Cannabis use temporarily changed fat and sugar levels in breast milk

After mothers used cannabis, breast milk showed lower lipid levels and altered fatty acid profiles for several hours, with THC levels correlating positively with fat and negatively with lactose.

Castro-Navarro, Irma et al.·Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine·2025·Preliminary EvidenceProspective Cohort
RTHC-06173Prospective CohortPreliminary Evidence2025RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Prospective Cohort
Evidence
Preliminary Evidence
Sample
Not reported

What This Study Found

Cannabis use was associated with temporarily lower lipid and fatty acid concentrations and blunted lactose increase in breast milk; THC levels correlated positively with lipids and negatively with lactose.

Key Numbers

20 cannabis users, 19 controls; lipid and 10 of 39 identified fatty acids were lower after use; no baseline differences between groups; no protein differences at any timepoint.

How They Did This

Within-subjects design with 20 breastfeeding cannabis users matched with 19 non-using controls by BMI and time postpartum; cases abstained 12+ hours, collected baseline milk, used cannabis, then collected samples at multiple timepoints up to 8-12 hours.

Why This Research Matters

Cannabis use among breastfeeding women is increasing, but almost nothing is known about how it affects milk nutritional composition beyond cannabinoid transfer.

The Bigger Picture

This adds a nutritional dimension to the discussion about cannabis and breastfeeding, beyond the known issue of THC transfer to infants.

What This Study Doesn't Tell Us

Small sample (n=39 total); single cannabis use session; did not measure infant outcomes; could not control for cannabis product variation; THC as the measured cannabinoid may not capture full effects.

Questions This Raises

  • ?Do repeated cannabis use sessions produce cumulative effects on milk composition?
  • ?Could these transient changes affect infant nutrition or growth?
  • ?What mechanisms drive the lipid decrease?

Trust & Context

Key Stat:
10 of 39 fatty acids measured were lower in milk after cannabis use
Evidence Grade:
Well-designed matched study with repeated sampling, but small sample size and single-session design limit generalizability.
Study Age:
Published 2025
Original Title:
Short-Term Effects of Maternal Cannabis Use on Human Milk Macronutrient Composition: The Lactation and Cannabis (LAC) Study.
Published In:
Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine (2025)
Database ID:
RTHC-06173

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Enrolls participants and follows them forward in time.

What do these levels mean? →

Frequently Asked Questions

Did cannabis change the nutritional content of breast milk?

Yes, temporarily. Fat and several fatty acids dropped after use, and the normal lactose increase seen in controls was blunted in cannabis users.

Was protein affected?

No. Protein concentrations showed no differences between cannabis users and controls at any timepoint.

Read More on RethinkTHC

Cite This Study

RTHC-06173·https://rethinkthc.com/research/RTHC-06173

APA

Castro-Navarro, Irma; Williams, Janet E; Dussurget, Léa; Richardson, Haley; Berim, Anna; Gang, David R; Holdsworth, Elizabeth A; Caffé, Beatrice; Smith, Caroline; Barbosa-Leiker, Celestina; Brooks, Olivia; McGuire, Mark A; Meehan, Courtney L; McGuire, Michelle K. (2025). Short-Term Effects of Maternal Cannabis Use on Human Milk Macronutrient Composition: The Lactation and Cannabis (LAC) Study.. Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine. https://doi.org/10.1177/15568253251407688

MLA

Castro-Navarro, Irma, et al. "Short-Term Effects of Maternal Cannabis Use on Human Milk Macronutrient Composition: The Lactation and Cannabis (LAC) Study.." Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 2025. https://doi.org/10.1177/15568253251407688

RethinkTHC

RethinkTHC Research Database. "Short-Term Effects of Maternal Cannabis Use on Human Milk Ma..." RTHC-06173. Retrieved from https://rethinkthc.com/research/castro-navarro-2025-shortterm-effects-of-maternal

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.