通过代谢视角与客户合作,我发现许多人对乳制品的耐受性不佳。,我想讨论一个主要原因——乳制品中的阿片肽类物质,即酪啡肽(casomorphins)。首先,我会分享客户和参与我计划的人群中与酪啡肽相关的主要症状;接着,我会解释什么是酪啡肽;然后,讨论它们对身体的影响;最后,介绍如何在对酪啡肽敏感的情况下,仍然合理摄入乳制品,同时避免其负面效应。
在进入正题之前,我先声明,我并不认为乳制品是糟糕的食物。如果能耐受乳制品,那是非常优质的食物,富含维生素、矿物质、蛋白质,且脂肪酸构成良好。然而,因为许多人在探索生能或代谢健康领域时,对乳制品感到困扰。我希望为这些人提供背景和细致分析,帮助他们理解为何无法耐受乳制品,并给出应对方法。这不是抨击乳制品,而是为那些对乳制品有问题的人提供更细致的视角。我自己和许多客户都曾因乳制品出现问题。
首先,我通常观察到哪些症状与乳制品耐受不良或酪啡肽反应相关?第一类是组胺反应,如皮疹、荨麻疹等。第二类是便秘,肠道蠕动减慢。第三类是肠道刺激,可能导致相反的效果,如乳制品快速通过肠道(可能是乳糖不耐受,也可能是酪啡肽引起的刺激)。此外,还可能出现腹胀,既不伴便秘也不伴腹泻。我还常看到脑雾和缺乏动力。如果对酪啡肽不耐受,可能会影响男性睾酮等激素水平,进而改变性欲。这些是我常观察到并归因于酪啡肽及其类阿片效应的症状。
那么,酪啡肽到底是什么?参考一篇论文,标题为《一个小差异会带来大影响吗?牛β-酪蛋白A1和A2变体与人体健康更新》。论文中,研究者明确定义了酪啡肽:β-酪啡肽是一组由4至11个氨基酸组成的肽链,均以酪氨酸残基开头,这一残基对其阿片活性至关重要。简单来说,酪啡肽是乳制品中酪蛋白部分的肽类,是一些氨基酸链,具有类似吗啡或羟考酮的类阿片效应。它们通过与体内阿片受体相互作用,产生类似效应。常见的酪啡肽包括β-酪啡肽4至β-酪啡肽11,其中β-酪啡肽7(BCM7)是研究最多的。
这引出了A1和A2乳制品的讨论。通常认为A2乳制品不会引发与A1乳制品相同的问题,这与β-酪啡肽有关。研究证实了这一点,我在客户中也发现,无法耐受A1乳制品的人可能能耐受A2乳制品。论文指出,β-酪啡肽7通过胃肠道蛋白水解消化,从β-酪蛋白A1和B中释放,但A2不会释放。这是由于β-酪蛋白基因在第67位单核苷酸多态性(SNP67)导致的氨基酸差异:A1变体中,脯氨酸被组氨酸替代。这种氨基酸替换改变了蛋白质二级结构的构象,影响酪蛋白胶束的物理特性。此外,A2变体中脯氨酸与异亮氨酸之间的肽键比A1变体中组氨酸与异亮氨酸之间的肽键更耐酶解。因此,A1 β-酪蛋白更容易水解,释放β-酪啡肽7。
具体来说,酪蛋白是由氨基酸链构成的。A2 β-酪蛋白和A1 β-酪蛋白在第67位氨基酸不同:A2为脯氨酸,A1为组氨酸。脯氨酸能阻挡消化酶的作用,而组氨酸允许消化酶切割,释放β-酪啡肽7。一旦从酪蛋白结构中释放,这种肽类就能对身体产生影响。
酪啡肽存在于哪些乳制品中?是否在酸奶、奶酪中也有?数量是否足以产生影响?论文指出,β-酪啡肽及其前体已在牛奶及多种乳制品中被检测到。对新鲜牛奶和经消化酶水解的牛奶进行定量检测发现,A1牛奶水解后β-酪啡肽7含量比A2牛奶高四倍;非水解牛奶中仅检测到微量β-酪啡肽7。研究还发现,A2 β-酪蛋白消化后也可能释放少量β-酪啡肽7。另一研究发现,A1/A1变体的β-酪蛋白经酶解后,β-酪啡肽7含量比A1/A2变体高3.2倍,而A2/A2变体未释放β-酪啡肽7。
奶牛的基因决定了酪蛋白类型:A2/A2(纯合)奶牛的牛奶不释放β-酪啡肽7;A1/A2(杂合)释放少量;A1/A1(纯合)释放较多。这与A1变体在第67位有组氨酸、A2有脯氨酸有关。
奶酪和酸奶是否含有酪啡肽?研究发现,β-酪啡肽9和10的前体存在于Gouda、Swiss、Blue、Limburger和Brie奶酪中,但未在成熟Cheddar奶酪中检测到,可能是因为成熟过程中降解。某些奶酪在发酵和熟化过程中,细菌或酶可能降解β-酪啡肽7。研究还发现,Gorgonzola、Fontina、Cheddar、Edam、Castel、Roquefort和Brie等奶酪中含有β-酪啡肽7,但熟化时间较长的奶酪(如荷兰式半硬奶酪)含量较低,短期熟化的软奶酪(如霉菌奶酪和法式奶酪)含量较高。
一些客户发现,即使是A2牛奶也无法耐受。研究显示,A2牛奶可能释放少量β-酪啡肽7,但可能是A1/A2杂合奶牛的奶源,而非A2/A2纯合。研究还确认,健康人类摄入牛奶或酪蛋白后,小肠中可检测到β-酪啡肽7,其含量足以引发生物效应。
酪啡肽对身体的影响是什么?β-酪啡肽7(最受研究的)通过激活μ阿片受体,影响内分泌、神经和免疫系统,导致镇痛、镇静、血压降低、恶心、呼吸减慢和肠道蠕动减少。以250克(8盎司)牛奶为例,含2-3克β-酪蛋白,消化后释放β-酪啡肽7,与μ阿片受体结合,影响心脏、骨骼、脑和肠道。
研究显示,β-酪啡肽7可能与缺血性心脏病死亡率升高相关(流行病学和动物研究,未完全证实);可能降低成骨活性,增加髋部骨折风险;在脑部,可能增加高脂饮食偏好,促使肥胖;在肠道和免疫系统,减少细胞因子吸收,增加TH2免疫途径的炎症标志物(如IgG、白细胞渗透、谷胱甘肽、IL-4、组胺、髓过氧化物酶、单核细胞趋化蛋白)。还能诱导镇静,干扰多巴胺平衡,升高催乳素,抑制性激素生成。
许多人以为自己乳糖不耐受,实际上可能是对β-酪啡肽7的反应。研究表明,A1 β-酪蛋白衍生的β-酪啡肽7可能是乳糖不耐受综合征的重要因素。动物实验和人体试验显示,A1 β-酪蛋白摄入可能引发肠道炎症和消化不适,甚至在健康儿童中诱发类过敏性皮肤反应。
在学龄前儿童中,短期摄入常规牛奶(A1酪蛋白)显著增加TH2免疫相关的促炎症标志物和血清β-酪啡肽7水平,而A2牛奶未显示显著变化。排除A1牛奶可能缓解乳糖不耐受儿童的胃肠道症状。
β-酪啡肽还能引发组胺反应。我在尝试生能饮食时,重新引入牛奶后出现皮疹和荨麻疹。我对酪蛋白非常敏感,研究表明β-酪啡肽7可诱导免疫细胞释放组胺,引发类过敏反应,如皮肤红肿。
β-酪啡肽还可能影响认知功能。类似药理阿片类物质,食品来源的外啡肽(如β-酪啡肽7)可能穿过血脑屏障,结合运输蛋白,进入中枢神经系统,激活μ阿片受体。这可能导致脑雾、动力缺乏和性欲改变。我和许多客户在高乳制品饮食后出现这些症状,排除乳制品后症状改善。
如何管理β-酪啡肽的影响?是否必须完全避免乳制品?我的观点是存在一个谱系,不必全有或全无。第一步是改用A2乳制品,如A2奶牛奶、羊奶、山羊奶或水牛奶,这些动物的酪蛋白通常为A2型,β-酪啡肽不易释放,因第67位氨基酸为脯氨酸。
如果A2乳制品仍不耐受,尝试长时间发酵的A2奶酪,如陈年Gouda、Parmesan、Pecorino Romano、sharp Cheddar或Manchego。这些奶酪在熟化过程中,细菌或酶可能降解阿片肽,减少症状。
此外,β-酪啡肽7的摄入量可能很重要。少量乳制品可能无大碍,客户通常能耐受少量发酵乳制品(如1-2盎司奶酪)。乳制品中的蛋白质、脂肪、钙、钾和其他肽类有益,若能耐受,应适量摄入。
如果所有酪蛋白(A1或A2、酸奶、奶酪)都引发问题,可选择乳脂肪(如奶油、黄油)和乳清蛋白。乳清部分不含酪啡肽,我能耐受乳清蛋白但不耐酪蛋白。乳脂肪中的酪蛋白含量低,较少引发症状。但需注意,若对乳制品中的激素敏感,乳脂肪可能仍需谨慎(详见我的其他视频)。
总之,酪啡肽是乳制品不耐受的一个主要原因,但通过选择A2乳制品、长时间发酵奶酪、控制摄入量或使用乳清和乳脂肪,可以在敏感情况下继续享受乳制品的好处。
Edit:2025.04.28
in my experience working with clients
through a protabolic lens I found that
many people do not actually tolerate
dairy very well now in this video I want
to discuss one of the major reasons I
think people struggle with dairy and
that is the opiate peptides known as the
quesomorphins with this what I first
want to do is share with you the typical
symptoms I'm seeing with my clients and
people who are working my program who
have issues with quesomorphins then I
want to show you what quesomorphins are
and from there I want to talk about what
they can do to your body and how you can
incorporate dairy while avoiding the
effects of quesomorphins if you are
somebody who is sensitive to them now
before we jump in to the meat of this
video what I want to preface this video
with is that I don't think that dairy is
necessarily a terrible food i think that
if you tolerate dairy it's an excellent
food it's very rich in vitamins minerals
proteins has a great fatty acid profile
etc however I'm creating this content
around dairy because there's many people
who are jumping into the bio energetic
sphere the protabolic spheres and are
having difficulties with dairy and I
want to provide some context for these
people and some nuance to the dairy
conversation so that they can figure out
why they may not be tolerating the dairy
and what they can do about it so again
this isn't a video to trash dairy this
is provide nuance to people who are
struggling with dairy because I myself
and many of my clients have been people
who have not done very well with dairy
products first things first what are the
symptoms that I typically see with
people who are not tolerating dairy well
or I determined that the response is
largely related to quesomorphins the
first one is histamine reactions to
dairy so this is rashes this is hives
things like this the next one is
constipation a slowing of bowel transit
time from there there's intestinal
irritation so you can actually have kind
of an opposite effect where the the
dairy products will move through you
quickly now that could also be related
to lactose but it could be the
irritation and you can get bloating from
the dairy without having either
constipation or having uh diarrhea i
also tend to see brain fog and a lack of
motivation if you don't do well with
quesomorphins and the last thing I tend
to see is an effect on hormones like
testosterone in men and then a
subsequent change in libido so these are
big components that I tend to see and I
I usually tie them to a poor reaction to
quesomorphins uh and their opiate- like
effects on the body so with that what
actually are quesomorphins so we have a
paper here titled does a little
difference make a big difference boine
beta casein A1 and A2 variants and human
health and update and in this paper the
researchers tell us exactly what
quesomorphins are so they say beta
quesomorphins are a group of peptides
with a chain length of 4 to 11 amino
acids all starting with tyrrosine
residue which is critical to their
opioid activity so basically these these
quesomorphins are peptides found in the
casein fraction of milk and they are
just essentially chains of amino acids
and they have an opiate-like effect so
they have similar effects to things like
morphine or oxycodone so they mirror
some of those effects because they
interact with the opiate receptors in
the body and so we can see the different
quesomorphins here there's strings of
amino acids and you have beta
quesomorphine 4 to beta quesomorphine 11
with one of the most famous or prominent
one being betaomorphin 7 which much of
the research has focused on this leads
us to the question of A1 and A2 dairy
because typically it's said that A2
dairy doesn't actually lead to the same
problems of A1 dairy and it's around the
beta case of morphins and this is that
there's actually validity to this case
uh and I do find with clients that
people who don't do well with A1 dairy
may actually be able to tolerate A2
dairy and we'll talk about that with the
solutions but basically what we'll see
here is and from the same paper the
researchers say beta caseorphine 7 is
yielded by the successive
gastrointestinal proteolytic digestion
of beta casein A1 and B but not A2 by
the enzymes pepsin pancreatic elastase
and leucine amopeptidase so essentially
what we see is that beta casein A1 and B
so different this are different types of
casein they can release the beta
caseorphins whereas A2 tends not to
release the beta quesomorphins I'm going
to talk about why in just a second so
the researchers go on to say they say
the cause of this difference is due to a
single nucleotide polymorphism of the
beta casein gene at the SNP67 and
proline substitution by histadine in A1
of the beta casein molecule this amino
acid substitution results in the
confirmational difference in the
expressed protein secondary structure
which may exert an influence on the
physical properties of the respective
casein myels they say additionally the
peptide bond between proline and
isolucine and the A2 variant has a
higher enzyatic resistance than that
between histadine and isolucine in the
A1 variant therefore the A1 beta casein
is more readily hydrarolyed resulting in
the release of beta quesomorphine 7 so
what does all this mean basically this
is casein here this is the strings of
amino acids that come from casein and we
have A2 beta casein here and we have A1
beta casein here so what's the big
difference well at position 67 so this
is the 67th amino acid you can see in A2
beta casein proline is here whereas in
A1 betaine histadine is there and why is
that special well proline basically
blocks the digestive enzyme whereas if
histadine is here it allows the
digestive enzyme to actually get access
and release this peptide here we see
beta quesomorphine 7 and then that
peptide then is once it's free from the
casein's protein structure is then able
to exert its effects on the body now the
next thing is in what types of dairy
it's like so we know it's in A1 casein
but do we see this in yogurt and cheeses
and things like this and so and and also
is there enough to actually have an
effect so going from that same paper the
researchers go on to say they say
betaaseomorphins and their precursors
have been identified in milk and various
dairy products a quantitative
examination of the betaaseomorphin 7 in
the fresh and hydrayed by digestive
enzyme boine milk revealed that in
hydrayzeed A1 milk there was a four-fold
higher level of betaomorphin 7 than in
A2 milk whereas in non-hydrayed milk
traces of betaomorphin 7 were found
small amounts of beta caseorphine 7
after digestion of the A2 beta casein
were also detected by Darte Vasquez at
Al and Lambert's ed when the casein gets
into the digestive tract and the enzymes
start to break down the protein it
actually releases betaomorphine 7 and
when they take milk and they add
digestive enzymes to it they actually
find that betaaseomorphin 7 is released
significantly more four times more in A1
milk than in A2 milk the researchers go
on and they continue they say other
results were obtained by hack edal who
found a 3.2 times higher level of beta
quesomorphin 7 released from A1 A1
variance after enzyatic digestion in
comparison to A1 A2 variant of beta
casein and no beta caseorphin 7 after
the digestion of A2 A2 variant of the of
the beta casein the cattle can inherit
different inherit different genes so you
have A1 A1 A1 A2 and A2 A2 this is
basically telling us the type of casein
that is produced so when you have cattle
who have A2 A2 casein they're they have
the genes for A2 A2 casein right they
are homozygous for A2 what you find is
that their milk does not release
betaomorphin 7 but when you have cattle
who are A1 A2 so they're hetererozygous
for this gene they release some
betaaseomorphin 7 and then when you have
cattle who are homozygous for A1 A1 case
they actually release quite a bit more
betaomorphin 7 and again it's related to
the structure that I showed you here
earlier where the A1 variety the A1 beta
casein has a histadine at position 67
whereas an A2 beta casein it has a
proline and this affects how the
digestive enzymes are able to interact
with that protein next up the question
is can we find these in cheese and
yogurt and things like this and so the
researchers say precursors of
betaaseomorphins or betaaseomorphin 9
and betaomorphin 10 were also found in
Gouda Swiss blue limber and brie cheeses
but not in mature cheddar cheeses
perhaps due to the degradation during
the ripening process so this is actually
interesting because some people find a
lot of clients that I've worked with
said “Hey I can only have a problem with
cheese but that's mostly casein so
what's going on?” And essentially as
certain cheeses are ripened and aged
over time they actually degrade the
bacteria can degrade the beta caseorphin
7 and also the enzymes present in the
cheese and the aging process itself
beyond the bacteria present in the milk
or in in the culture may actually
degrade the peptides in and of itself
they go on to say other research has
reported the presence of beta
quesomorphin 7 in gorgonzola guda
fentina and cheddar adamsky guda casled
rockpole and brie uh kazakquat and
camping and brie cheeses so basically
there's multiple different types of
cheeses that still contain beta
quesomorphin 7 but typically the general
idea is that the more aged the cheese
the less likely that you may find these
peptides and the researchers will say
here many of these findings were
qualitative however based on the
available data it seems that short
ripening of soft cheeses so mold cheeses
and French type cheeses contain more
betaomorphin 7 than the Dutch type semih
hard cheeses that are riper for or
ripened for longer something else to
consider here is I have had some people
who don't actually do well with A2 uh A2
beta casein milks like the A2 milk
variety that you can find in the store
and so there is some research that shows
that there may be some release of beta
quesomorphine 7 however I would wonder
if that's from varieties of cows that
are A1 A2 so they're hetererozygous not
homozygous for a A2 A2 and the
researchers say the release of
betaomorphin 7 um from both A1 and A2
milk beta case was recently confirmed by
Lambs Adal but did not uh but not by
Hawk Edal who did not find betaomorphins
in the hydrayzeed A2 milk the presence
of beta quesomorphin 7 was also
identified in vivo in the jigunum of
healthy humans who ingested bovine milk
or casein although the authors did not
specify the parental protein variant
they estimated that the amount of beta
quesomorphine was sufficient to elicit a
biological action you may find it in A2
milk so if you don't tolerate A2 milk
it's potentially you are releasing some
of the beta quesomorphins although again
like the question is is the milk used in
that study homozygous A2 A2 or was there
A1 A2 present for the genes and then the
other thing that we see here is that the
beta caseamorphins can in fact make it
into circulation and they do find it in
the human digestive tract the question
is is it enough to have an effect um and
basically what the authors say here is
that yes the betaaseomorphins can indeed
have an effect so with that what are the
effects of the betaaseomorphins on the
body what can you expect so I gave you
the symptoms but do I have mechanisms to
actually support those symptoms and yes
of course I do so we're going to go
through the research here so they say
betaomorphine 7 this is the one that's
mostly researched is known to influence
the endocrine nervous and immune systems
by activating the mu opioid receptors
which leads to different effects such as
analesa sedation reduced blood pressure
nausea decreasing respiration and bowel
motility and we have a graphic here
where they show you have A1 A2 A1 and A1
varieties what happens is milk gets they
produce milk it gets broken down here
into casein and then that casein can get
broken down into beta casein so this is
for 250 gram so an 8 oz glass of milk
will provide roughly 2 to three grams of
beta caseins um now from there the beta
casein you have the betaomorphin 7 which
that peptide gets cleaved but by the
digestive enzymes and it interacts with
the mu opioid receptors and then it has
a variety of different effects and so
some of the effects they talk about they
they break it down from the heart bone
brain and gut and they say with the
heart there is some research associating
again this is associated epidemiologic
components there's some rat studies with
it too but it's not clearcut that
there's higher mortality rates from
eskeemic heart disease in association
with beta case morphin 7 but again this
is not this is still uh very young in
the research so I wouldn't say this
conclusive they say there's lower
osteoplastic activity higher risk of hip
fracture from the from the opioid
peptide in the brain they say there's an
increased preference for highfat diet
which drives obesity plus um there they
say that there's effects on the gut and
on the immune system so they say there's
reduced cyine uptake and then there's an
increase and this is the one that was
done in humans specifically increase in
a range of markers of intestinal
inflammation with an activation of the
TH2 pathway of the immune system and so
basically we see increased immune
response with and IGG increased
infiltration of luccoytes um and then
changes in glutathione concentrations to
the cell as well as changes in IL4
histamine myelop peroxidase and monocy
chemotactin protein as well so basically
what you're seeing is it can interact
with the immune system and it can also
interact with the opioid system which
can uh induce sedation it can also
affect dopamine balance because the
opioids have a a sort of antagonistic
relationship with dopamine which then
can rise prolactin and have a negative
impact on the the sex steroids because
prolactin controls to some extent LH and
FSH signaling um on the gonads which are
responsible for the production of sex
steroids so there's a variety of ways
that BCM7 if you're sensitive to it can
give you a a series of symptoms and so I
want to go into them specifically now so
the first thing is that a lot of people
who may think that they actually have
lactose intolerance may be having issues
with the betaomorphins inside the milk
from the paper they say palad suggests
that bovine betaominorphine 7 derived
from A1 beta casein could also be an
important contributor to milk
intolerance syndrome hacked edal and
barnetal confirmed that the consumption
of betaominorphin 5 and 7 induce an
inflammatory immune response in the guts
of mice and rats respectively moreover
human trials performed by Ho at all
suggest differences in gastrointestinal
responses in some adult humans consuming
milk containing A1 or A2 beta casein so
some people don't do well with the
quesomorphins and it can cause
intestinal in inflammation by itself
they go on to further say a study
conducted by Gianquinadel also supported
the thesis that A1 A1 and A1 A2 beta
casein consumption by subjects with
lactose intolerance was associated with
gastrointestinal inflammation and
negative postair digestive discomfort
symptoms pseudoallergic skin reactions
to opiate sequences of bovine casein and
healthy children were presented by
palett brood edal and sinska edal so
basically what you're seeing is in human
studies there's a negative response in
some people to beta caseorphins this is
why this is why I think some people I've
had some clients who have no problem
with A1 dairy they don't have any
symptoms from it at all and then I have
other people who A1 dairy and even A2
dairy is no bueno for them they can't
tolerate it at all and again we all come
from different backgrounds we all have a
little bit different physiology and I
think this adjusts our responses to some
of these different components so some
people may not tolerate the beta
quesomorphins and so we'll talk about
what you can do with that in just a few
minutes here the next thing that we see
is that the beta quesomorphins can
actually drive inflammation so from the
paper they say effects were observed in
preschoolers with mild to moderate milk
intolerance results contain measurements
including hemoglobin interlucan 4 IGG
IGG1 betaorphin 7 glutathione CRP and so
these are immune markers inflammatory
markers they say it was found that even
short-term consumption of conventional
milk significantly increased both
pro-inflammatory markers related to the
TH2 immune response and beta caseorphine
level levels in the serum and in the
case of A2 milk consumption all the
parameters showed no statistically
significant difference so in children
who don't tolerate milk when they had A1
casein they had an inflammatory response
whereas when they had the A2 beta casein
they did not have that response they say
based on the results the authors
concluded that the exclusion of A1 milk
from the diet may help alleviate adverse
gastrointestinal symptoms in lactose
intolerant children the next thing we
see and this is actually something I had
experienced myself is that the beta case
can trigger histamine responses so I
remember when I first started and
embarking on the the bioenergetic diet
or a pet inspired diet I started to
incorporate milk now it took me a little
while to get there because you know I
was coming from low carb and paleo and
all this type of stuff but when I
started to incorporate milk I started to
get weird rashes and hives for me I'm
very sensitive to beta quesomorphins so
I don't do very well with casein at all
and so the research is what they say
here they say it's suggested that beta
quesomorphins can induce pseudoallergic
reactions by histamine release released
from immune cells steepnik and Kurick
showed inductive effects on the mass
cells of rodents after pre-incubation
with betaism morphin 7 immediately and
dose dependent wheel and flare-like
reactions in the skin of healthy
children were observed after beta case
of morphin 7 intrammal injection
basically some people will develop
immune reaction or potentially could
develop immune reaction to this peptide
and again I don't think it's everyone
because I have some clients no problem
with it but I've also for myself like
when I was doing quite a bit of dairy
maybe it was the betaomorphin 7
triggering this histamine release for me
maybe it was things going on with
inflammation in the intestine from the
dairy itself that was causing problem
but either way I was having histamine
reactions and a variety of digestive
issues when I was incorporating large
amounts of dairy into my diet whether A1
or A2 the next thing they say here is
that the beta quesomorphin 7 or the
betaaseomorphins in general can have a
negative impact on cognitive function so
they say it is hypothesized that
similarly to pharmacologic opioids food
derived exorphins so the exogenous
morphines is what exorphins stands for
so exogenous opiate components from food
such as betaorphin 7 can also cross the
bloodb brain barrier it is likely that
they can bind to transporting proteins
that protect them from the hydraytic
action of peptidases in the blood and
then could become a substrate for the
carrier peptide transport system in the
bloodb brain barrier as beta
quesomorphin 7 is a muopioid receptor
agonist when it crosses the bloodb brain
barrier this could activate the
respective receptors of the central
nervous system a crucial component of
the internal messaging systems that
involve endorphins and ankle falins so
essentially what you're seeing is that
this peptide may actually have opiate
effects directly in the central nervous
system which is why I think people tend
to have brain fog loss of motivation and
changes into their libido when they go
on high dairy diets if they are
sensitive to beta quesomorphins so we
have some mechanisms here where this is
actually plausible and again these are
symptoms that I've seen with quite a few
clients incorporating dairy and removing
dairy solves this problem and again for
myself after spending almost one to two
years trying to make dairy work I was
having symptoms that mirror some of
these effects i was like oh maybe maybe
I don't react well to beta quasomorphins
and when I cut out dairy things got
significantly better so with that what
can you do to actually manage these beta
caseorphins do you have to cut out dairy
altogether or is there ways that you can
actually minimize these effects or some
workarounds in my perspective I think
there's a spectrum i don't think it has
to be all or nothing and the first step
to minimizing the impact of
quesomorphine if you know you have a
problem with quesomorphins is to try to
switch to A2 dairy options so this is
going to be things like A2 cows dairy
which is becoming much more popular in
Western countries there's sheep's dairy
there's goat dairy and there's buffalo
dairy so these animals there's also
camel dairy but I don't see that very
often on the on the grocery store
shelves but essentially these animals
are typically A2 variety animals where
you won't find the beta quesomorphine
peptide easily released from the casein
structure again because of that amino
acid substitution at position 67
basically I would try these dairy
options first for milk for yogurt for
cheese for any of these different
products now if that doesn't work if you
still don't tolerate the A2 varieties
after switching from A1 to A2 then the
next thing I would look to do is try A2
variety of cheeses that have been
fermented for a long period of time so
these are things like age gudas
parmesano reo aged pecarino romano sharp
cheddars aged manchego why well as we
talked about previously as the the
cheeses age they actually degrade some
of the uh opiate peptides the bacteria
or the aging process itself and then if
you have an A2 variety and the peptides
are further degraded then there may not
be enough of these problematic peptides
actually induce uh symptoms for you so
in that circumstance I've had some
clients who don't do well with most
dairy products like hey I can do cheese
no problem and I and it's usually
specific types of cheese and I think
this may be the reason why now another
caveat before we talk about the next
tier is amounts of the beta quesomorphin
7 may be important so you may be able to
get away with a small amount of it it's
not really that big of a deal so you be
may be able to moderate the dairy amount
per meal as well and switch to A2 and
find that it's not that big of a deal or
you may be able to have a small amount
of cheese and it's not really an issue
many people that I work with are fine
with small amounts of fermented dairy in
their meals it's just if they try to
make the diet all milk and orange juice
and stuff like this then it's when it
really starts to become a problem so
there's also the option of lowering and
adjusting the amounts and then gauging
based on your tolerance and kind of
going about this in a systematic way so
maybe you could do you know like an
ounce or 2 ounces of cheese with dinner
or something and see does that give you
a problem if it doesn't then it's
probably fine and again the protein in
the dairy the fats in the dairy there's
other beneficial peptides in dairy
products like cheese uh and then and
then the mineral content the calcium and
the potassium I think are all beneficial
so if you can tolerate it of course I
would recommend incorporating dairy but
if you have problems these are
strategies you can do in the meantime
then the last step is if all of the
casein is bothering you whether A2 A1
yogurt cheeses etc Then what you can
look to do is incorporate dairy fats and
whey proteins because the whey fraction
does not contain the beta quesomorphins
that you find in the casein fraction so
in that sense you could use whey instead
and you won't get that opiate effect as
an example myself I don't do well with
any casein and I'm also lactose tolerant
which is a very interesting setup but I
can actually tolerate whey protein
without much issue so I you incorporate
whey in my diet but I don't do very well
with casein so that's something you can
do and you can also incorporate dairy
fats like cream and butter into your
diet cuz again the casein component
inside the dairy fats should actually be
quite low so you're less likely to
actually have symptoms from it so in
that circumstance you can look to use
the dairy fats instead the only thing
I'd say there and again I have other
videos about this so I'll link them in
the description but if you don't do well
with the hormones in dairy that may be a
reason to be careful with some of the
dairy fats so while quesomorphins are
one of the major reasons as I was just
talking about there are other reasons
that you may not tolerate dairy and I
cover these options in another video
which you can check out Here
Edit:2025.04.28
毫无疑问,乳制品是一种营养丰富的超级食品,富含优质蛋白质、维生素、矿物质和健康脂肪。但如果你在饮食中添加牛奶、奶酪或酸奶后感觉更糟,你并不孤单。我曾与许多患者合作,他们在食用乳制品后出现奇怪的症状。我以前以为是乳糖的问题,但对一些人来说,问题更深层。
令人惊讶的是,对于很多人来说,真正的问题可能不是乳制品中的糖,而是乳制品酪蛋白释放的一种强效的类阿片肽:酪吗啡肽,更具体地说是β-酪吗啡肽-7(BCM-7)。
酪吗啡肽是牛奶酪蛋白消化过程中产生的类阿片肽。这些肽可以与你的μ-阿片受体结合,就像吗啡或羟可酮一样。这听起来可能有点不可思议,但确实有研究支持。
“β-酪啡肽 (βCM) 是一类链长为 4-11 个氨基酸的肽,所有肽均以对其阿片类活性至关重要的酪氨酸残基开头。”
资料来源:Cieślińska 等人,2022 年
其中研究最深入的是β-酪啡肽-7(BCM-7)。
并非所有奶牛的酪吗啡肽释放量都相同。真正的区别在于A1和A2奶牛体内β-酪蛋白的微小基因差异。
单个氨基酸变异(A1 中的组氨酸,A2 中的脯氨酸)会改变 BCM-7 在消化过程中的释放难易程度。A1 牛奶释放的BCM-7 数量更多。
“BCM-7 是由 β-酪蛋白 A1 和 B(但不是 A2)在胃肠道中连续水解产生的……A2 中的肽键比 A1 中的肽键具有更高的酶抗性。”
资料来源:Cieślińska 等人,2022 年
在牛奶中:
在奶酪中:
> “软质、霉菌成熟的奶酪比陈年半硬质奶酪含有更多的 BCM-7。”
在正文中:
研究表明,BCM-7 能够激活TH2 免疫反应,增加 IgE、IgG1 和 CRP 等标志物。
“即使短期饮用 A1 牛奶也会显著增加促炎标志物……A2 牛奶没有显示出统计学差异。”
BCM-7 可以刺激肥大细胞组胺释放,导致皮疹、风团和耀斑型皮肤反应。
“β-酪啡肽可以通过免疫细胞释放组胺来诱发假过敏反应。”
BCM-7 与大脑的阿片类系统相互作用,可以破坏多巴胺-催乳素轴,影响性欲和睾酮。
BCM-7 可以穿过血脑屏障并与阿片类受体结合,从而可能导致:
> “食物来源的外啡肽,如BCM-7,可以穿过血脑屏障并激活中枢神经系统阿片受体。”
这些通常不会像 A1 乳制品那样释放 BCM-7。
这些物质经过微生物和酶的变化,可以分解酪啡肽:
酪吗啡肽的效果似乎与剂量有关。根据我的经验,许多人服用少量酪吗啡肽后不会出现太大问题。
乳制品本身并非有害——这取决于具体情况和个体反应。如果你正在应对乳制品引起的一些奇怪症状,那么酪啡肽可能就是缺失的环节。幸运的是,只需稍加调整,许多人仍然可以享受乳制品,而不会产生负面影响。
https://mikefave.com/is-this-unknown-protein-in-dairy-destroying-your-health/
Edit:2025.04.28