No one can even agree on milk anymore. What is it? Where does it come from? Must it be lactated?This seemingly existential debate is now pitting the dairy industry against the makers of what are known as “alternative milks” and neighborhood baristas. It was set off most recently by the commissioner of the Food and Drug Administration, Dr. Scott Gottlieb, when he made a surprising remark in July at a panel discussion in Washington. “An almond,” he said casually at the end of the event, “doesn’t lactate.”With his comment, Dr. Gottlieb plunged into the tensions over alternative milks — the plant-based beverages made from macadamias, almonds, quinoa, peas, rice, coconut, oats, soy, walnuts or cashews. A growing number of Americans are embracing these milks, made through maceration and sometimes fermentation, at their neighborhood coffee shops and at home.