Donkey milk research · Study 188

Donkey milk in cow’s milk allergy: 19 of 46 reacted in testing

In a Spanish allergy department, 46 people with severe cow’s milk allergy agreed to be tested with donkey milk under supervision; 19 of them reacted positively. Of 13 people with eosinophilic oesophagitis who were tested, 6 reacted, while the others tolerated 100 mL without reaction. In Western blot, the allergen profile of donkey milk resembled that of cow milk but was weaker.

Important: A preprint that has not been peer-reviewed, assessed based on the abstract. Donkey milk is not a safe substitute in cow’s milk allergy: in this study, 19 of 46 people tested reacted. Whether and how a challenge with donkey milk takes place belongs exclusively in the hands of allergy specialists. Donkey milk is not a substitute for breast milk or infant formula; infant feeding belongs in medical hands.

At a glance · swipe or use the arrows

The key figures

2032patients with food hypersensitivity in one year
83with severe symptoms after cow milk (4%)
47with IgE to casein
42with IgE to β-lactoglobulin
46agreed to a challenge with donkey milk
19positive challenges in this group
67patients with eosinophilic oesophagitis
6 of 13positive challenges in eosinophilic oesophagitis
100 mLdonkey milk tolerated without reaction by the others tested
−72 °Cstorage of the donkey milk samples from Zamora

Study design

How it was studied

Clinical observational study by an allergy department in Spain, published as a preprint (not peer-reviewed). Over one year, patients with food hypersensitivity were recorded. Donkey milk came from Zamora (Spain) and was frozen at −72 °C. After informed consent, in vivo tests (prick-to-prick skin test, oral challenge) and laboratory tests (specific IgE, SDS-PAGE, Western blot, molecular analysis) were carried out in four groups: severe cow’s milk allergy, eosinophilic oesophagitis and two control groups (healthy people and people with grass pollen allergy without digestive symptoms). Assessed based on the abstract; age, challenge protocol, blinding, type of reactions and the size of the control groups are not stated there.

Human study
Study typeClinical observational study (preprint)CountrySpainYear2023JournalPreprint

Results

What the study measured

01

Of 2032 patients with food hypersensitivity, 83 (4%) had severe symptoms after cow milk. 46 had IgE to a fraction referred to in the abstract as “alpha-lactoglobulin”, 42 to β-lactoglobulin and 47 to casein.

02

46 of these people agreed to a challenge with donkey milk; it was positive in 19.

03

Of 67 people with eosinophilic oesophagitis, 13 were challenged with donkey milk and 6 reacted positively.

04

According to the abstract, the others tested tolerated 100 mL of donkey milk without reaction.

05

In Western blot, donkey milk showed an allergen profile similar to cow milk in all patients analysed, but with clearly lower intensity.

Authors’ conclusion: The authors found lower IgE-mediated hypersensitivity to donkey milk than to cow milk and, given its accessibility, consider donkey milk a “feasible alternative”. We do not adopt this assessment: 19 of 46 people tested with severe cow’s milk allergy also reacted to donkey milk, and the allergen profile resembled that of cow milk. Whether an individual tolerates donkey milk can only be clarified medically.

Critical appraisal

Strengths and limitations

Preprint without peer reviewClear limitation

The paper was published as a preprint and has not been peer-reviewed. Results may still change before formal publication.

Many reactions to donkey milkClear limitation

19 of 46 people tested with severe cow’s milk allergy and 6 of 13 with eosinophilic oesophagitis reacted positively. The Western blot profile points to cross-reactions.

Selection and missing detailsNote

Only people who consented were tested. The abstract does not state age, challenge protocol, blinding or type of reactions; whether children were included is unclear.

Only the abstract assessedNote

Results of the control groups and skin tests are unknown without the full text. The term “alpha-lactoglobulin” in the abstract is unclear.

Real patient data with several methodsStrength

The study combines oral challenge under clinical conditions with skin tests, IgE measurement and Western blot, and includes control groups.

clear limitationnotestrength

Editorial note: Above all, the data show one thing: a considerable proportion of people with severe cow’s milk allergy also reacted to donkey milk in this test. Donkey milk is therefore not a substitute to try out on one’s own in cow’s milk allergy. In the case of an allergy, any change in diet belongs in medical hands. To the research archive.

Research question for DON DONKEY’S®

Can protein analysis reliably rule out traces of cow milk in every batch of our donkey milk – for example from shared equipment on partner farms?

Clinical observationCow’s milk allergyPreprint

Original publication

Donkey milk as a possible alternative for cow's milk allergic patients

Original title: Donkey milk as a possible alternative for cow's milk allergic patients

Armentia A., Martin B., Galán T., Castro M., Albertos I., Jiménez J. M., Corell A., Martin-Armentia S., Pineda F.
Preprint · 2023 · Preprint, Version 1

Allergy department in Spain (according to the abstract); institution and affiliations not stated in the metadata

DOI: 10.22541/au.168136203.35094462/v1

Transparency: preprint without peer review. Funding and conflicts of interest could not be checked from the abstract. No product-related statement for DON DONKEY’S®.

Summarised and checked by the DON DONKEY’S editorial team against the original publication · As of: November 2026

End of the study summary
Note on our products

The study summarised above was carried out independently of DON DONKEY’S® and does not relate to our products. It serves solely to inform about the state of research.

DON DONKEY’S® donkey milk and donkey milk powder are foods. They are not intended to prevent, treat or cure any disease and do not replace medical advice.

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DON DONKEY’S® donkey milk

100 % donkey milk · raw milk, frozen

On this page we report the findings of a published study. Independently of that, you will find our donkey milk here: 100 % donkey milk, frozen as raw milk.

Transparency: The study examined milk from another herd – not the milk from our partner farms.
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Donkey Milk Powder

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Donkey Milk Powder

Donkey milk in powder form

For anyone who prefers a longer shelf life: our donkey milk in powder form – easy to store and portion.

Transparency: The study did not examine our donkey milk powder.
€24,90

20g · Unit price: €1.245,00 / 1 kg · incl. VAT, plus shipping

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