
Dairy is often marketed as a health food, but if you have PCOS, it might be working against you. While milk is packed with nutrients, it also has a powerful effect on insulin levels. Since insulin resistance is a key driver of PCOS symptoms, understanding how dairy impacts insulin can help you make better choices for your health.
Milk, Insulin, and Early Development
Infancy is a naturally insulin-resistant period. Babies need high insulin levels to support rapid growth, and milk plays a big role in making that happen. Both breast milk and cow’s milk contain insulin and insulin-like growth factor 1 (IGF-1), which help newborns gain weight and thrive.
That is great for babies. But if you have PCOS, your body is already dealing with too much insulin. The same insulin-boosting effect that helps babies grow can make it harder for you to lose weight, regulate your cycle, and improve your symptoms. High insulin and IGF-1 levels in adults can also be a concern beyond PCOS, as IGF-1 is a potent growth hormone linked to an increased risk of certain cancers, including breast, ovarian, and colorectal cancer.
What in Milk Spikes Insulin?
Most people assume that lactose (the sugar in milk) is what raises insulin, but that is not the main issue. The real culprits are the proteins—especially whey—and the naturally occurring insulin and IGF-1 in milk.
Milk is packed with branched-chain amino acids (BCAAs), particularly leucine. Leucine is a strong insulin stimulator, which means it can drive up insulin levels even without raising blood sugar. While BCAAs are essential nutrients, getting too much—especially from dairy proteins—can contribute to chronic hyperinsulinemia. This is a problem for people with PCOS because excess insulin can lead to weight gain, irregular periods, and ovulation issues.
If that was not enough, low-fat dairy is even worse. When fat is removed from milk (as in skim or low-fat milk), the protein concentration goes up. This makes it even more insulin-spiking than full-fat dairy.
The Better Choice: Fermented Dairy
Not all dairy affects insulin the same way. Fermented dairy products like full-fat Greek yogurt and aged cheeses tend to have a lower insulin response. That is because the fermentation process changes the protein structure, reducing the insulin spike.
Greek yogurt and aged cheeses also have another advantage—the process of making them removes whey, which is the most insulin-spiking part of dairy.
However, not all cheese and yogurt are fermented. Here is what to look for:
✅ Better Choices: Full-fat Greek yogurt, aged cheeses (think cheddar, parmesan, gouda, mozzarella)
🚫 Avoid: Cottage cheese, cream cheese, ricotta (these are not fermented and still have a similar insulin-spiking effects as milk)
Key Takeaways
- Milk is designed to spike insulin to support infant growth, but this can be a problem for people with PCOS.
- The insulin-spiking effects come from proteins (especially whey) and IGF-1, not lactose. This means lactose-free milk is not any better for insulin control.
- Low-fat dairy is worse than full-fat dairy because it has a higher protein concentration.
- Fermented dairy like full-fat Greek yogurt and aged cheeses are better choices because they have a lower insulin response.
- High insulin and IGF-1 levels in adults are linked to an increased risk of certain cancers, including breast, ovarian, and colorectal cancer.
If you are working to lower insulin levels and manage PCOS symptoms, limiting dairy—especially whey protein and low-fat dairy—can make a big difference. Instead, choose fermented options or explore dairy-free alternatives that will not spike insulin.
References
- Melnik BC. “Milk—A Nutrient System of Mammalian Evolution Promoting mTORC1-Driven Anabolic Growth.” Nutrients. 2015. Read more
- Venture ER, et al. “Association of dietary intake of milk and dairy products with blood concentrations of insulin-like growth factor 1 (IGF-1) in Bavarian adults.” Eur J Clin Nutr. 2020. Read more
- Rastad, H, et al. “Dairy consumption and its association with anthropometric measurements, blood glucose status, insulin levels, and testosterone levels in women with polycystic ovary syndrome: a comprehensive systematic review and meta-analysis.” Front Endocrinol. 2024. Read more
- Knuppel A, et al. Circulating Insulin-like Growth Factor-I Concentrations and Risk of 30 Cancers: Prospective Analyses in UK Biobank. Cancer Res. 2020. Read more