Behind the Latch · Ep. 76 · March 18, 2026 · 01:06:25

The High Lipase Myth: What’s Really Happening to Stored Breastmilk With Dr. Jimi Francis

← All Episodes▶ Listen on Captivate

What We Talk About

The origin of the “high lipase” breastmilk myth and how it spread through the lactation community

Why biologically it does not make sense that some mothers produce excess lipase in milk

What lipase actually does in human milk and why it is critical for infant fat digestion

What parents are actually noticing when milk smells “soapy,” “metallic,” or “rancid”

How riboflavin oxidation and free radical reactions may contribute to off flavors in stored milk

Why exposure to light, oxygen, and heat accelerates nutrient degradation

Simple strategies for protecting expressed milk during storage

The role of vitamin C and antioxidants in preventing oxidation

Why scalding milk may damage valuable nutrients and enzymes

How maternal diet influences the fatty acid profile of breastmilk

The relationship between omega-3 and omega-6 fats in human milk

Why formula cannot truly replicate human milk oligosaccharides or fatty acid complexity

How breastfeeding exposes infants to diverse food flavors that shape lifelong eating patterns

Why maternal nutrition matters—but breastfeeding remains resilient even with imperfect diets

Future research questions about the human milk metabolome and maternal diet

Key Takeaways for Clinicians

The “high lipase milk” explanation for off-smelling stored milk may not be supported biologically or experimentally.

Off flavors may instead result from nutrient oxidation, particularly involving riboflavin and free radical reactions.

Protecting milk from light, oxygen, and heat exposure may help reduce degradation.

Scalding milk may stop some reactions but can also damage enzymes, vitamins, and bioactive components.

Maternal intake of vitamin C and antioxidants may influence milk stability during storage.

Maternal diet does influence certain components of milk, especially fatty acid composition and water-soluble vitamins.

The fatty acid profile of milk largely reflects the mother’s dietary fat intake.

Human milk oligosaccharides vary between mothers and environments, making them difficult to replicate in formula.

Even when milk has an unusual smell, it is often still safe for infants, and strategies like dilution with fresh milk can help babies accept it.

Human milk remains one of the most biologically protected food systems in nature, even when maternal diets are imperfect.

Guest

Dr. Jimi Francis, PhD, RD, IBCLC

https://drjimi.net/

References referred to in the discussion about Lipase in Human Milk:

Allen, L. H. (2012). B vitamins in breast milk: Relative importance of maternal status and intake, and effects on infant status and function. Advances in Nutrition, 3(3), 362–369. https://doi.org/10.3945/an.111.001172

Bauman, D. E., & Bruce Currie, W. (1980). Partitioning of Nutrients During Pregnancy and Lactation: A Review of Mechanisms Involving Homeostasis and Homeorhesis. Journal of Dairy Science, 63(9), 1514–1529. https://doi.org/10.3168/jds.S0022-0302(80)83111-0

Chappell, J. E., Francis, T., & Clandinin, M. T. (1985). Vitamin A and E content of human milk at early stages of lactation. Early Human Development, 11(2), 157–167. https://doi.org/10.1016/0378-3782(85)90103-3

Daniel, A. I., Shama, S., Ismail, S., Bourdon, C., Kiss, A., Mwangome, M., Bandsma, R. H. J., & O’Connor, D. L. (2021). Maternal bmi is positively associated with human milk fat: A systematic review and meta-regression analysis. American Journal of Clinical Nutrition, 113(4), 1009–1022. https://doi.org/10.1093/ajcn/nqaa410

Demmelmair, H., & Koletzko, B. (2018). Lipids in human milk. Best Practice and Research: Clinical Endocrinology and Metabolism, 32(1), 57–68. https://doi.org/10.1016/j.beem.2017.11.002

Dickton, D., & Francis, J. (2018). Case review: food pattern effects on milk lipid profiles. J Nutr Health Food Eng, 8(6), 467–470. https://doi.org/10.15406/jnhfe.2018.08.00311

Donovan, S. M., Aghaeepour, N., Andres, A., Azad, M. B., Becker, M., Carlson, S. E., Järvinen, K. M., Lin, W., Lönnerdal, B., Slupsky, C. M., Steiber, A. L., & Raiten, D. J. (2023). Evidence for human milk as a biological system and recommendations for study design—a report from “Breastmilk Ecology: Genesis of Infant Nutrition (BEGIN)” Working Group 4. American Journal of Clinical Nutrition, 117, S61–S86. https://doi.org/10.1016/j.ajcnut.2022.12.021

Dror, D. K., & Allen, L. H. (2018). Overview of nutrients in humanmilk. Advances in Nutrition, 9, 278S-294S. https://doi.org/10.1093/advances/nmy022

Evans, T. J., Ryley, H. C., Neale, L. M., Dodge, J. A., & Lewarne, V. M. (1978). Effect of storage and heat on antimicrobial proteins in human milk. Archives of Disease in Childhood, 53(3), 239–241. https://doi.org/10.1136/adc.53.3.239

Francis, J. (2015). Effects of Light on Riboflavin and Ascorbic Acid in Freshly Expressed Human Milk. Journal of Nutritional Health & Food Engineering, 2(6), 2–4. https://doi.org/10.15406/jnhfe.2015.02.00083

Francis, J., & Dickton, D. (2020). Feeding and refusal of expressed and stored human (FRESH) milk study - a short communication. J Nutr Health Food Eng, 8(6), 391–393. https://doi.org/10.15406/jnhfe.2018.08.00301

Francis, J., & Egdorf, R. (2020). Maternal Nutrient Metabolism and Requirements in Lactation. In B. Marriott, D. F. Birt, V. Stalling, & A. Yates (Eds.), Present Knowledge in Nutrition (11th ed., pp. 67–81). Elsevier. https://doi.org/10.1016/c2018-0-02422-6

Francis, J., Rogers, K., Brewer, P., Dickton, D., & Pardini, R. (2008). Comparative analysis of ascorbic acid in human milk and infant formula using varied milk delivery systems. International Breastfeeding Journal, 3(1), 19. https://doi.org/10.1186/1746-4358-3-19

Francis, J., Rogers, K., Dickton, D., Twedt, R., & Pardini, R. (2012). Decreasing retinol and αtocopherol concentrations in human milk and infant formula using varied bottle systems. Maternal and Child Nutrition, 8(2), 215–224. https://doi.org/10.1111/j.1740- 8709.2010.00279.x

Hamosh, M., Clary, T. R., Chernick, S. S., & Scow, R. O. (1970). Lipoprotein lipase activity of adipose and mammary tissue and plasma triglyceride in pregnant and lactating rats. Biochimica et Biophysica Acta (BBA)/Lipids and Lipid Metabolism, 210(3), 473–482. https://doi.org/10.1016/0005-2760(70)90044-5

Hampel, D., Shahab-Ferdows, S., Islam, M. M., Peerson, J. M., & Allen, L. H. (2017). Vitamin concentrations in human milk vary with time within feed, circadian rhythm, and singledose supplementation. Journal of Nutrition, 147(4), 603–611. https://doi.org/10.3945/jn.116.242941

Jensen, D. R., Gavigan, S., Sawicki, V., Witsell, D. L., Eckel, R. H., & Neville, M. C. (1994). Regulation of lipoprotein lipase activity and mRNA in the mammary gland of the lactating mouse. Biochemical Journal, 298(2), 321–327. https://doi.org/10.1042/bj2980321

Krebs, N. F., Belfort, M. B., Meier, P. P., Mennella, J. A., O’Connor, D. L., Taylor, S. N., & Raiten, D. J. (2023). Infant factors that impact the ecology of human milk secretion and composition—a report from “Breastmilk Ecology: Genesis of Infant Nutrition (BEGIN)” Working Group 3. American Journal of Clinical Nutrition, 117, S43–S60. https://doi.org/10.1016/j.ajcnut.2023.01.021

Lackey, K. A., Williams, J. E., Meehan, C. L., Zachek, J. A., Benda, E. D., Price, W. J., Foster, J. A., Sellen, D. W., Kamau-Mbuthia, E. W., Kamundia, E. W., Mbugua, S., Moore, S. E., Prentice, A. M., K, D. G., Kvist, L. J., Otoo, G. E., García-Carral, C., Jiménez, E., Ruiz, L., … McGuire, M. K. (2019). What’s normal? Microbiomes in human milk and infant feces are related to each other but vary geographically: The inspire study. Frontiers in Nutrition, 6. https://doi.org/10.3389/fnut.2019.00045

Lee, H., Padhi, E., Hasegawa, Y., Larke, J., Parenti, M., Wang, A., Hernell, O., Lönnerdal, B., & Slupsky, C. (2018). Compositional dynamics of the milk fat globule and its role in infant development. Frontiers in Pediatrics, 6. https://doi.org/10.3389/fped.2018.00313

Lemons, J. A., Moye, L., Hall, D., & Simmons, M. (1982). Differences in the composition of preterm and term human milk during early lactation. Pediatric Research, 16(2), 113–117. https://doi.org/10.1203/00006450-198202000-00007

Mitoulas L.R.*, Kent, J. C., Cox, D. B., Owens, R. A., Sherriff, J. L., & Hartmann, P. E. (2002). Variation in fat, lactose and protein in human milk over 24 h and throughout the first year of lactation. British Journal of Nutrition, 88(1), 29–37. https://doi.org/10.1079/bjnbjn2002579

Nommsen, L. A., Lovelady, C. A., Heinig, M. J., Lönnerdal, B., & Dewey, K. G. (1991). Determinants of energy, protein, lipid, and lactose concentrations in human milk during the first 12 mo of lactation: The DARLING Study. American Journal of Clinical Nutrition, 53(2), 457–465. https://doi.org/10.1093/ajcn/53.2.457

Nommsen-Rivers, L., Black, M. M., Christian, P., Groh-Wargo, S., Heinig, M. J., Israel-Ballard, K., Obbagy, J., Palmquist, A. E. L., Stuebe, A., Barr, S. M., Proaño, G. V., Moloney, L., Steiber, A., & Raiten, D. J. (2023). An equitable, community-engaged translational framework for science in human lactation and infant feeding—a report from “Breastmilk Ecology: Genesis of Infant Nutrition (BEGIN)” Working Group 5. American Journal of Clinical Nutrition, 117, S87–S105. https://doi.org/10.1016/j.ajcnut.2023.01.020

Raiten, D. J., Steiber, A. L., Papoutsakis, C., Rozga, M., Handu, D., Proaño, G. V., Moloney, L., & Bremer, A. A. (2023). The “Breastmilk Ecology: Genesis of Infant Nutrition (BEGIN)” Project – executive summary. American Journal of Clinical Nutrition, 117, S1–S10. https://doi.org/10.1016/j.ajcnut.2022.12.020

Rudolph, M. C., McManaman, J. L., Phang, T. L., Russell, T., Kominsky, D. J., Serkova, N. J., Stein, T., Anderson, S. M., & Neville, M. C. (2007). Metabolic regulation in the lactating mammary gland: A lipid synthesizing machine. Physiological Genomics, 28(3), 323–336. https://doi.org/10.1152/physiolgenomics.00020.2006

Schaefer W., Swindall R, Boyle J, &, & Francis J. (n.d.). Analysis of Macronutrient Content of Human Expressed Milk in East Texas Women.

Smilowitz, J. T., Allen, L. H., Dallas, D. C., McManaman, J., Raiten, D. J., Rozga, M., Sela, D. A., Seppo, A., Williams, J. E., Young, B. E., & McGuire, M. K. (2023). Ecologies, synergies, and biological systems shaping human milk composition—a report from “Breastmilk Ecology: Genesis of Infant Nutrition (BEGIN)” Working Group 2. The American Journal of Clinical Nutrition, 117(Suppl 1), S28. https://doi.org/10.1016/j.ajcnut.2022.11.027

Spencer, B., & Francis, J. (2021). The Composition and Specificity of Breastmilk. In K. A. Wambach & B. Spencer (Eds.), Breastfeeding and Human Lactation (Sixth, Four). Jones & Bartlett. https://www.jblearning.com/catalog/productdetails/9781284151565#productInfo

Wang, C. S., Hartsuck, J., & McConathy, W. J. (1992). Structure and functional properties of lipoprotein lipase. Biochimica et Biophysica Acta (BBA)/Lipids and Lipid Metabolism, 1123(1), 1–17. https://doi.org/10.1016/0005-2760(92)90165-R

Wang, Y., Tong, J., Li, S., Zhang, R., Chen, L., Wang, Y., Zheng, M., Wang, M., Liu, G., Dai, Y., Zhao, Y., & Li, N. (2011). Over-Expression of Human Lipoprotein Lipase in Mouse Mammary Glands Leads to Reduction of Milk Triglyceride and Delayed Growth of Suckling Pups. PLoS ONE, 6(6), e20895. https://doi.org/10.1371/journal.pone.0020895

Williams, J. E., McGuire, M. K., Meehan, C. L., McGuire, M. A., Brooker, S. L., Kamau-Mbuthia, E. W., Kamundia, E. W., Mbugua, S., Moore, S. E., Prentice, A. M., Otoo, G. E., Rodríguez, J. M., Pareja, R. G., Foster, J. A., Sellen, D. W., Kita, D. G., Neibergs, H. L., & Murdoch, B. M. (2021). Key genetic variants associated with variation of milk oligosaccharides from diverse human populations. Genomics, 113(4), 1867–1875. https://doi.org/10.1016/j.ygeno.2021.04.004

📝 Connect with Margaret

📬 Email: hello@margaretsalty.com

📸 Instagram: @margaretsalty

📘 Facebook: Margaret Salty

Hosted by: Margaret Salty

Music by: The Magnifiers – My Time Traveling Machine