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Soy is a controversial food source worth hundreds of millions of US dollars annually. Said by some to prevent heart disease, soy has also been linked to cancer and the onset of other diseases. There are many questions, including, Is soy milk really toxic?

There was a time not long ago that soy-based milk formula was the preferred option for infants with allergies, rather than other infant milk formulas based on cow’s milk. Soy milk (as opposed to formula) was also generally thought of as a better option to cow’s milk, which many believe is not meant for human consumption – not just for children, but for adults too.

I have personally “been there, done that,” having had a highly allergic baby that I had to stop breast feeding due to an abscess that had to be surgically drained. We quickly discovered he was cow’s milk intolerant, and so opted for a soy-based milk formula. As a child, and until he was in his twenties, he opted for soy milk instead of cow’s milk, and became a fan of tofu, which of course is made from soy milk. I have found that his allergies (like mine) come and go, and while he doesn’t consume much cow’s milk now, he does eat unsweetened dairy yoghurt. He avoids preservatives, particularly sodium benzoate which makes him asthmatic, and is no longer a fan of soy-based products, partly because researchers are now admitting that we don’t fully understand “the nature of soy.”

The problem for me, and for many other people, is that while current research is not conclusive, there is evidence that drinking soy milk can harm our health. Luckily I simply don’t like the taste of soy milk and I find the texture of tofu unpleasant. I do though use soy sauce for flavoring.

Soya Beans and Soy Food Products

Even though soy beans have been grown for thousands of years they haven’t always been used for food. The key appears to be the discovery of fermentation sometime during the Chinese Chou Dynasty 1134 to 246 BCE (before common era, also BC).

According to Solomon H Katz, editor-in-chief of the voluminous Encyclopedia of Food and Culture, soybeans were first mentioned in China during the early Zhou Dynasty, around 2000 BCE centuries after they were first grown. Prior to this, the soy plant was used in crop rotation to “fix” the nitrogen in the soil.

Katz also discusses how heavily dependent Chinese cuisine was on fermented soybean products, including tofu and soy sauce which he believes originated during the later Han Dynasty from 206 BCE to 220 CE or AD. The beans were, and still are, eaten, but usually only once fermented, because this converts the raw beans into a more stable form and aids digestion. 

According to a docket filed in the US Food & Drug Administration (FDA) Office of Human Resources and Management Services (OHRMS), one of the key concerns is that soybeans contain large amounts of “a number of harmful substances.” These include:

  • Enzyme inhibitors that block enzymes, including trypsin, that are required to digest protein
  • Phytates (phytic acid) that block essential minerals including calcium, iron, magnesium and iron in the intestines

It states that only fermentation over long periods of time reduces the phytate content of soybeans, however the mineral-blocking effect of this acid is said to be reduced when soy products are eaten together with meat. When vegetarians eat tofu in place of meat and drink soy milk instead of dairy products, researchers have found that the risks of severe mineral deficiency is increased.

As the docket points out, one of the main ingredients of soy-based formulas for infants is soy protein isolate that has a high phytate content. It also contains toxic aluminum and often, potent carcinogens in the form of nitrosamines. 

The docket also claims that fermented soy products, which the authors maintain is the other “safe” form of soy, are not nutritionally complete and that soy shouldn’t be considered to be a substitute for milk or animal protein.

Genetic Modification

Adding to the controversies that revolve around soy and soy-based food products, soybeans are one of many crops that have been genetically modified (GM) in the US since the late 20th century. According to the US Department of Agriculture’s National Agricultural Statistics Service 2002 report, farmers were intending to plant GM seed on nearly three quarters (74 percent) of the US soybean acreage. The impact of this is particularly chilling for anti-GM advocates since more than 52 percent of the production of the world’s soybeans had already shifted from China to the US. Further, the oil extracted from soya is polyunsaturated and contains linoleic acid – as do corn and safflower oils.

In addition to genetic modification, soybean acreage in the US is also highly contaminated by pesticides – some say even more than other crops. 

 

What Research Into Soy Milk And Other Soy Products Tells Us

While many researchers are calling for more focused studies to back up positive or negative recommendations, it is interesting to examine what existing research into soy milk and other soy food products made from soya beans tells us.

In the latter part of the 20th century (which is when my highly allergic first child was born) there were many claims made about the benefits of soy. These ranged from aiding weight loss, to warding off osteoporosis and preventing several types of cancer. Even though these were based on what is now termed “preliminary evidence,” in 1999 the FDA approved the common claim that diets that were low in cholesterol and saturated fat, and contained soy, might reduce heart disease risks. This, as the bloggers at the Harvard School of Public Health point out was based largely on old research that seemed to indicate soy protein had the effect of lowering levels of bad cholesterol. Further, they cite recent research studies that temper previous findings regarding the effects of soy on a variety of diseases, including coronary heart disease (CHD).

Soy Research is Increasingly Inconclusive

The attention soy protein and its component isoflavones (a plant hormone that are similar to human estrogen, also known as phytoestrogens) has had on reducing the risks for CHD and other diseases has led to numerous new studies and new assessments of old studies.

In 2006 professionals from an American Heart Association nutrition committee assessed 22 clinical trials, most of which contained isoflavones in isolated soy protein. They found there had been no significant effects on so-called “good” HDL cholesterol, blood pressure, triglycerides (a type of fat found in the bloodstream), or the lipoproteins that carry cholesterol through the blood. Further, they found that there was no evidence that soy isoflavones had been used successfully to treat breast, prostate or endometrium cancer. However, they did believe that soy products in general were healthy and beneficial to cardiovascular health because they have a low saturated fat content, high polyunsaturated fat content, as well as high fiber, vitamins and minerals.

A study out of the California Environmental Protection Agency’s Office of Environmental Health Hazard Assessment in 2008 considered exposure to isoflavones both in early and later adult life in relation to risks of breast cancer. Reporting “conflicting evidence” the researchers concluded that it wouldn’t be safe to accept indisputably that soy can be used to prevent breast cancer.

A US study published in The Journal of Nutrition in late 2010 considered the effects of soy on breast tissue to try and assess whether it is safe or increases the risks of breast cancer. The researchers, led by Leena Hilakivi-Clarke from Georgetown University in Washington, concluded that it is safe, and that women who consume soy early in life have a lower risk of breast cancer. However, they admitted that there were probably other lifestyle factors (including physical activity) that played a positive role. They also warned that soy products can promote breast cancer, so those who have been diagnosed should avoid foodstuffs with any soy content.

The FDA’s current publication on Food and Drugs Regulations discusses health claims relating to soy protein, saturated fat and cholesterol, and the risk of CHD. Updated in April 2015, it states that there is no “degree of risk reduction” of CHD for people on low saturated fat, low cholesterol diets that include soy protein. It also states that a daily intake of 25 g of soy protein is associated with a reduced risk of CHD, but that this is not the only way to reduce the risks of CHD. 

Examples of Soy Milk Specific Research

In a study undertaken in the early 2000s, A Zung and several other Israeli researchers from the Hadassah Medical School in Jerusalem evaluated the “estrogenic effect” of the phytoestrogens in soy-based infant formulas on the breast development of female infants. Their aim was to assess whether soy-based infant formulas are safe or not. Their study, published in the Journal of Pediatric Gastroenterology & Nutrition in 2008, reported that babies who had been fed soy rather than cow’s milk-based formula had more prevalent breast buds during their second year of life. However, they found that the isoflavones in soy did not actually induce breast development, but rather maintained its presence once developed. Ultimately, they supported earlier studies that recommend soy-based formula only be used for medical indications like lactose intolerance, and not to provide a vegetarian diet for infants.

Heather B Patisaul and Wendy Jefferson from the National Institute of Environmental Health Sciences in North Carolina published an article on the pros and cons of phytoestrogens in 2011. In the lengthy document, they concluded that beneficial effects are often overstated, but that potentially harmful effects were “likely underappreciated.” Their greatest concern was infants given soy formulas because this exposes them to estrogen-like compounds, and the fact that “virtually nothing” is known how these might affect their “future reproductive health.”

In 2012, in a letter published in the Indian Journal of Postgraduate Medicine, Professor V Wiwanitkit from Hainan Medical College in Thailand produced proof that the “excessive consumption of soybean milk” can result in hepatitis. The affected patient was a 53-year-old woman who had drunk 2.5 to 3 liters of soybean milk every day for a year.

Writing in the same publication in 2013, S Senthilkumaran from the Department of Emergency and Critical Care Medicine at Sri Gokulam Hospitals and Research Institute and several colleagues from other medical institutions in India stated that soybeans and its derivatives were one of the big eight most allergenic foods. They called on further clinical studies to be undertaken and urged those producing soy milk to warn consumers that too much soy milk can have toxic effects.

While this doesn’t prove that soy milk per se is toxic, it does warn that it can be. 

Sources & Links

  • NTP-CERHR Expert Panel Report on the Reproductive and Developmental Toxicity of Soy Formula Center For The Evaluation Of Risks To Human Reproduction’s National Toxicology Program (NTP), North Carolina, USA, 2006
  • Encyclopedia of Food and Culture Volume 1: Acceptance to Food Politics edited by Solomon H. Katz, Scribner Library of Daily Life, Charles Scribner’s Sons, Thomson Gale, New York 2003
  • Food and Drugs, Chapter 1: Food and Drug Administration Department of Health and Human Services, Subchapter B: Food for Human Consumption Code of Federal Regulations, Revised April 1, 2015 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=101.82
  • Concerns Regarding Soybeans US FDA docket http://www.fda.gov/ohrms/dockets/dockets/04q0151/04Q-0151-EC520-Attach-1.pdf
  • Soy milk toxicity: Cause for concern by V Wiwantikit, Journal of Postgraduate Medicine, Mumbai, India 2012 http://www.jpgmonline.com/article.asp?issn=0022-3859
  • year=2013
  • volume=59
  • issue=3
  • spage=249
  • epage=250
  • aulast=Senthilkumaran
  • Excessive consumption of soybean milk and unexplained hepatitis by S. Senthikumaran, N Elangovan, R G Menezes, P Thirumalaikolundusubramanian, Journal of Postgraduate Medicine, Mumbai, India 2013 http://www.jpgmonline.com/article.asp?issn=0022-3859
  • year=2012
  • volume=58
  • issue=3
  • spage=226
  • epage=227
  • aulast=Wiwanitkit
  • The Science of Soy: What Do We Really Know? http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1480510/
  • Straight talk about soy http://www.hsph.harvard.edu/nutritionsource/2014/02/12/straight-talk-about-soy/
  • Breast Development in the First 2 Years of Life: An Association With Soy-based Infant Formulas http://journals.lww.com/jpgn/Fulltext/2008/02000/Breast_Development_in_the_First_2_Years_of_Life_.11.aspx
  • Soy protein, isoflavones, and cardiovascular health: an American Heart Association Science Advisory for professionals from the Nutrition Committee http://www.ncbi.nlm.nih.gov/pubmed/16418439
  • Early life and adult exposure to isoflavones and breast cancer risk http://www.ncbi.nlm.nih.gov/pubmed/18569328
  • Is Soy Consumption Good or Bad for the Breast? http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2981011/
  • The pros and cons of phytoestrogens http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3074428/
  • Photograph of soy milk courtesy of Mr Wabu/Flickr & Wikimedia Commons https://commons.wikimedia.org/wiki/File:Soymilk_flickr_user_mr_wabu.jpg
  • Photograph of soy beans plant courtesy of WikiHow http://www.wikihow.com/Avoid-Food-Triggered-Seizures
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