Cow's Milk and IGF1

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  • I’ve seen some sites on the web that suggest that cow’s milk should be avoided as it may elevate IGF-1 levels in the blood.
    They state:
    1/ cow IGF1 is identical to human IGF1
    2/ that IGF1 is present in cow’s milk
    3/ that the IGF1 can pass thru the gut and into the blood stream

    So is there sufficent evidence to say that I should reduce my milk intake?
    Will the effects of cow’s milk reduce the benefits of intermittent fasting or is the converse the case?

    I’m from northern european heritage, so therefore adapted to drink cow’s milk into adulthood. Should I cut down on cow’s milk and is there some recommended amount of milk to consume per day/week?

    stranger

    u may call me usa

    i always liked cow milk still drink it mayb twice a month
    on nonfastdays

    i now drink flaxmilk unsweetened very healthy

    1/4 cup 6 cals

    u can even make it

    it tastes way better than any of those alternative milks ugh

    wish u success on the fastday lifestyle

    I doubt that a molecule as large as IGF-1 will survive the stomach or pass thru the intestine’s wall. If that’s the case, treating dwarfism caused by IGF-1 should be as easy as drinking milk. But I did read a story just recently that mother’s who drink a lot of milk have taller children, so you might google that and see if it relates to IGF-1.

    Milk does have a lot of protein, and Dr. Longo recommended very low protein consumption in order to keep IGF-1 low, so in any case, drinking very much milk would be counter productive in the goal of lowering IGF-1.

    Note that drinking soy milk has the same effect on circulating IGF-1 levels as drinking cows’ milk. Soy milk does not contain IGF-1 so the effect doesn’t come solely from IGF-1 in cows’ milk.

    See the American Association for Cancer Research paper;

    Effects of Tomato- and Soy-Rich Diets on the IGF-I Hormonal Network: A Crossover Study of Postmenopausal Women at High Risk for Breast Cancer. John M. McLaughlin1, Susan Olivo-Marston1, Mara Z. Vitolins, Marisa Bittoni, Katherine W. Reeves, Cecilia R. Degraffinreid1, Steven J. Schwartz1, Steven K. Clinton1, and Electra D. Paskett. Cancer Prev Res May 2011 4; 702 – http://cancerpreventionresearch.aacrjournals.org/content/4/5/702

    IGF-1 is a polypeptide and the digestive tract contains powerful peptidase enzymes so whatever IGF-1 does make it through to the circulation it will be in very small quantities;

    “the absorption of IGF-1 from the intestinal tract (which has been estimated by some authors to be absent and by other authors to be measurable but small) is considered to be an insignificant determinant of circulating IGF-1 levels.”

    Report of the Royal College of Physicians and Surgeons of Canada – Expert Panel on Human safety of rbST. Dr. Stuart M. MacLeod, Dr. Réjeanne Gougeon, Dr. Gerald S. Marks, Dr. Michael Pollak, Dr. Milton Tenenbein, Ms. Cindy Woodland. http://www.hc-sc.gc.ca/dhp-mps/vet/issues-enjeux/rbst-stbr/rep_rcpsc-rap_crmcc_final-a-eng.php#igf

    The American Cancer Society has looked at IGF-1 levels in milk from cows treated with synthetically produced growth hormone and has not found sufficient evidence to say one way or the other whether there is any risk to human health from the increased IGF-1 levels.

    The synthetic growth hormone is not permitted in dairy production in the European Union.

    See http://www.cancer.org/cancer/cancercauses/othercarcinogens/athome/recombinant-bovine-growth-hormone

    Interestingly, some studoes have shown that milk consumption, which increases circulating IGF-1, can have a protective effect against certain cancers;

    Milk Intake, Circulating Levels of Insulin-Like Growth Factor-I, and Risk of Colorectal Cancer in Men. Jing Ma, Edward Giovannucci, Michael Pollak, June M. Chan, J. Michael Gaziano, Walter Willett and Meir J. Stampfer. JNCI J Natl Cancer Inst (2001) 93 (17): 1330-1336. – http://jnci.oxfordjournals.org/content/93/17/1330.full

    “Conclusion: Intake of dairy products was associated with a modest increase in circulating IGF-I levels, but intake of low-fat milk was associated with lower risk of colorectal cancer, particularly among individuals with high IGF-I/IGFBP-3. This subpopulation, which is at increased risk of colorectal cancer, might benefit the most from specific dietary intervention.”

    At the moment I haven’t come across a convincing study showing that consumption of milk is bad because of the IGF-1 effects.

    If you find one, please let me know.

    Sarah

    Wow, you cold be working for the Dairy lobby, but I believe you’re right that milk doesn’t have any special adverse effects via IGF1. I love milk(skim milk) and cheese (quality cheese). But I don’t drink it on fast days, partly because of the lactose, and partly because of the protein (and personally, I want to stay clear of protein on fast days).

    I believe the calcium in dairy binds to some of the fat we’ve eaten and renders it indigestible, which helps a bit on non fast days.

    No, no interests in the dairy lobby but I am a scientist with a medical background and will always try to find relevant well-conducted studies for evidence 🙂

    Sarah

    Hello dlroseberry

    I am curious as to why you want to stay clear of protein on fast days? I thought the ideal was to eat protein and vegetables on those days esp and to steer clear of processed/starchy carbs?
    I’m confused-and as I’m just starting out I want to “do it right” haha

    Thanks
    Eileen

    Hi there. I joined this forum because of this thread.

    Ladyboomer, I tend to avoid milk and milk products on fast days because they give a disproportionate insulin response, despite being high in protein.

    http://www.direct-ms.org/pdf/EvolutionPaleolithic/Milk%20and%20insulin.pdf

    I tend to have fish and salad. But then, we know too much protein is bad for us, so I limit this to about 7 oz.

    Also, I agree with Sarah. Here’s another abstract to throw into the mix:

    http://jama.jamanetwork.com/article.aspx?articleid=194858#qundefined

    We need to be careful regarding articles on the internet because we don’t know if the author has some vested interest/beliefs which might alter their perception or slant, so they may well latch on to one aspect of the evidence to support that belief, ignoring any evidence to the contrary. This isn’t a fault as such, more a human characteristic. Science papers are peer reviewed(*), whilst articles on the internet are often not. Indeed, articles in magazines are edited for style and content more than veracity because it takes an expert to see if the expert author is being fair. So we need to beware of scare stories.

    It would be a shame to cut out a relatively cheap, nutritious foodstuff which may have a protective effect against some conditions and is a good source of calcium, on the basis of some evidence which might not be complete, It might not be the milk per se which is to blame for the increase in IGF-1 levels, it might be the increase in protein, for example, or other factors.

    That milk and milk products (except for hard cheese) gives a disproportionate insulin response and seems to increase IGF-1 levels makes me wonder if there is something about milk that induces an increase in hormones, but that’s just speculation.

    I shall continue to drink milk.

    (* “Peer Review”. When a scientific paper is submitted to a journal for publication it is sent out to other experts in that field to check that the science is sound and the conclusions are valid before the paper is published. This avoids egg-on-face incidents because a respect3e4d journal would not like to publish bad science. Even so, some papers are controversial and will induce a flurry of heated exchanges. This helps prevent extravagant claims and ill-thought-out advice being given out by the scientific community. It does not prevent the media from latching onto one tiny aspect, and wild headlines.)

    I will also add that I have started adding in a little milk in coffee and tea on fast days. I figure that since I’ve been doing this for a year now, I can risk a slight boost in insulin.

    It’s all very hypothetical, really, and combined with us being individuals, it is hard to know what’s best. My feeling is that what’s best for one person might not be best for another. If this is so, perhaps we shouldn’t sweat over the detail.

    It’s a pity IGF-1 testing is prohibitively expensive. If intermittent fasting takes off in a big way, then perhaps manufacturers could look at developing a simple diagnostic test. Then the effectiveness of a person’s personal regime could be assessed easily and they could tweak it to suit their particular body.

    Eileen,

    Here’s my idea regarding protein. Protein is filling and makes it easier on fast days, so I’d recommend it when starting out. But, you’ll remember from the original show, Dr. Longo, from USC, I believe, was advocating very low protein consumption in order to lower IGF-1 (growth hormone) and reduce your chances of getting cancer. The level he was advocating, about 15 grams a day as I remember, would be very difficult to do. And it was Dr. Longo who had Michael do the 31/2 day fast which lowered his IGF-1 about 50% and later Michael discovered that 5:2 also lowered IGF-1 about 50%.

    My thinking is that it’s lack of protein on fast days that lowers IGF-1. I suspect that the IGF-1 level is just a proxy for a whole series of changes the body makes in order to deal with lack of protein in the diet. Unlike energy, protein can’t be stored, so my thinking is that the body tells cells which are old, malfunctioning and generally not well, to die and thereby make their protein available for new synthesis. As Dr. Longo said, repair mode instead of go-go mode, where the body puts up with the dodgy cells because there’s plenty of protein available in the diet. Some of these dodgy cells could become cancer cells. If they do, they’ll no longer be subject to the body’s regulation so I want to get into this repair mode for sure, so now that I’m used to fasting, I just eat vegetables and finish with some fruit.

    The general idea the the body mines muscle for protein doesn’t make any sense. The body will need the muscle as well as the brain to find food, so I’m sure it just changes regulation as Dr. Longo explains.

    And I don’t really try to keep protein down on non-fast days, relying on IF instead. I’m mostly vegetarian at this point and that keeps it down. Strength building, which increases demand for new protein, should also help. And muscle, by the way, is important for blood sugar regulation, so strength building is important as you lose weight (this is, I think, why many experts are loath to recommend low protein diets, because it’s counter-productive to strength building).

    The amount of protein we should be taking in to replace that lost from turnover is 0.8g per kg bodyweight. But that’s dry weight, not the weight of the piece of meat etc, and includes the protein found in bread, beans, pulses etc.

    That’s daily, so I disagree that it’s not important to restrict protein on non-fast days. Vegans had the lowest levels of IGF-1, even lower than Cronies, in a study by Longo.

    The way I look at it is that 1g protein is approx. 4 kcals, so a piece of mainly protein meat or fish to equate for my needs (0.8 x ideal weight 72kg, say about 60g dry weight, which is the equivalent of 240kcals protein, which is about 7oz fish etc.

    Which, with a yummy salad makes my fast day meal.

    In a starvation situation where the glycogen has been all used up, the muscles are fair game for degradation because the body wants to protect the essential organs, so muscle loss is possible. But we are not starving, we are fasting.

    I have seen photos of a vegan bodybuilder, so the need for lots of protein to protect the muscles is a bit of a myth. It’s the training that matters. Mind you, a body builder needs more calories because if the exercise, so might get more from vegan sources than the ordinary person.

    But protein is satiating, which is why Mosley suggests a boiled egg for breakfast.

    Actually, I was thinking oif a study by Fontana not Longo re the IGF-1 and protein

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2673798/

    Great link. Good study indicating the need for protein restriction, rather than calorie restriction, to reduce IGF-1.

    I didn’t mean to imply that daily protein restriction isn’t important, but I don’t really “count” protein on non-fast days for the same reason I don’t count calories, I’m too lazy. So I rely on two days a week of no protein. I haven’t seen any actual data from studies, even in mice, of intermittent protein restriction and IGF-1. However, the fact that intermittent calorie restriction, which necessarily results in protein restriction to a great extent, does sometimes at least lower IGF-1, is a good sign. In any event, not eating protein on fast days lowers overall protein consumption.

    I think it’s a mistake to think of the body raiding muscles as opposed to “essential” organs. Muscles are essential too. Control is via chemicals circulating in the blood to every cell. All cells put out signals if they are damaged, infected, or impaired and are capable of programmed cell death when properly signaled by circulating hormones. Nerve cells are mostly exempt, I suspect, and maybe muscles are more expendable than some others, but it’s mostly not a case of “losing muscle”, it’s a case of “cleaning house”, when protein is in short supply.

    Thanks for all the info. I’m in danger of confirmation bias in terms of the good news about milk but it does make sense. I’ll just try to keep to the golden rule: everything in moderation.

    Greetings, all. I’m grateful for the quality of discussion and the references in this thread.

    It is frustrating that the subject of human nutrition is – and I’m sure will long remain – such a smog of vested interest, contradiction, doubtful science and/or doubtful conclusions. At 63, I’d love to have the confidence that I was following a plan was really going to bring health benefits, and crucially a plan that was achievable & sustainable for me. The concept of cellular repair mode is, for me, a very exciting topic in the science relating to IF.

    It is towards the goal of cellular repair mode that I manage regular spells of somewhere in the teens or more of hours with only water and medication. I’ve not managed to shed my excessive, all-or-nothing, appetite. I too would like access to cheap and reliable IGF-1 measurement. However, I would be wary that we seem to have much more to discover in the area, so could go overboard about a parameter that has more complexity than we have yet grasped.

    Milk is said to limit the absorption of beneficial compounds from tea, coffee and cocoa. So it’s not that great. Also it’s high on methionine, which seems to be probably the most important amino acid to reduce with regards to protein.

    On Radio 4 this morning they were talking about a new study from the USA citing excessive protein (in particular animal protein)as being as significant a risk of cancer for middle-aged people as 20 cigarettes a day.
    http://news.yahoo.com/high-protein-diet-raises-cancer-risk-much-smoking-174546618.html
    Chick pea and vegetable curry tonight!

    StraR: A link to the original paper is here: http://dx.doi.org/10.1016/j.cmet.2014.02.006.

    In the study people eating the lowest levels of protein (<10% calories from protein) had a 4x reduction in their mortality from cancer compared to people in the highest protein eating group (>20% calories from protein). The low protein eaters also had a much reduced rate of mortality from diabetes.

    Note: While protein from plant sources was found to be better, it’s not without any possible harm – which is not how the media are reporting the study. So vegans (myself included) shouldn’t feel too smug, and perhaps should reconsider eating quite so much tofu and legumes (chickpea curry included!).

    This is a reply to coffeegal/Sarah about scientific papers linking dairy, IGF-1 and cancer.

    There are numerous studies out there, but if you want to read them you can come to the following conclusions:
    * Cow milk, soy milk and other (protein-containing) food products induce an elevation of IGF-1 in the human body
    http://www.nature.com/ejcn/journal/v61/n1/full/1602494a.html
    http://jn.nutrition.org/content/132/9/2605.long
    http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=585928

    * Higher IGF-1 levels are associated with a higher colorectal, breast, and prostate cancer risk
    http://www.ncbi.nlm.nih.gov/pubmed/11694656
    http://news.harvard.edu/gazette/1999/04.22/igf1.story.html
    http://www.medscape.com/viewarticle/522728_3

    * Eating less protein lowers IGF-1 levels
    http://www.sciencedirect.com/science/article/pii/S155041311400062X

    * Hence if you want to decrease your IGF-1 level, you should drink less cow milk or soymilk, eat less dairy products, and you will lower your cancer risk.
    http://www.cell.com/cell-metabolism/abstract/S1550-4131(14)00062-X

    * Decreasing protein intake should be considered, either drinking less (cow or soy) milk or eating less meat.

    * Other plant protein sources like pulses and cereals seem to bring an overall benefit.

    dheillyx

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