Evidence map›Paper›PMID 38931316›Full record

Trial reportNutrients2024

Prolonged Consumption of A2 β-Casein Milk Reduces Symptoms Compared to A1 and A2 β-Casein Milk in Lactose Maldigesters: A Two-Week Adaptation Study.

Monica Ramakrishnan, Sindusha Mysore Saiprasad, Dennis A Savaiano

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Two-week supplementation ofGut microbes reports · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Monica RamakrishnanDepartment of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN 47907, USA.
Sindusha Mysore SaiprasadDepartment of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN 47907, USA.
Dennis A SavaianoDepartment of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN 47907, USA.ORCID 0000-0001-8872-6276

Funding

Translation CoreP30DK097512 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI Carmella Evans-Molina · 2015 to 2026
$17.4M
NIDDK NIH HHS P30 DK097512The a2 milk company ltd NA
6 · The paper itself

Abstract

Approximately 30% of milk protein is β-casein. We aimed to determine whether lactose maldigesters who chronically consumed two cups of A1/A2 milk (containing 75% A1 β-casein and 25% A2 β-casein) would adapt to have fewer intolerance symptoms, lower serum inflammatory markers, and/or altered glutathione levels similar to those consuming A2 milk (containing 100% A2 β-casein). A double-blinded, randomized, crossover trial was conducted. Sixteen confirmed lactose maldigesters consumed 250 mL of A1/A2 milk and A2 milk twice daily with meals for two weeks. At the end of the adaptation period on day 15, lactose maldigestion was measured after a challenge with the same milk used for adaptation (0.5 g of lactose per kg of body weight) with a hydrogen breath test. Fecal urgency was higher during the two-week consumption of A1/A2 milk compared to A2 milk (

Indexed as

CaseinsCross-Over StudiesLactose IntoleranceMilkAdaptation, PhysiologicalAdultAnimalsBiomarkersBreath TestsDouble-Blind MethodFemaleFlatulenceHumansLactoseMaleMiddle AgedBiomarkersCaseinsLactoseA1 β-caseinA2 milkA2 β-caseinbetacasomorphin-7inflammationlactose intolerancelactose maldigestion

Identifiers

PMID38931316
PMCPMC11206509

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.