Introduction:A 20-year-old young man developed a rare milky, layered appearance in his blood—medically known as "chylomicronemia" or "milky blood"—due to long-term consumption of sugary drinks such as milk tea and cola instead of plain water. This case sheds light on the potential health hazards of high-sugar, high-fat beverages, especially among younger populations. This article delves into the causes of chylomicronemia, the calorie traps in milk tea, and provides expert-recommended dietary adjustments and preventive strategies.
Recently, a 20-year-old male in Shandong sought medical attention, and healthcare workers were surprised to find a significant abnormality in his blood sample—the normally dark red plasma had a thick, milky, oily substance floating on top, creating a peculiar layered phenomenon. It was confirmed to be a typical case of"milky blood", where the blood plasma appears cloudy due to the suspension of large amounts of fat particles.
Tracing the cause revealed that the patient had long maintained poor drinking habits: whenever thirsty, he would opt for milk tea, carbonated drinks, or flavored teas, and almost never consumed plain water. This dietary pattern led to an additional daily intake of over 1,500 calories, equivalent to2–3 timesthe normal requirement.

Specialist doctors explained that the so-called "milk blood" is professionally termedchylomicronemia, which occurs when the triglyceride concentration in the blood exceeds 1,000 mg/dL, resulting in this distinctive visual characteristic. Normal plasma should be clear and pale yellow, but the patient’s blood lipid test results showed an astonishing level of15 times the upper limit of normal.
The nutritional composition of commonly sold milk tea is worth noting: on average, 100 milliliters contains 160–230 calories, equivalent to the calories in half a bowl of white rice. For a large 500-milliliter cup, a single serving of milk tea provides800–1,150 calories, far exceeding the recommended single-meal intake for most adults.
Clinical data shows that long-term consumption of high-sugar drinks leads to multiple health risks, including insulin resistance (pre-diabetes), non-alcoholic fatty liver disease, and most directly, changes in blood rheology. When the concentration of free fatty acids in the blood is too high, it accelerates damage to vascular endothelial cells, thereby inducing the formation of atherosclerotic plaques.
Notably, such cases are on the rise among teenagers. Medical institution statistics show that among 18–25-year-old patients who visit clinics due to substituting drinks for water, about12%-15%exhibit varying degrees of abnormal blood lipids, with severe cases even requiring plasma exchange therapy.
Nutrition experts recommend the following preventive measures:
• Maintain daily water intake at or above the calculated value of body weight (kg) × 30 ml
• Limit the frequency of sugary drink consumption to no more than 1–2 times per week
• Even when choosing sugar-free tea drinks, still pay attention to total caffeine intake
• Increase dietary fiber intake (recommended 25–30 grams per day), with options such as oats and chia seeds
Exercise is equally crucial; it is recommended to engage in at least 150 minutes of moderate-intensity aerobic exercise (such as brisk walking or swimming) per week, which can effectively raise high-density lipoprotein (HDL, commonly known as "good cholesterol") levels and help remove excess low-density lipoprotein (LDL) from the blood vessels.
The above content is compiled by CoffeeHunters, a coffee news website.