Serious Side Effects Of Almond Milk: What You Must Know
Understand the adverse effects of almond milk, from allergies to thyroid concerns, before making it your primary milk alternative.

Image: ShutterStock
Almond milk has soared in popularity as a plant-based, dairy-free alternative to traditional cow’s milk. Favored by vegans and those with lactose intolerance, almond milk is presumed to be a healthy substitute. However, despite its benefits, it carries certain risks and side effects that are often overlooked. Understanding these adverse effects is crucial for anyone considering almond milk as a regular part of their diet, especially for those with allergies or specific health concerns.
What Is Almond Milk?
Almond milk is a popular plant-based beverage made by soaking ground almonds in water and straining the mixture to remove solids. The result is a creamy, nutty-flavored liquid that can be enjoyed plain or sweetened, and is often fortified with vitamins and minerals. With fewer calories than cow’s milk, it is widely used in smoothies, baking, coffee, and as a direct milk substitute.
- Vegan-friendly: Suitable for those avoiding animal products.
- Lactose-free: Ideal for the lactose-intolerant.
- Variety: Available unsweetened, sweetened, and with added flavors.
Despite these advantages, almond milk is not risk-free. Let’s explore the potential side effects and concerns.
Possible Side Effects Of Almond Milk
While almond milk is considered safe for most people, some individuals may experience adverse reactions. The most notable concerns include allergies, digestive issues, impacts on thyroid function, and nutritional imbalances.
1. Can Trigger Nut Allergies
Almond milk is unsuitable for those with tree nut allergies. Even though almond milk contains less protein compared to raw almonds, the residual proteins are capable of causing moderate to severe allergic reactions.
- Common Symptoms: Itching, hives, swelling around the mouth, stomach pain, and vomiting.
- Severe Symptoms: Anaphylaxis—life-threatening reactions requiring immediate medical intervention.
Individuals known to be allergic to almonds or tree nuts should strictly avoid almond milk and related products.
2. May Affect Thyroid Function
Almonds, like certain other nuts and vegetables, are classified as goitrogenic foods. Goitrogens can disrupt thyroid function by blocking the absorption of iodine, a mineral essential for healthy thyroid hormones.
- Potential Risks: Excessive consumption of almond milk (especially unroasted, raw almonds) can worsen thyroid problems, particularly in individuals with pre-existing thyroid disorders.
- Goitrogenic Effects: May contribute to the development of goiter (thyroid gland enlargement) due to impaired iodine uptake.
Moderation, as well as a balanced diet that includes sufficient dietary iodine, is recommended for those at risk.
3. May Cause Problems In Infants
Almond milk is inappropriate for infants and toddlers as a primary nutrition source. Infants require specific nutrients for growth that are present in breast milk or well-formulated infant formulas but lacking in plant-based milks, including almond milk.
| Risk | Description |
|---|---|
| Protein Deficiency | Almond milk has minimal protein compared to whole milk or formula. |
| Low Calories | Does not provide adequate calories for infant growth. |
| Vitamin & Mineral Gaps | May lack sufficient vitamin D, calcium, and other nutrients essential for early development. |
Use of almond milk as a main drink for infants has been associated with growth impairment, nutrient deficiencies, and developmental risks. Always consult a pediatrician before introducing plant-based milks to young children.
4. May Lead To Digestive Issues
Some commercial almond milks contain additives and thickeners—such as carrageenan and guar gum—used to enhance texture and shelf life. These substances are known to cause gastrointestinal discomfort in sensitive individuals.
- Possible Symptoms: Bloating, stomach upset, diarrhea, or nausea after consuming almond milk.
- Lactose-Free Myth: While lactose intolerance is not a concern, people with digestive disorders like irritable bowel syndrome (IBS) may still react to almond milk due to these additives.
Choosing unsweetened and additive-free varieties can minimize these risks.
5. Risk Of Nutrient Deficiencies
Unlike cow’s milk—which is a significant source of protein, vitamin B12, and calcium—almond milk is naturally low in these nutrients. Although many manufacturers fortify almond milk, not all brands or varieties do so.
- Protein Gap: Minimal protein content compared to dairy or soy milk.
- Calcium & Vitamin D: Levels depend entirely on fortification; unfortified almond milk may be insufficient for daily requirements.
- B12 Deficiency: Crucial for vegans and vegetarians; almond milk should be fortified if it is a main milk source.
Regular users should read nutritional labels carefully and ensure their diet compensates for any potential deficiencies.
6. May Contribute To Sugar Overload
Many commercial brands offer sweetened almond milk, which may contain high amounts of added sugar. Consistent intake of such products can lead to excessive calorie consumption, increased risk of obesity, diabetes, and dental decay.
- Unsweetened Varieties: Preferable for controlling calorie and sugar intake.
- Flavored Almond Milk: Often contains even more sugar due to flavoring agents like chocolate or vanilla.
Always check for “unsweetened” versions to minimize added sugars in your diet.
7. May Cause Skin Reactions
Some individuals may notice dermatological reactions after consuming almond milk, especially if they have an almond sensitivity.
- Symptoms: Itchy skin, eczema flare-ups, or other allergy-driven skin conditions.
Anyone experiencing such symptoms should eliminate almond milk and consult with an allergist.
8. May Exacerbate Migraines
Almonds are a source of tyramine, a naturally occurring substance that can trigger migraines or headaches in some individuals. Almond milk might contain enough residual tyramine to affect those with this sensitivity.
- If you suffer from migraines: Monitor your response to almond milk and consider alternatives if headaches are a recurring symptom.
9. Impact on Blood Sugar Levels
Despite having a low glycemic index, sweetened almond milks can cause spikes in blood glucose levels due to the added sugars. People with diabetes or at risk of insulin resistance should stick to unsweetened options and monitor their overall carbohydrate intake.
What To Consider When Drinking Almond Milk
To minimize the potential side effects of almond milk, practice the following habits:
- Check for allergies: Be certain you are not allergic to almonds or tree nuts.
- Read labels: Choose unsweetened, additive-free, and fortified versions wherever possible.
- Moderation: Avoid making almond milk your sole milk replacement, especially for infants and those with thyroid conditions.
- Balanced diet: Pair almond milk with a diverse diet to meet your nutritional needs for protein, vitamins, and minerals.
Almond Milk Vs. Cow’s Milk: A Quick Comparison
| Feature | Almond Milk | Cow’s Milk |
|---|---|---|
| Protein (per cup) | ~1g | ~8g |
| Calcium | Varies (fortified) | Naturally high |
| Calories | Low | Moderate to high |
| Fat Content | Low (varies by brand) | Higher (especially whole milk) |
| Allergens | Tree nut | Lactose, milk protein |
| Lactose | None | Present |
How Much Almond Milk Is Safe To Drink?
For most healthy adults, consuming 1 to 2 cups of almond milk per day is considered safe, provided the product is fortified and unsweetened. Overconsumption, particularly of homemade, unfortified, or sweetened varieties, can increase the risk of side effects detailed above.
Who Should Avoid Almond Milk?
- Anyone with a known tree nut allergy
- Infants below 12 months as their primary source of nutrition
- Individuals with existing thyroid issues (consult health professional)
- Those with a history of migraines triggered by nuts
Frequently Asked Questions (FAQs)
Q: Can people with lactose intolerance drink almond milk safely?
A: Yes, almond milk is lactose-free and is a suitable alternative for those with lactose intolerance.
Q: Is almond milk safe during pregnancy?
A: Almond milk in moderate amounts is generally considered safe during pregnancy if you’re not allergic, but choose unsweetened, fortified options, and consult your doctor to ensure all nutritional needs are met.
Q: Is homemade almond milk safer than store-bought varieties?
A: Homemade almond milk avoids additives but also lacks fortification and may spoil faster. Ensure good hygiene and consume promptly to reduce risks.
Q: Can almond milk help with weight loss?
A: Unsweetened almond milk is lower in calories than regular milk and may help with calorie control as part of a balanced diet, but sweetened versions can hinder weight loss.
Q: How can I know if almond milk is causing an allergic reaction?
A: Common immediate symptoms include itching, swelling, rashes, stomach pain, and vomiting. Severe reactions should prompt urgent medical attention.
References
Read full bio of Medha Deb












