Diary and Acne: Could Your Milk Habit Be Causing Breakouts?

March 06, 2025 | 7 min read

Dr Jeet Patel
AUTHOR
Dr Neha Fogla
MBBS MD (Derm)

Editor : Dr Jeet Patel MBBS MRCGP FRACGP MMed (Skin Cancer)

We’ve all heard the saying, “You are what you eat.” But could that morning bowl of cereal or latte be the reason behind your stubborn acne? Science is increasingly pointing to dairy—especially milk—as a potential trigger for breakouts. Let’s unpack the surprising connection between milk and acne, and why that "healthy" glass of skim milk might be doing more harm than good.

The Milk-Acne Link: What Studies Reveal

Most research agrees: dairy consumption is linked to acne. But why? Here’s what we know: (1)

Hormones in Milk: Dairy cows are often given artificial hormones to boost milk production. These hormones, along with milk’s natural growth factors, might throw your body’s hormonal balance out of whack, leading to clogged pores and breakouts.

Skim Milk’s Sneaky Role: Surprisingly, skim milk is the biggest offender. Studies show people who drink 1+ glasses daily have a higher risk of acne than those who avoid it. Whole milk? Less risky. Why? Skim milk’s processing adds whey proteins (more on that later!).

Yogurt and Cheese Get a Pass: Fermented dairy like yogurt and cheese don’t seem to worsen acne, likely due to their different protein structures and probiotics.

Why Does Milk Trigger Acne? The Hormonal Chaos

Milk isn’t just calcium and vitamins—it’s packed with hormones designed to help calves grow. Here’s how they mess with your skin:

1. Testosterone’s Troublesome Chain Reaction

Milk contains androgens (like testosterone), which your body converts to dihydrotestosterone (DHT). DHT revs up oil production, turning your face into a grease factory. Clogged pores + bacteria = acne explosion.

2. IGF-1: The Growth Factor Gone Rogue

Insulin-like Growth Factor 1 (IGF-1) is a hormone found in milk that peaks during puberty—a.k.a. peak acne years. High milk intake raises IGF-1 levels, which:

  • Stimulates oil glands.

  • Teams up with testosterone to worsen breakouts.

  • Skim milk has even more IGF-1 than whole milk, thanks to added whey proteins during processing.

3. Lactose: The Sugar That Stirred Up Trouble

65% of adults struggle to digest lactose (milk sugar). If you’re lactose intolerant, dairy can cause inflammation, which may aggravate acne.

Skim Milk: The Worst Offender? (2)

Wait—skim milk is worse than whole milk? Yep! Here’s why:

  • Processing Problems: To replace lost fat, manufacturers add whey proteins to skim milk. Whey spikes IGF-1 levels, which, as we know, fuels acne.

  • The Quantity Factor: People often drink more skim milk (thinking it’s “healthier”), leading to higher hormone intake. One study found women drinking 2+ glasses daily had a 44% higher acne risk.

Whey Protein and Acne: Fitness Fans, Beware! (3)

If you’re a fitness enthusiast, whey protein is probably a staple in your diet. It’s convenient, packed with muscle-building amino acids, and helps you hit your protein goals. But if you’re battling acne, that protein powder might be sabotaging your skin. Here’s the scoop on why whey protein and acne are often linked—and what you can do about it. While it builds muscle, it might also build breakouts:

IGF-1 Overload

Whey protein floods your system with IGF-1, mimicking the effects of drinking skim milk.

Leucine

A Double-Edged Sword: Whey is rich in leucine, an amino acid that’s fantastic for muscle growth. But leucine also activates an enzyme called mTORC1, which promotes oil production and encourages inflammation in the skin.(4)

Processing Matters

Whey protein isolate (a purer form of whey) is often marketed as “cleaner,” but it’s stripped of fat and lactose, leaving behind concentrated proteins. This makes it more likely to spike IGF-1 compared to whole-food dairy sources.

Fitness Lovers: How to Protect Your Skin Without Sacrificing Gains

You don’t have to choose between clear skin and muscle growth. Here’s your game plan:

Plant-Based Protein could be an alternative

Plant-based protein powders (pea, hemp, brown rice, or soy) are less likely to trigger acne. They’re free of dairy hormones and have lower IGF-1 impacts.

  • Pea Protein- Easily digestible and rich in BCAAs.

  • Hemp Protein- Packed with omega-3s to fight inflammation.

  • Soy Protein- Controversial for some, but studies show it doesn’t affect hormones the way dairy does.

Tip: Look for unsweetened versions to avoid blood sugar spikes from added sugars.

Try Collagen Protein

Collagen peptides are another acne-friendly option. They support skin health (thanks to glycine and proline) and don’t contain dairy or hormones.

Time Your Protein Intake

If you can’t quit whey entirely, avoid drinking it on an empty stomach. Pair it with fiber (like oats or chia seeds) or healthy fats (nut butter) to slow digestion and reduce insulin spikes.

Watch for Hidden Triggers

Many protein powders contain:

Artificial Sweeteners

Can disrupt gut health and worsen inflammation.

Added Hormones

Some brands use milk from hormone-treated cows. Opt for organic or grass-fed whey if you stick with dairy.

The Bottom Line for Fitness Freaks

You can build muscle and maintain clear skin—it just takes a little strategy. Experiment with dairy-free protein sources, keep your skincare routine consistent, and stay mindful of hidden triggers in supplements. If acne persists, consult a dermatologist who understands fitness-related skin issues.

Remember: Your body is a temple, and that includes your skin. Fuel it wisely! 💪✨

Beyond Milk: Other Dietary Acne Triggers

Milk isn’t the only food tied to acne. Your overall diet plays a role: (5)

Sugar and Carbs

High-glycemic foods (soda, white bread, candy) spike insulin, which boosts oil production and inflammation. A low-glycemic diet may reduce acne severity.

Chocolate Debate

Studies conflict here. While some found no link, others report 41% of acne sufferers flare after eating chocolate. Moderation is key!

Fatty Foods

Diets high in unhealthy fats may alter sebum composition, making pores more clog-prone.

Should You Ditch Dairy? Here’s How to Know

If acne’s bugging you, try these steps:

  • Keep a Food Diary: Track dairy intake and breakouts for 2-4 weeks. Patterns will emerge!

  • Test a Dairy Detox: Cut out milk, cheese, and yogurt for 6-8 weeks. Notice calmer skin? Dairy might be the issue.

  • Reintroduce Slowly: Add dairy products one at a time to identify triggers (spoiler: skim milk will likely be the villain).

The Bigger Picture: Diet’s Role in Clear Skin

While milk is a key player, clear skin requires a holistic approach:

  • Anti-Inflammatory Foods: Load up on leafy greens, berries, and omega-3-rich fish.

  • Hydration: Water flushes toxins and keeps skin plump.

  • Low-Glycemic Lifestyle: Swap sugary snacks for whole grains and legumes to stabilize insulin.

Final Thoughts: Try cutting down on dairy and see if that works 

Dairy’s not evil—but if acne is your nemesis, milk might be the sidekick. Try cutting back (or switching to almond/oat milk) and see if your skin thanks you. Remember, everyone’s different: What clears your friend’s skin might not work for yours. When in doubt, consult a dermatologist or nutritionist to craft a personalized plan.


References:

1. Katta R, Desai SP. Diet and Dermatology. J Clin Aesthetic Dermatol [Internet]. 2014 Jul;7(7):46–51. 

2. Juhl CR, Bergholdt HKM, Miller IM, Jemec GBE, Kanters JK, Ellervik C. Dairy Intake and Acne Vulgaris: A Systematic Review and Meta-Analysis of 78,529 Children, Adolescents, and Young Adults. Nutrients [Internet]. 2018 Aug 9;10(8):1049. 

3. Zamil DH, Perez-Sanchez A, Katta R. Acne related to dietary supplements. Dermatol Online J. 2020;26(8):13030/qt9rp7t2p2. 

4. Rehman SU, Ali R, Zhang H, Zafar MH, Wang M. Research progress in the role and mechanism of Leucine in regulating animal growth and development. Front Physiol [Internet]. 2023 Nov 17;14:1252089.

5. Can the right diet get rid of acne? [Internet]. Available from: https://www.aad.org/public/diseases/acne/causes/diet

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