Buttermilk and Gut Health

Buttermilk is a fermented dairy product known for its tangy flavor and traditional use in baking and beverages. Its impact on gut health depends on factors like lactose content, fermentation, and individual sensitivities. While buttermilk can offer probiotic benefits, it may not be suitable for everyone, especially those with lactose intolerance, milk allergy, or histamine sensitivity.

Buttermilk
  • High in lactose, making it high-FODMAP and unsuitable for many with IBS or lactose intolerance
  • Fermented dairy, often contains elevated histamine levels
  • Contains milk proteins, a common allergen
  • No fiber or prebiotic effect
  • May provide some probiotics, but not always in significant amounts
  • Not suitable for vegan or paleo diets

Buttermilk and FODMAP Content

Buttermilk is high in lactose, a FODMAP sugar that can trigger digestive symptoms in people with irritable bowel syndrome (IBS) or lactose intolerance. Even moderate servings of buttermilk typically exceed the low-FODMAP threshold, making it unsuitable for those following a FODMAP-restricted diet. Symptoms may include bloating, gas, and diarrhea after consumption.

Buttermilk - FODMAP Profile
FODMAPs Level Portion Guidance
Monosaccharides (Fructose)
Low
Disaccharides (Lactose)
High
  • ≤ 40 g = Low
  • 41–100 g = Moderate
  • > 100 g = High
Fructooligosaccharides (Fructans)
Low
Galactooligosaccharides (GOS)
Low
Polyols (Mannitol)
Low
Polyols (Sorbitol)
Low

Histamine and Biogenic Amines in Buttermilk

As a fermented dairy product, buttermilk can contain elevated levels of histamine and other biogenic amines like tyramine. These compounds may trigger symptoms in people with histamine intolerance, such as headaches, flushing, or digestive upset. Additionally, dairy can act as a histamine liberator in some individuals, further increasing the risk of reactions.

Buttermilk — Histamine Profile
Histamine & Related Level Portion Guidance
Histamine Level
Moderate
  • ≤ 50 g = Low–Moderate
  • 51–150 g = Moderate
  • > 150 g = Moderate
Other Biogenic Amines
Low–Moderate
  • ≤ 150 g = Low
  • > 150 g = Low–Moderate
Histamine Liberator
Moderate
DAO Blocker
Low

Milk Allergy and Buttermilk

Buttermilk contains milk proteins, including casein and whey, which are common allergens. Individuals with a milk allergy should avoid buttermilk entirely, as even small amounts can provoke allergic reactions ranging from mild digestive discomfort to severe anaphylaxis.

Buttermilk — Allergy Profile
EU Major Allergens
🌾
Cereals with Gluten
Absent
Details
  • Absent Wheat / Spelt
  • Absent Rye
  • Absent Barley
  • Absent Oats
🦐
Crustaceans
Absent
Details
  • Absent Crabs
  • Absent Prawns
  • Absent Shrimp
  • Absent Lobsters
  • Absent Crayfish
🥚
Eggs
Absent
🐟
Fish
Absent
🥜
Peanuts
Absent
🌱
Soy
Absent
🥛
Milk
Present
🌰
Tree Nuts
Absent
Details
  • Absent Almonds
  • Absent Brazil Nuts
  • Absent Cashews
  • Absent Hazelnuts
  • Absent Macadamia Nuts
  • Absent Pecans
  • Absent Pistachios
  • Absent Walnuts
🍃
Celery
Absent
🧂
Mustard
Absent
🧈
Sesame
Absent
🧪
Sulphur Dioxide & Sulphites
Absent
🌼
Lupin
Absent
🐚
Molluscs
Absent
Details
  • Absent Clams
  • Absent Mussels
  • Absent Octopus
  • Absent Oysters
  • Absent Snails
  • Absent Squid
Other Allergens
🥥
Coconut
Absent
🍯
Honey
Absent
🧫
Yeast
Absent

Digestive Effects of Buttermilk

Buttermilk is sometimes promoted for its digestive benefits due to fermentation, which can introduce beneficial bacteria. However, the actual probiotic content varies by brand and processing method. For those who tolerate lactose and dairy, buttermilk may support gut flora, but for others, it can cause bloating, cramps, or diarrhea.

Fiber and Prebiotic Content in Buttermilk

Buttermilk contains no dietary fiber or prebiotic carbohydrates. Its effects on the gut microbiome are limited to any live cultures present, rather than fiber-driven prebiotic effects. Those looking to increase fiber intake should consider other foods.

Preparation, Storage, and Tolerance

The histamine and lactose content of buttermilk can increase with storage time and improper refrigeration. Fresh, properly stored buttermilk is less likely to cause symptoms, but those with sensitivities should still exercise caution. Cooking with buttermilk does not remove lactose or histamine.

Frequently Asked Questions About Buttermilk and Gut Health

Is buttermilk low-FODMAP?

No, buttermilk is high in lactose and not suitable for a low-FODMAP diet.

Does buttermilk contain histamine?

Yes, as a fermented dairy product, buttermilk can contain significant histamine.

Can people with a milk allergy consume buttermilk?

No, buttermilk contains milk proteins and is unsafe for those with a milk allergy.

Is buttermilk good for digestion?

Buttermilk may support digestion in some, but can cause symptoms in those with lactose or histamine intolerance.

Does buttermilk provide fiber or prebiotics?

No, buttermilk contains no fiber or prebiotic carbohydrates.