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Rice milk close-up
A glass of rice milk.

Beverages · Drink

Rice Milk

Oryza sativa (rice drink) · also called Rice drink, rice beverage, leche de arroz

Rice milk is a dairy-free drink made from rice. It is mostly starch and water, with very little protein, and its calcium and vitamin B12 are added by the maker. No trial has tested it for a health benefit. The main caution is arsenic: the NHS and the Food Safety Authority of Ireland advise against rice drinks for young children.

General information, not medical advice. Last substantive update · Not medically reviewed. A named clinician has not signed off on this page. How this page is made

About Rice Milk

Rice milk is a dairy-free drink made from rice. It has very little protein, and any calcium or B12 comes from fortification. It is a drink, not a proven remedy. Official bodies advise against it for young children because of arsenic.

What it is

Rice milk, also called rice drink, is a packaged drink made from rice and water. People use it in place of cow's milk when they avoid dairy. It is a processed food, and how it is made was not read from a source for this page.

USDA data for unsweetened rice milk, per 100 g: 47 kcal, 0.28 g protein, 0.97 g fat, 9.17 g carbohydrate, 5.28 g sugars, 118 mg calcium and 0.63 micrograms of vitamin B12. One cup (240 g) has about 113 kcal, 0.7 g protein, 22 g carbohydrate, 283 mg calcium and 1.5 micrograms of B12.

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What is in it, and what is not

Rice is mostly starch, so the drink gives energy but very little protein or fat. In a New Zealand lab analysis, rice drinks had 0.4 g of protein per 100 g, against 3.3 to 3.6 g in cow's milk. Rice and oat were the only plant drinks with measurable glucose and maltose, and rice products had the most sugar and the most sodium of the plant drinks tested, even without added sugar.

Calcium and B12 are added by the maker and differ by brand. Calcium can also settle: in one rice product, an unshaken pack had 96% less calcium than a well-mixed sample. The USDA item is called unsweetened but lists 5.28 g of sugars per 100 g, which USDA does not explain, so check the label of what you buy.

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What the research shows

No trial of rice milk for a health benefit was found. The evidence is about what the drink contains. The lab analysis concluded that apart from calcium-fortified soy, none of the plant drinks was broadly comparable to cow's milk. That study was funded by a dairy company, though the low protein is also in the USDA table.

A 2026 review found that partly replacing cow's milk with plant drinks went with slightly lower height and BMI in five-year-olds, and described case reports of severe undernutrition with plant drinks as the main drink in the first two years of life. The authors rate the evidence as low quality, and it is not specific to rice.

4 2 3

Drink versus rice and rice formula

This page is about the packaged drink. Whole rice, brown rice and rice-based infant formula are different foods. The Irish authority notes that rice-based infant formula is not legally sold in Europe because it does not meet infants' needs.

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At a glance

Traditional uses history, not proof

  • Used today as a dairy-free milk alternative
  • No traditional medicine use is described in the sources read

Studied for research

  • Nutrient content, high certainty for the amounts (low protein; calcium and B12 only if added)
  • As a nutritional replacement for cow's milk, evidence against
  • Growth in children when plant drinks replace milk, very low certainty and a possible harm
  • Blood sugar, insufficient evidence

Main compounds

  • Starch and sugars (glucose, maltose)
  • Protein (very little)
  • Added calcium and vitamins
  • Inorganic arsenic (a contaminant)

Common forms

  • Unsweetened rice milk (USDA values)
  • Calcium-fortified rice drinks
  • Sweetened, flavoured and brown rice drinks (not read)

Research links: 2022 lab analysis: plant drinks compared with milk · 2021 EFSA: inorganic arsenic in the diet · 2026 review: plant drinks in early life · Research Library · Genes & Biomarkers Library

What it is and its history

Accepted scientific name
Oryza sativa L. (rice), the grain the drink is made from
Naming authority
Rice drink is a processed food; the plant name is given for the grain only
Common names
Rice milk (English); Rice drink (English); Rice beverage (English); Leche de arroz (Spanish); Bebida de arroz (Spanish)
Family or group
Poaceae (grass family); not checked against a database for this page. Rice milk itself is a processed drink.
Classification
Plantae > Poaceae > Oryza > Oryza sativa
Native range
Not verified from a source read.
Habitat
Not verified from a source read.
What it looks like
Roots: Not verified.; Stems: Not verified.; Leaves: Not verified.; Flowers: Not verified.; Fruit: USDA household portion: one cup is 240 g.
Cultivation
Not verified from a source read.
Harvest and processing
How rice drinks are made (milling, enzyme treatment, fortification) was not read from a source. One lab analysis found glucose and maltose in rice drinks, which suggests the starch is partly broken down; this is an inference, not a source statement.
Look-alikes and adulterants
Name: Oat, almond, soy and coconut drinks; Note: Other plant drinks with their own pages; nutrient content differs, and soy drinks have much more protein.; Name: Rice-based infant formula; Note: A different product, regulated separately; not covered here.
Sustainability and conservation
Not assessed.

Photographs

Rice milk close-up
A glass of rice milk.

What is inside, and how it may work

What it contains and how those compounds act in cells and animals. Laboratory and animal mechanisms are not proven effects in people.

Main compounds

CompoundFamilyWhere it is concentratedActivity studiedLevel of evidence
Starch and sugars (glucose, maltose)carbohydrateRice grain
USDA: 9.17 g carbohydrate and 5.28 g sugars per 100 g.
Provide the energy in the drink. Rice products in the lab analysis had the highest total sugar of the plant drinks tested. 7 4Human data
ProteinproteinRice grain
USDA 0.28 g per 100 g; lab 0.4 g per 100 g.
Very low compared with cow's milk (3.3 to 3.6 g per 100 g). 7 4Human data
Added calcium and vitamins (calcium, B12, A, D, riboflavin)fortificationAdded by the maker
USDA per 100 g: calcium 118 mg, vitamin B12 0.63 micrograms, vitamin A 63 micrograms (RAE).
Not natural to rice; present only in fortified products and varies by brand. 7 4Human data
Inorganic arseniccontaminantTaken up by the rice plant from soil and water
EFSA rice drink mean 8.2 to 17.4 micrograms per kg (lower to upper bound).
A contaminant, not a nutrient; the reason for official advice for young children. 1Human data

Mechanisms, receptors and pathways

Target or pathwayGene or receptorWhat was foundLevel
Low protein and fatNot applicableRice grain is mostly starch, which fits the very low protein and fat seen in the USDA table and the lab analysis. This is a plain explanation, not a tested mechanism. 7 4Human data
Colloidal stability (settling)Not applicableIn one rice product, an unshaken pack had 96% less calcium than a well-mixed sample, so added calcium can settle at the bottom. 4Lab

Absorption, metabolism and elimination

Absorption
Not found for rice milk nutrients.
Distribution
Not found.
Metabolism
Not found.
Elimination
Not found.
Bioavailability
Not established for the added calcium in rice milk in people in the sources read.

Isolated compounds versus whole extracts

This page is about the packaged drink. Rice as a whole grain, brown rice, and rice-based infant formula are different foods with their own pages or rules.

Nutritional composition

Nutrition from USDA FoodData Central, 'Beverages, rice milk, unsweetened' (FDC 171942, SR Legacy, April 2018). Values were taken from our saved nutrient summary for rice milk, which records them from that USDA record; the USDA site itself was not re-opened for this page. Per 100 g: 47 kcal, 0.28 g protein, 0.97 g fat, 9.17 g carbohydrate, 5.28 g sugars, 0.3 g fibre, 118 mg calcium, 0.63 micrograms vitamin B12, 0.282 mg manganese, 0.142 mg riboflavin, 63 micrograms vitamin A (RAE) and 39 mg sodium. One typical USDA portion is 1 cup (240 g, the 100 g values multiplied by 2.4): about 113 kcal, 0.7 g protein, 2.3 g fat, 22 g carbohydrate, 12.7 g sugars, 0.7 g fibre, 283 mg calcium, 1.5 micrograms vitamin B12, 0.68 mg manganese, 0.34 mg riboflavin, 151 micrograms vitamin A and 94 mg sodium. The USDA item is called unsweetened, yet it lists added vitamins and calcium and 5.28 g of sugars per 100 g, which USDA does not explain. A lab analysis of rice drinks in New Zealand found 0.4 g protein, 1.0 g fat and about 120 mg calcium per 100 g. Sweetened, flavoured, unfortified and brown rice drinks vary, so check the label.

4benefits and uses looked at
7studies and sources checked
High certaintybest evidence rating found
0lab markers tracked in trials

1 high certainty1 very low certainty1 not enough evidence1 evidence against

What was looked at

The 4 benefits and uses checked for Rice Milk, each with how strong the evidence is. Tap one to open it.

Benefits, one by one

Each card is a research question, not a promise. Tap a goal to filter. Open a card to see the studies, doses and limits.

Nutrient content (low protein, calcium and B12 only if fortified)

High certainty

Rice milk is mostly starch and water. Per cup (240 g), USDA lists about 113 kcal, 0.7 g of protein, 22 g of carbohydrate, 283 mg of calcium and 1.5 micrograms of vitamin B12, but the calcium and B12 are added by the maker and differ by brand.

3 studiesUnsweetened rice milk (USDA item). Sweetened, flavoured, unfortified …

Studies, doses and limits

What the trials found

No trial was read testing rice milk as a source of any nutrient in people. A lab analysis of three rice products found 0.4 g of protein per 100 g, against 3.3 to 3.6 g in cow's milk.

Results

Rice milk gives energy mainly from carbohydrate and has very little protein. Calcium and B12 appear on paper because they are added. Unfortified products have far less, and the amounts vary by brand.

Effect sizes as reported

USDA per 100 g: protein 0.28 g, calcium 118 mg, vitamin B12 0.63 micrograms. Lab (3 rice products): protein 0.4 g, fat 1.0 g, calcium about 120 mg per 100 g.

Why this rating

High that the drink contains roughly these amounts (USDA table plus a lab analysis). Not tested for any health effect.

Form and dose studied

Unsweetened rice milk (USDA item). Sweetened, flavoured, unfortified and brown rice drinks were not read.

Who was studied

General diet.

Limits

Nutrient facts, not trials. The lab analysis is from New Zealand and is funded by a dairy company. Other brands differ.

Why researchers looked

People choose rice milk when they avoid cow's milk, so researchers compare what is in it with what is in milk.

Traditional use

Rice drinks are a modern packaged food. No traditional medicine use is described in the sources read.

Proposed mechanism Nutrient database

These are nutrient amounts in the drink, taken from a USDA table and a lab analysis.

A proposed mechanism does not show that the effect happens in people.

Rice drinks are not advised for children under 5 in the UK or up to 4.5 years in Ireland, because of arsenic. See the Safety tab.

7 4 2

As a replacement for cow's milk (nutrition)

Evidence against

Researchers who compared plant drinks with cow's milk found rice milk is not nutritionally close to it, mainly because it has so little protein.

3 studiesRice drinks on sale in New Zealand; USDA unsweetened item.

Studies, doses and limits

What the trials found

No trial in people comparing rice milk with cow's milk was found. A lab analysis in New Zealand concluded that, apart from calcium-fortified soy, none of the plant drinks tested was broadly comparable to milk.

Results

Rice milk does not match cow's milk for protein or fat. It can match some added nutrients such as calcium when fortified, and shaking the pack matters because calcium can settle.

Effect sizes as reported

Protein 0.4 g per 100 g in rice drink against 3.3 to 3.6 g in milk (lab). In one rice product, an unshaken pack had 96% less calcium than a well-mixed sample.

Why this rating

The evidence is against rice milk being a nutritional equal of cow's milk. Industry funding (a dairy company) is flagged, but the low protein is also in the USDA table.

Form and dose studied

Rice drinks on sale in New Zealand; USDA unsweetened item.

Who was studied

Adults and children in general; not tested in any group.

Limits

A small market snapshot. Rice milk may still suit an adult who gets protein and other nutrients from other foods; no study was read on that.

Why researchers looked

Plant drinks are used by people with milk allergy, lactose intolerance or vegan diets, so reviewers ask whether they match milk.

Proposed mechanism Nutrient database

Rice is mostly starch, so the drink has little protein or fat unless something is added.

A proposed mechanism does not show that the effect happens in people.

Not advised as a milk replacement for young children; see the Safety tab.

4 2 7

Growth in children when plant drinks replace cow's milk

Very low certainty

A 2026 review of observational studies linked partly replacing cow's milk with plant drinks with slightly lower height and BMI in five-year-olds. Rice drinks were not separated out, and the link may not be cause.

1 studiesPlant-based drinks in general.

Studies, doses and limits

What the trials found

The review found lower intake of nutrients typical of cow's milk with exclusive plant drink use, lower height and BMI per cup of plant drink in five-year-olds, and case reports of severe undernutrition (mostly in the first two years of life). It found no long-term studies and no randomised trials.

Results

A small association in observational data, and case reports. The authors say the quality is low and residual confounding makes the risk hard to measure.

Effect sizes as reported

Per cup of plant drink in five-year-olds: height-for-age z-score -0.04 (-0.07 to -0.01); BMI-for-age z-score -0.06 (-0.09 to -0.03); about 0.2 cm and 0.1 kg.

Why this rating

Observational data and case reports with confounding, not specific to rice drinks.

Form and dose studied

Plant-based drinks in general.

Who was studied

Infants, children and adolescents.

Limits

Not rice-specific. This is a possible harm, not a benefit.

Why researchers looked

Parents sometimes give plant drinks to children in place of milk, so reviewers checked growth and nutrition.

Proposed mechanism Hypothesis

Plant drinks usually have less protein and fewer nutrients such as iodine unless they are fortified, which could explain it. Not shown for rice drink.

A proposed mechanism does not show that the effect happens in people.

This is a reason the Safety tab advises against rice drinks for young children.

3

Blood sugar

Not enough evidence

No study of rice milk and blood sugar was found. USDA lists about 22 g of carbohydrate in a cup, and the lab analysis found measurable glucose and maltose in rice drinks.

2 studiesUnsweetened rice milk (USDA).

Studies, doses and limits

What the trials found

No human study was found.

Results

There is nothing to report on blood sugar effects. Only the carbohydrate content is known.

Effect sizes as reported

USDA per cup: about 22 g carbohydrate, 12.7 g sugars (not explained by USDA for an item called unsweetened).

Why this rating

No human study of rice milk and blood sugar was read.

Form and dose studied

Unsweetened rice milk (USDA).

Who was studied

Not studied.

Limits

Nutrient content only. People who count carbohydrate can check the label.

Why researchers looked

People with diabetes ask about carbohydrate in milk alternatives.

Proposed mechanism Laboratory analysis

Not shown. Rice drinks contain starch-derived sugars such as glucose and maltose even when no sugar is added.

A proposed mechanism does not show that the effect happens in people.

Ask a doctor, dietitian or pharmacist about your own diet if you have diabetes.

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Connections to the rest of health

How Rice Milk connects to the rest of our health knowledge graph. Every link says what kind of connection it is. A safety link (for example to the liver) is a warning, not a benefit. A study that merely mentions a topic never creates a benefit link.

Explore every connection: goals, body systems, organs, symptoms, genes

A. Wellness goals

Connected toKind of connectionEvidence statusContextStudies
Preventive Wellness High certainty Nutrient content (low protein, calcium and B12 only if fortified): Rice milk is mostly starch and water. Per cup (240 g), USDA lists about 113 kcal, 0.7 g of protein, 22 g of carbohydrate, 283 mg of calcium and 1.5 micrograms of vitamin B12, but the calcium and B12 are added by the maker and differ by brand. 7 4 2
Preventive Wellness Evidence against As a replacement for cow's milk (nutrition): Researchers who compared plant drinks with cow's milk found rice milk is not nutritionally close to it, mainly because it has so little protein. 4 2 7
Preventive Wellness Very low certainty Growth in children when plant drinks replace cow's milk: A 2026 review of observational studies linked partly replacing cow's milk with plant drinks with slightly lower height and BMI in five-year-olds. Rice drinks were not separated out, and the link may not be cause. 3
Blood Sugar Balance Not enough evidence Blood sugar: No study of rice milk and blood sugar was found. USDA lists about 22 g of carbohydrate in a cup, and the lab analysis found measurable glucose and maltose in rice drinks. 7 4

B. Body systems

Connected toKind of connectionEvidence statusContextStudies
Digestive System Biological association High certainty Studied for: Nutrient content (low protein, calcium and B12 only if fortified) Studied for: As a replacement for cow's milk (nutrition) 7 4 2
Musculoskeletal System Biological association Very low certainty Studied for: Growth in children when plant drinks replace cow's milk 3
Endocrine System Biological association Not enough evidence Studied for: Blood sugar 7 4

E. Health conditions

Connected toKind of connectionEvidence statusContextStudies
Child malnutrition Case reports Case reports of severe undernutrition with exclusive plant drink use in early life; not specific to rice. Case reports of severe undernutrition with plant drinks as the main drink in early life; not specific to rice.
Preparation or compound: Plant drinks replacing milk or formula
3

G. Root causes and contributing factors

Connected toKind of connectionEvidence statusContextStudies
Heavy metal exposure Documented risk Rice drink had the highest inorganic arsenic of the milk and dairy group in EFSA data; official advice is aimed at young children.
Preparation or compound: Inorganic arsenic in rice drinks
1 6

K. Biological pathways

Connected toKind of connectionEvidence statusContextStudies
Calcium Preliminary mechanism Lab Present in fortified rice milk only; it can settle in an unshaken pack. 7 4
Vitamin B12 Preliminary mechanism Lab Added by the maker; USDA lists 0.63 micrograms per 100 g. 7
Inorganic arsenic Preliminary mechanism Human A contaminant taken up by rice; the reason young children are advised against rice drinks. 1

L. Active compounds

Connected toKind of connectionEvidence statusContextStudies
Starch and sugars (glucose, maltose) Biological association Human Provide the energy in the drink. Rice products in the lab analysis had the highest total sugar of the plant drinks tested.
Preparation or compound: Rice grain
7 4
Protein Biological association Human Very low compared with cow's milk (3.3 to 3.6 g per 100 g).
Preparation or compound: Rice grain
7 4
Added calcium and vitamins (calcium, B12, A, D, riboflavin) Biological association Human Not natural to rice; present only in fortified products and varies by brand.
Preparation or compound: Added by the maker
7 4
Inorganic arsenic Biological association Human A contaminant, not a nutrient; the reason for official advice for young children.
Preparation or compound: Taken up by the rice plant from soil and water
1

Each connection is stored with the ingredient, the connected record, the kind of connection, the evidence status, the supporting studies, the preparation or compound involved, and a review date (last reviewed October 26, 2026).

Evidence at a glance: what the research found for 4 outcomes

1High certainty
1Very low certainty
1Not enough evidence
1Evidence against

Each outcome below is one thing researchers measured. Certainty is how far the evidence can be trusted, not how well it works. The full studies are on the next tab.

The evidence

The research centre for Rice Milk. Every record here was checked against PubMed or the publisher's page; we never list a study we have not verified.

Evidence by outcome

Bars show how many studies we found for each outcome, not how well it works. People are added up across trials only (reviews are not added, to avoid double counting).

How we rate evidence

High certainty

Several well-run trials or reviews agree; further research is unlikely to change the picture much.

Moderate certainty

Good trials point the same way, but some doubt remains.

Low certainty

Small, short or inconsistent trials. The finding could change with better research.

Very low certainty

Very little or very weak human data. Treat as a possibility only.

Mixed findings

Trials or reviews disagree with each other.

Not enough evidence

Not enough human research to say either way.

Evidence against

Good research found no benefit, or found harm.

We take the reviewers' own risk-of-bias and GRADE statements where they exist, and otherwise judge from study size, design, consistency, directness and whether a product matches what is sold. Many publications do not make evidence high. Method note: We started from our existing rice milk summary, read the PubMed abstracts of two reviews, the full text of a lab analysis and the EFSA arsenic report (first part), and the Irish FSAI and UK NHS pages. USDA values come from our saved summary of the USDA record. Items we could not verify are flagged in the research gaps.

Study library: every study we checked 7
StudyDesignPeopleProduct, dose, lengthResult
European Food Safety Authority (EFSA) 2021
Chronic dietary exposure to inorganic arsenic.
EFSA J · PMID 33537067 · DOI
Exposure assessment
Dietary surveys from 23 European countries (44 surveys, 87,945 people) and 5,985 food and 7,623 water samples collected across Europe in 2013 to 2018 Inorganic arsenic in the whole diet, including 43 rice drink samples
Rice drink samples (43)
Exposure was highest in infants, toddlers and other children. Among milk and dairy products, rice drink was the group with the highest inorganic arsenic level, with mean levels of 8.2 to 17.4 micrograms per kg (lower to upper bound). Across the whole diet, the main contributors were rice, rice-based products, grain products without rice and drinking water. At the 95th percentile, the highest estimates for infants, toddlers and other children fell within the range of EFSA's earlier benchmark dose values.
Mean exposure (lower bound) in toddlers 0.30 micrograms per kg body weight a day; 95th percentile (lower to upper bound) 0.58 in toddlers and 1.20 in infants (Benchmark dose lower limit range 0.3 to 8 micrograms per kg body weight a day (EFSA 2009))
Methods, limits and funding

Outcomes: Estimated dietary exposure to inorganic arsenic by age group

Limitations: A modelled estimate for the whole diet, not for rice drink alone. Many samples were below detection, so lower and upper bound estimates differ by two to three times. Only the first part of the long report was read in detail.

Funding and conflicts: EFSA is an independent EU agency.

Read: full-text (in part)

Fructuoso 2021
An Overview on Nutritional Aspects of Plant-Based Beverages Used as Substitutes for Cow's Milk.
Nutrients · PMID 34444815 · DOI
Narrative review
n/a
122 plant-based beverages of 22 different matrices described in published studies Plant-based beverages used in place of cow's milk
Plant drinks
Nutrient amounts varied very widely between products: energy 6 to 183 kcal per 100 mL, protein 0.06 to 12.43 g per 100 mL and calcium 0 to 1252.94 mg per 100 mL. Some drinks reached certain cow's milk nutrient amounts, but the authors say the qualities differ and care is needed when replacing milk with them.
Ranges only, not rice-specific (Not applicable)
Methods, limits and funding

Outcomes: Energy, macronutrients, fibre and some minerals as reported in the studies

Limitations: A literature review of product analyses, not a health trial. The abstract does not give rice drink figures.

Funding and conflicts: The authors declare no conflict of interest.

Read: abstract

Schlune 2026
Plant-Based Drinks as an Alternative to Cow's Milk in Early Life: Health Effects in Infancy, Childhood, and Adolescence.
Dtsch Arztebl Int · PMID 41562594 · DOI
Narrative review
Infants, children and adolescents in cross-sectional and cohort studies and case reports Plant-based milk alternatives in general (rice drinks are not reported separately in the abstract)
Plant drinks Per cup of plant drink in five-year-olds · vs Cow's milk
Intake of nutrients typical of cow's milk, such as iodine, was lower with exclusive plant drink use. Even partly replacing cow's milk with plant drinks went with lower height and BMI in five-year-olds. Case reports describe severe undernutrition with exclusive or mainly plant drink use, mostly in the first two years of life. No long-term studies and no randomised trials were found.
Height-for-age z-score -0.04 per cup of plant drink; BMI-for-age z-score -0.06 per cup, about 0.2 cm in height and 0.1 kg in weight (Height z-score -0.07 to -0.01; BMI z-score -0.09 to -0.03)
Methods, limits and funding

Outcomes: Nutrient intake, linear growth, body-mass index, severe undernutrition

Limitations: Observational data of low quality with residual confounding, so the risk is hard to quantify. The case reports have limited value. The abstract does not separate rice drinks from other plant drinks.

Funding and conflicts: The authors declare no conflict of interest.

Read: abstract

Smith 2022
Nutritional assessment of plant-based beverages in comparison to bovine milk.
Front Nutr · PMID 36003838 · DOI
Laboratory analysis
n/a
Plant drinks and milk on sale in New Zealand: a label survey (7 rice products) and lab analysis of selected products (3 rice products) Almond, coconut, oat, rice and soy drinks compared with cow's milk
Rice drink (3 products analysed)
Rice drinks had the lowest protein of the drinks tested: 0.4 g per 100 g in the lab (milk 3.3 to 3.6 g) and 1.0 g fat per 100 g (milk 3.3 g). Rice and oat were the only plant drinks with measurable glucose and maltose, and rice products had the highest total sugar and the highest sodium. In one representative rice product, an unshaken pack had 96% less calcium than a well-mixed sample. The authors conclude that apart from calcium-fortified soy, none of the plant drinks was broadly comparable to milk.
Rice protein 0.4 +/- 0.07 g per 100 g; fat 1 +/- 0.17 g per 100 g; calcium about 0.12 +/- 0.03 g per 100 g (lab, 3 products) (Mean +/- standard deviation)
Methods, limits and funding

Outcomes: Protein, fat, sugars, minerals, amino acids, and protein and calcium in shaken versus unshaken packs

Limitations: A New Zealand market snapshot of a few products; only one rice product was tested for shaken versus unshaken calcium. Products differ by country and brand.

Funding and conflicts: Funded by Fonterra Cooperative Ltd. (a dairy company) and the International Dairy Federation New Zealand branch; two authors work for Fonterra. Read as industry-funded.

Read: full-text

s-fsai-2022
Food Safety Authority of Ireland: Warning Against Using Rice Milk for Infants and Young Children (10 March 2022)
· Source
Health agency
n/a

Methods, limits and funding

Read: full-text

s-nhs-rice-drinks
NHS: Drinks and cups for babies and young children (rice drinks)
· Source
Health agency
n/a

Methods, limits and funding

Read: full-text

s-usda-fdc-171942
USDA FoodData Central: Beverages, rice milk, unsweetened (FDC 171942, SR Legacy, April 2018)
· Source
Reference database
n/a

Methods, limits and funding

Read: summary-only

What we do not know yet

  • No trial of rice milk for any health outcome was found.
  • Sweetened, flavoured, unfortified, brown rice and homemade rice drinks were not researched.
  • No source was read on pregnancy, breastfeeding or adults and arsenic from rice milk.
  • US advice (FDA, CDC) on rice milk was not verified, and the USDA values come from a saved summary.
  • Most nutrient comparison rests on one dairy-industry-funded lab analysis.

How new research is added

New studies are found by a saved PubMed search and placed in a review queue before the page changes.

Lab markers

What changed in blood or saliva tests during trials. A changed number is not the same as feeling or being healthier, and we give no "normal ranges".

Safety

What studies and official sources say about side effects, medicines and who should check first. Each point shows what kind of evidence it comes from.

Main points to know 2
  • Not advised for babies and young children (arsenic). The NHS says children under 5 should not have rice drinks in place of breast milk, infant formula or cow's milk, because they may contain too much arsenic. The Food Safety Authority of Ireland (2022) says infants and young children up to 4.5 years should not have rice milk in place of those drinks. Rice takes up more arsenic than other grains, and in EFSA's European data rice drink had the highest inorganic arsenic level of any milk or dairy product group. The risk is long-term and estimated, not sudden poisoning, and the NHS says a child who has already had rice drinks is at no immediate risk but should switch. Authoritative guidance 6 5 1
  • Little protein: not a stand-in for milk in early life. A 2026 review of observational studies and case reports links replacing cow's milk with plant drinks in early life with lower growth and, in rare case reports, severe undernutrition. It is not specific to rice, and the evidence is low quality. Observational 3 4
Side effects 2
EffectHow oftenSeverity and recoveryEvidence
Possible poor growth or undernutrition if rice drink replaces milk or formula in young children
Plant drinks in general, not rice drinks alone.
Per cup of plant drink in five-year-olds: height-for-age z-score -0.04 (-0.07 to -0.01). Case reports mostly in the first two years of life; no frequency found.can be severe in infants (case reports of undernutrition)
Not described in the abstract read.
Observational 3
Long-term arsenic exposure from rice products (estimated risk, not acute poisoning)
Whole diet, not rice drink alone. Most official advice is aimed at young children.
EFSA mean exposure (lower bound) in toddlers 0.30 micrograms per kg body weight a day, whole diet. At the 95th percentile, estimates for infants, toddlers and other children were within EFSA's earlier benchmark range.No illness was shown from rice drinks in the sources read; this is a precaution.
Not applicable.
Exposure estimate 1
Liver

No liver injury from rice milk was found in the sources read. Liver safety was not searched in a dedicated source.

How often. No frequency was found.

Monitoring. No agency monitoring advice was found.

This is a safety connection. It is not evidence that Rice Milk supports liver health.

Medicines and supplements 1
WithWhy it mattersImportanceEvidenceWhat to do
Medicines in general
prescription
No medicine interaction with rice milk was found in the sources read. This is an absence of information, not proof of safety.No evidence found Not enough evidence 4Ask your doctor or pharmacist if you have a question about your own medicines.
Who should check first 3
SituationAdviceEvidence
Infants and children under 5 (UK) or up to 4.5 years (Ireland), as a substitute for milk or formulaOfficial bodies advise against rice drinks for this group because of arsenic. Ask your health visitor, doctor or dietitian about suitable milk alternatives, especially if the child has a milk allergy.Authoritative guidance 6 5
Pregnancy or breastfeedingNo pregnancy or breastfeeding advice about rice drinks was read. Ask your midwife, doctor or dietitian about your own diet.No evidence found
People who rely on milk alternatives for most of their protein and calciumRice milk has very little protein, and calcium depends on fortification and on shaking the pack. Check the label and ask a dietitian if rice milk is a main drink in your diet.Laboratory analysis 4 7
Overdose, product quality and regulators

Summary. Rice milk as an ordinary drink is not described as acutely toxic in the sources read. The concern raised by official bodies is long-term inorganic arsenic exposure in young children.

Animal. Not reviewed.

High dose or long term signals. EFSA estimated that high-end exposure in infants, toddlers and other children from the whole diet reached its earlier benchmark range; rice products are a main contributor.

Overdose response. Not found.

Genotoxicity. Not researched.

Rice takes up arsenic from soil and water. The EFSA data included 43 rice drink samples with mean inorganic arsenic of 8.2 to 17.4 micrograms per kg (lower to upper bound), the highest in the milk and dairy group. Other contaminants (cadmium, mould, pesticides) and the effect of brown versus white rice were not researched.

Inorganic arsenic. Rice drink had the highest inorganic arsenic among milk and dairy products in European data collected 2013 to 2018. The NHS notes the UK sets maximum levels for inorganic arsenic in rice and rice products, with stricter levels for foods for young children. 1 6

Calcium settles in the pack. In one representative rice product, an unshaken pack had 96% less calcium than a well-mixed sample. 4

BodyActionDate
Food Safety Authority of Ireland (Ireland)Infants and young children up to 4.5 years old should not consume rice milk as a substitute for cows' milk, breast milk or infant formula (inorganic arsenic). source2022-03-10
NHS (United Kingdom)Children under 5 years old should not have rice drinks as a substitute for breast milk, infant formula or cows' milk because they may contain too much arsenic. Calcium-fortified unsweetened soya, oat or almond drinks can be given from age 1. source2022-10-05
European Food Safety Authority (European Union)Scientific opinion on chronic dietary exposure to inorganic arsenic: exposure highest in infants, toddlers and other children; rice drink was the highest milk and dairy group for inorganic arsenic. source2021-01
When to get medical help
  • Rice drink given to a baby or young child as their main milk, with poor feeding, poor weight gain or weakness: see a doctor or health visitor
  • Trouble breathing, swelling of the face or throat or widespread hives after any food: call 911 or your local emergency number

Stop using the product and contact a clinician or emergency service. In the US, Poison Control is 1-800-222-1222.

General information only, not medical advice. Ask a clinician or pharmacist before use, especially with medicines, in pregnancy or with a health condition. See the Natural Remedy Safety guide.

Frequently asked questions

What is rice milk?

Rice milk, or rice drink, is a dairy-free drink made from rice and water. It is mostly starch and water, with very little protein.

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Is rice milk as nutritious as cow's milk?

No. In a New Zealand lab analysis, rice drinks had 0.4 g of protein per 100 g against 3.3 to 3.6 g in cow's milk. The authors, who work partly for a dairy company, found none of the plant drinks except fortified soy broadly comparable to milk.

4

Does rice milk have calcium and vitamin B12?

Only if the maker adds them. USDA lists 283 mg of calcium and 1.5 micrograms of B12 in a cup of one fortified item. Unfortified products have far less, and brands differ, so read the label.

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Should I shake rice milk before pouring?

A lab analysis found an unshaken rice pack had 96% less calcium than a well-mixed sample, in one representative product. So shaking the pack matters if you use it for added calcium.

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Is rice milk safe for babies and young children?

Official bodies advise against it. The NHS says children under 5 should not have rice drinks in place of breast milk, formula or cow's milk, and Ireland says up to 4.5 years, because of arsenic. Ask a health visitor or doctor about suitable alternatives.

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Why does rice milk have arsenic?

Rice plants take up more arsenic from soil and water than other grains do. In European data, rice drink had the highest inorganic arsenic level of the milk and dairy group.

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My child has already had rice drinks. Should I worry?

The NHS says there is no immediate risk, but it is best to switch to a different kind of milk. The concern is long-term exposure. Talk to your health visitor or doctor if you are unsure.

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Can rice milk affect a child's growth?

A 2026 review of observational studies linked partly replacing cow's milk with plant drinks with slightly lower height and BMI at age five, and described rare case reports of undernutrition. It was not specific to rice and cannot prove cause.

3

Does rice milk affect blood sugar?

No study of rice milk and blood sugar was found. USDA lists about 22 g of carbohydrate per cup. If you have diabetes, ask your doctor or dietitian about your own diet.

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Is rice milk free of added sugar?

Not always. USDA calls its item unsweetened yet lists 5.28 g of sugars per 100 g, which it does not explain. A lab analysis found glucose and maltose in rice drinks, probably from the starch. Sweetened versions were not read, so check the label.

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Is rice milk safe in pregnancy or for adults?

No pregnancy advice or adult advice about rice milk was found in the sources read. The official warnings are for young children. Ask your midwife, doctor or dietitian about your own diet.

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Is there any proof rice milk has health benefits?

No. No trial of rice milk for a health benefit was found. What is known is the nutrient content, the comparison with milk, and the arsenic caution.

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Editorial transparency
Written by
AlternativeMed editorial team. Research compiled with AI assistance, then checked against the sources listed.
Medical review
None. This page has not been reviewed by a physician or pharmacist.
First published
2026-10-26
Last substantive update
2026-10-26
How we research
We started from our existing rice milk summary, read the PubMed abstracts of two reviews, the full text of a lab analysis and the EFSA arsenic report (first part), and the Irish FSAI and UK NHS pages. USDA values come from our saved summary of the USDA record. Items we could not verify are flagged in the research gaps.
How we rate evidence
See "How we rate evidence" in the Evidence tab.
Independence
No product is promoted on this page. No affiliate links are shown. The lab analysis cited was funded by a dairy company (Fonterra); this is stated where it is used.
Sources 7

Each source was opened and checked. Where we read only the abstract, it says so. The small numbers in the text point here.

  1. European Food Safety Authority (EFSA), Arcella D, Cascio C, Gomez Ruiz JA. Chronic dietary exposure to inorganic arsenic.. EFSA J. 2021. PMID 33537067. DOI 10.2903/j.efsa.2021.6380. (full-text (in part))
  2. Fructuoso I, Romão B, Han H, Raposo A, et al.. An Overview on Nutritional Aspects of Plant-Based Beverages Used as Substitutes for Cow's Milk.. Nutrients. 2021. PMID 34444815. DOI 10.3390/nu13082650. (abstract)
  3. Schlune A, Nebelung N, Schidelko LP, Brettschneider AK, et al.. Plant-Based Drinks as an Alternative to Cow's Milk in Early Life: Health Effects in Infancy, Childhood, and Adolescence.. Dtsch Arztebl Int. 2026. PMID 41562594. DOI 10.3238/arztebl.m2025.0223. (abstract)
  4. Smith NW, Dave AC, Hill JP, McNabb WC. Nutritional assessment of plant-based beverages in comparison to bovine milk.. Front Nutr. 2022. PMID 36003838. DOI 10.3389/fnut.2022.957486. (full-text)
  5. . Food Safety Authority of Ireland: Warning Against Using Rice Milk for Infants and Young Children (10 March 2022). . . (full-text)
  6. . NHS: Drinks and cups for babies and young children (rice drinks). . . (full-text)
  7. . USDA FoodData Central: Beverages, rice milk, unsweetened (FDC 171942, SR Legacy, April 2018). . . (summary-only)
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.