, we apply all these scientific processes to milk by heating and boiling and hydrolysing it and then it won’t make you as sick’.
This seems silly. So much time and effort devoted to figuring out why cows milk makes us sick. Why not devote that energy to getting more women to breastfeed, or researching mastitis in humans instead of cows, for example? Or organising milk sharing… Surely we have better solutions than feeding babies highly processed not-foods?
4. ‘The absence of gut microbiota significantly increases the milk-specific immune response in mice… prevention and treatment of milk allergy through the manipulation of the gastrointestinal flora.’
Right. So, our guts are fucked. And if we fix them, we get less sick.
5. ‘In particular, patients with psychologic disorders may attribute adverse reactions to milk ingestion. Physicians must also make their patients aware that cow’s milk allergy is not a frequent occurrence in adults, that cow’s milk intolerance is widespread and that thus milk allergy may not be the cause of their complaint’.
Mm.. except that the stomach to brain link is well-established. Like, in the myriad of studies on IBS and depression. And didn’t you just write in like, the body of every section of this document, that non-IgE mediated allergies are not well-understood, measured, tested or researched? So how can you say they’re not sick from milk?
6. ‘Adverse reactions to lactose are common, as most of the world population is lactase deficient. Treatment involves limiting the intake of fresh milk to the individually tolerated level.’
7. ‘In many cases, gastrointestinal food allergy remains undiagnosed or is classified as irritable bowel syndrome’
8. ‘Cow’s milk-induced proctocolitis syndrome is a relatively benign disorder resulting in low-grade rectal bleeding (usually flecks of blood) and occasionally mild diarrhea in an otherwise healthy infant.’
Milk makes our babies bellies bleed. Tell me again why we’re still talking about eating it?
9. ‘Cows milk allergy has been reported in 70% of children with chronic constipation.’
‘Claims for high-level evidence studies to clarify the physiological, immunologic, and biochemical relationships between constipation and cows milk allergy are missing’–
?? Huh? But didn’t you just say…
10. ‘Negative Oral Food Challenge expands dietary options and thereby nutrition and quality of life. It is also cost-sparing and reduces the use of special formula’…. ‘avoidance means meeting obstacles unshared by their nonallergic peers, thereby curtailing their quality of life’
11. ‘A negative “remission” challenge ends up with the open reintroduction of cow’s milk and dairy products. This represents for the patient an important step toward a “normal” personal and social life. However, many patients do not of themselves ingest the food and pursue an “unofficial” elimination diet. Reasons include fears of persistence of CMA, recurrent pruritus or nonspecific skin rashes after ingesting milk. After a negative challenge, however, a patient with CMA should not be lost to medical monitoring, to prevent such untoward eliminations’
‘The WAO Special Committee on Food Allergy is supported through unrestricted educational grants from various charities and companies that are representative of the food industry: Danone, Heinz, Ordesa, Nestle Nutrition, Dico-farm, and Invest for Children’.
Fuck this shit. I’m out.
‘The mother will require calcium supplements while on a dairy-free diet’… That should’ve given it away.
‘In the developed world, other milks can never constitute the treatment of choice for Cow’s Milk Allergy. Camel’s milk can be considered a valid substitute for children after 2 years. Equine milks can be considered as valid CM substitutes, in particular (but not exclusively) for children with delayed-onset CMA’.
Horse milk, anyone?