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In the book Can We Live 150 Years?, author Mikhail Tombak, Ph.D. makes the following claim:

Casein is a protein needed by the calf for building its hoofs and horns. ... Human beings do not have hoofs or horns. Why would they need so much casein? (p.22)

Casein contained in milk is broken down in the stomach by rennet. Children one to two years old ... do not need casein. Their digestive system does not produce rennet anymore, and casein becomes indigestible, even poisonous. (p.23)

No source for this claim is cited. (In fact, the book is mysteriously missing a bibliography entirely!)

Is it true that casein "becomes even poisonous" to humans, specifically after the age of one or two years?

Flimzy
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4 Answers4

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There is no reason to believe that casein cannot be digested by children or adults.

From "Gastrojejunal kinetics and the digestion of [15N]beta-lactoglobulin and casein in humans: the influence of the nature and quantity of the protein" (page 550)

casein was slowly recovered in the jejunum mainly in the form of degraded peptides efficiently absorbed in the upper part of the intestine

This paper is about different aspects of casein digestion, but the quoted passage shows that casein is degraded into peptides and absorbed in adults.

There is a study on the toxicity of casein to rats "Lethal Amounts of Casein, Casein Salts and Hydrolyzed Casein Given Orally to Albino Rats" which states

The lethal dose of casein given as an aqueous suspension intragastrically to albino rats was estimated to be well over 1000 g/kg administered over a period of 2 weeks but could not be definitely established because deaths were due in part to distilled water in the suspension.

So they had to feed the rats more than their own weight in casein to achieve toxic effects. In such extremely high doses pretty much anything can become toxic.

The part about casein being needed for hoofs and horns is either misleading or flat out invented by the author. The main purpose of milk is to provide nutrition. Casein is a family of proteins that can bind calcium and that are phosphorylated (see Wikipedia for more information). Proteins are a source of amino acids after digestion, and the caseins additionally provide calcium and phosphate. All of this is useful to humans, contrary to what the author writes.

If you take a look at the low-rated Amazon reviews you'll find that the author makes other extremely unlikely claims like the influence of zodiac signs on health. I wouldn't take anything serious that this author writes about health.

Mad Scientist
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This is one of the most ridiculous claims I have ever seen.

First of all, there is not just one casein, caseins are a family of proteins.

Caseins are found in mammals milk in different proportion, generally quite high (that is why they are called caseins, from the Latin caseus, meaning cheese).

As the other answer points out, almost 50% of the protein content of human milk is made up of caseins during late lactation (from Human-milk proteins: analysis of casein and casein subunits by anion- exchange chromatography, gel electrophoresis, and specific staining methods.)

As for cow's milk:

Casein is the most important protein in bovine milk under both quantitative and nutritional aspects, as it represent approximately 80% of the total protein content (corresponding to 2.5–3%, w/v) and is rich in essential amino acids.

So, essentially Dr. Tombak claims that all the people around the world who drink milk and eat cheese are very lucky and have not be killed by it so far...

Anyway, to the specific claim:

Casein is a protein needed by the calf for building its hoofs and horns. ... Human beings do not have hoofs or horns. Why would they need so much casein?

This does not really make sense. Proteins are digested and broken up into aminoacids, which are always the same 21, no matter the source of the protein. The fact that casein is found in hoofs and horns is absolutely irrelevant: calfs synthesise it, they don't use it directly from the proteins found in their mother's milk.

Chapter 23.1.1 of Biochemistry. (5th ed.) by Berg et al. explains this process.

Protein digestion begins in the stomach, where the acidic environment favors protein denaturation. Denatured proteins are more accessible as substrates for proteolysis than are native proteins. The primary proteolytic enzyme of the stomach is pepsin, a nonspecific protease that, remarkably, is maximally active at pH 2. Thus, pepsin can be active in the highly acidic environment of the stomach, even though other proteins undergo denaturation there.

Protein degradation continues in the lumen of the intestine owing to the activity of proteolytic enzymes secreted by the pancreas. These proteins, introduced in Chapters 9 and 10 (Sections 9.1 and 10.5), are secreted as inactive zymogens and then converted into active enzymes. The battery of enzymes displays a wide array of specificity, and so the substrates are degraded into free amino acids as well as di- and tripeptides. Digestion is further enhanced by proteases, such as aminopeptidase N, that are located in the plasma membrane of the intestinal cells. Aminopeptidases digest proteins from the amino-terminal end. Single amino acids, as well as di- and tripeptides, are transported into the intestinal cells from the lumen and subsequently released into the blood for absorption by other tissues

Source: The Digestion and Absorption of Dietary Proteins

--

Finally, a remark on the author of the book, Mikhail Tombak, Ph.D.

I was wondering what subject his PhD was in, but couldn't really find much about it. Now, of course I may just need to search some more, but the best I could find was a copied-and-pasted-across-multiple-sites (including Start Healthy Life) biography stating:

Mikhail Tombak, Ph.D. graduated from the faculty of biology and chemistry of the Russian University. For many years he was the head of Center for Health Sciences in Moscow;

Needless to say there is no "Russian University" (e.g.)... and I could not find any evidence of a Center for Health Sciences in Moscow either.

Actually, if you Google for "Center for Health Sciences, Moscow Mikhail Tombak", you will only fall onto reviews of his books... so, well probably I would not really trust the source of the claim.

nico
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  • @Oddthinking: I added some references. Is there any specific part you are not convinced of? As for the background check... I don't know how I can add references there, as the affiliations of that person do not exist... I don't think the fact that proteins are digested into aminoacids and not directly reused really needs a reference, it's a trivial and well known biological fact for anyone who has taken an high-school level biology or physiology course... – nico Oct 23 '11 at 14:17
  • excellent. I added a few more background references for some of the less technical claims. +1 – Oddthinking Oct 23 '11 at 15:28
  • The said author, Mikhail Tombak, is NOT to be confused with [Mihkel M. Tombak](http://www.rotman.utoronto.ca/facbios/viewFac.asp?facultyID=mihkel.tombak) - I have seen at least one cite confuse the two gentlemen. – Oddthinking Oct 23 '11 at 15:36
  • @Oddthinking: thanks, and good point about the name. – nico Oct 23 '11 at 16:10
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    Do you have a source for "Proteins are digested and broken up...no matter the source?" I'm aware of studies that very strongly suggest different protiens have different affects on health, specifically some promoting cancer growth. Although this doesn't mean they aren't actually broken down as you suggest, it does mean that "all protiens are not created equal" which seems to be what you're suggesting with your claim. So even if that statement is true, I wonder how meaningful it is in this discussion. – Flimzy Oct 23 '11 at 21:33
  • @Flimzy: could you please give me the refs for those studies? Proteins are made of aminoacids (aa), most organisms use 20 of them to make up their proteins. Obviously each protein has a different sequence of aa, but when you put a protein in a very acidic milieu rich in digestive enzymes (your stomach) they get degraded down to aa, that can be absorbed and reused by the body. How they are reused is independent of where they come from. This is very meaningful for this discussion as the guy is saying that if you don't have hooves you don't need casein which is just plain stupid. – nico Oct 24 '11 at 05:23
  • @Flimzy: anyway, I added refs. – nico Oct 24 '11 at 05:24
  • @nico: http://www.ncbi.nlm.nih.gov/pubmed/4294825 and http://agris.fao.org/agris-search/search/display.do?f=1986/US/US86138.xml;US8608680 – Flimzy Nov 10 '11 at 20:22
  • @Flimzy: the second link does not seem to be really relevant. The first does not say that certain proteins promote cancer growth. What is known is that a low-protein diet is protective against aflatoxin-induced cancer. So 1) we're not talking about specific proteins and 2) the carginogen is aflatoxins (toxins produced by certain fungi). Aflatoxins need to be activated in the liver to become toxic and an high protein diet increases liver metabolism. – nico Nov 10 '11 at 20:31
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    I've more recently read that in the case of certain health problems, some proteins may enter the blood stream--and even leave the body--undigested. (I'll have to dig further to find that source again). But that doesn't seem as relevant to this claim, because Dr. Tombak isn't claiming that milk is only poison to people who are already very sick. – Flimzy Nov 10 '11 at 20:43
  • @nico: Why do you say that first link isn't talking about specific proteins? Anyway, this study http://jnci.oxfordjournals.org/content/81/16/1241.short compares the effects of various proteins on aflatoxin-affected rat livers. – Flimzy Nov 10 '11 at 20:49
  • @Flimzy: I don't have access to the full-text of that article, but I've read other related articles and it didn't seem to be the case. Anyway you're right about the other one. Still, it doesn't say that proteins are carcinogenic. – nico Nov 12 '11 at 11:56
  • @nico: I never said proteins were carcinogenic. My point is that different proteins can have different effects on the body, despite the fact taht "[p]roteins are digested and broken up...matter the source." The original claim is that "casein becomes...even poisonous." So even if proteins are all digested, that doesn't seem to prove that a possible effect of digesting some proteins might be "poisonous," right? Of course, the original claim is still VERY vague without specifying a mechanism. "Becomes even poisonous" isn't very meaningful--maybe he means if mixed with battery acid. *shrug* – Flimzy Nov 12 '11 at 12:09
  • Protein does get denatured in the stomach, but not fully. Witness coeliac disease, there are proteins that are quite resistant to digestion and can have ill health effects. I've read many claims of people tolerating A1 casein but not A2 casein. – w00t Nov 13 '11 at 21:26
  • @w00t: that's a completely different matter. We're talking physiology here, not pathology. Plus note that *denaturated* is not the same as *degraded*: denaturated means the protein loses its 3D structure, degraded that it is broken up into single aminoacids (or dipeptides) in the stomach and intestines. – nico Nov 14 '11 at 11:44
  • @nico: oh right, thanks for pointing out the difference. I suppose I didn't really have a strong point to make, just that some people experience different caseins differently. – w00t Nov 15 '11 at 13:27
  • @w00t: no worries, it was just a misunderstanding of terms :) – nico Nov 16 '11 at 13:05
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    The Polish Wikipedia page of Mikhail Tombak describes him as the author of several pseudo-science books and gives some links. http://pl.wikipedia.org/wiki/Micha%C5%82_Tombak It's interesting that in Russia he presents himself as an USA professor, while in USA he is a "Russian university PhD" – Ark-kun Dec 13 '13 at 09:33
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According to the American Journal of Clinical Nutrition, there is casein in human milk.

Total casein in human milk, as determined by the Kjeldahl method, varies during lactation; the casein content is approximately 20% of the total protein content in early lactation and 45% in late lactation.

So it's probably not poisonous.

  • I've updated my question to include a little more context in the quote. The book specifically says that casein can "become poisonous" for Children one-two years old or older--which would not include breast-feeding infants. I believe the point is that in the absence of rennet (which allegedly non-infants no longer possess) it can become poisonous. – Flimzy Oct 20 '11 at 12:38
  • @Flimzy does the author describe in what way, and at what concentrations it becomes poisonous? Because let's face it: everything is poisonous at the right concentration. Even drinking too much water can kill you. – Mr. Shiny and New 安宇 Oct 20 '11 at 12:42
  • No.. he doesn't. Many of his claims don't explain their reasoning... this book will probably make great fodder for this site :) – Flimzy Oct 20 '11 at 12:44
  • You have to wonder about those dairy-based cultures that developed the necessary mutations independently and thrived on dairy (like Northern Europeans and [Maasai](http://en.wikipedia.org/wiki/Maasai_people#Diet)). Adult lactose tolerance is achieved by not losing the childhood tolerance; perhaps likewise there was selection for adult rennet retention? I never heard about us having rennet. Also note that fermentation cleans up a lot of the casein and lactose, and fermented milk is a large part of what those people normally eat. So perhaps baby should drink buttermilk. – w00t Oct 21 '11 at 07:27
  • @w00t: are you sure? I don't have time to look for exact numbers now, but I was under the impression that caseins are even more concentrated in cheese than in milk. – nico Oct 24 '11 at 05:55
  • @nico: I checked and you're right, most cheese seems to contain a lot of casein. There are [yoghurt cultures that process casein](http://www.wildfermentation.com/forum/viewtopic.php?f=3&p=5850#p5850) though, so content will vary per product. – w00t Nov 12 '11 at 06:48
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    devil's advocate: children tend to stop breast feeding around a year old if not sooner, so just having casein in human milk doesn't mean it's not toxic to the human adult digestive system (not that I consider it to be, as a general statement, there may well be people for whom it is toxic, there being so many food allergies). – jwenting Dec 14 '13 at 11:44
  • I want to emphasize @jwenting's objections. The claim is that once you are weaned, the casein in (cow or human) milk is toxic. This doesn't answer the question. – Oddthinking Mar 31 '15 at 13:11
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There is an article by Michael Dye is repeated in several places on the Internet. It quotes a number of experts, such as Frank Oski

Frank Oski, M.D., author of Don't Drink Your Milk! is the Director of the Department of Pediatrics of Johns Hopkins University School of Medicine and Physician-in-Chief of the Johns Hopkins Children's Center. He is the author, co-author, editor or co-editor of 19 medical textbooks and has written 290 medical manuscripts.

In the first chapter of his book, Dr. Oski states, "The fact is: the drinking of cow milk has been linked to iron-deficiency anemia in infants and children; it has been named as the cause of cramps and diarrhea in much of the world's population, and the cause of multiple forms of allergy as well; and the possibility has been raised that it may play a central role in the origins of atherosclerosis and heart attacks."

[...]

Another outspoken critic of cow's milk is Dr. William Ellis, a retired osteopathic physician and surgeon in Arlington, Texas, who has researched the effects of dairy products for 42 years. Dr. Ellis is listed in Marquis' Who's Who in the East, Leaders of American Science, the Dictionary of International Biography and Two Thousand Men of Achievement. Dr. Ellis says dairy products are "simply no good for humans... There is overwhelming evidence that milk and milk products are harmful to many people, both adults and infants. Milk is a contributing factor in constipation, chronic fatigue, arthritis, headaches, muscle cramps, obesity, allergies and heart problems."

[...]

Dr. Christiane Northrup, a gynecologist in Yarmouth, Maine, states, "Dairy is a tremendous mucus producer and a burden on the respiratory, digestive and immune systems." Dr. Northrup says when patients "eliminate dairy products for an extended period and eat a balanced diet, they suffer less from colds and sinus infections."

tien viet
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    [Welcome to Skeptics!](http://meta.skeptics.stackexchange.com/questions/1505/welcome-to-new-users) This answer refers to a tertiary source (an article) that refers to secondary sources (apparent experts) who claim there are primary sources. Rather than using an appeal to authority, it would be better to directly reference the alleged experiments they are talking about, or at the very least the books they wrote about it. – Oddthinking Mar 31 '15 at 13:08
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    With regard to Ellis, "listed in Who's Who" is no indication of status in the scientific community. In my experience, most scientists regard such books as essentially a scam (see for instance http://academia.stackexchange.com/questions/38384/what-credit-does-inclusion-in-who-is-who-book-add-to-the-researchers-and-acade), and anyone who would cite such a listing as an academic qualification is suspect. – Nate Eldredge Mar 31 '15 at 13:10
  • If you want to plug your web-site, please do it in your user profile. If you add it again here, it will be deleted as spam. – Oddthinking Mar 31 '15 at 13:28
  • Moreover, this doesn't even answer the question. It provides a general argument against milk, but doesn't even mention casein, which is the crux of the question. – Flimzy Apr 08 '15 at 00:21