Lactose intolerance or a milk allergy can prompt the use of milk substitutes; they are also consumed by vegans. Some milk substitutes may be considered healthier than milk as they are either lower in or free from cholesterol and/or saturated fats.

Rice milk is a healthy alternative or option to dairy for anyone looking to reduce their intake of cholesterol.

Many commercially available milk substitutes are lacking in vitamins or dietary minerals present in milk (such as Vitamin B12 or calcium), and are fortified.

The two most common categories of milk substitutes are grain milk and plant milk. The most common grain milk is rice milk, while the most common plant milk is soy milk. Other examples include coconut milk, almond milk, and peanut milk.

'Horchata' is an old-world rice milk beverage that was at one time enjoyed by the Aztecs when the Spanish brought rice to the New World in the 17th century.

Today, this 'agua fresca' is served throughout Mexico as well as in many authentic Mexican restaurants in the United States. Horchata is a cool and soothing enhancement to spicy food. Though horchata was once typically homemade, it is now available in both ready-to-drink (shelf-stable or refrigerated) and powdered form in many grocery stores.

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