Kimbernet, why would she want to skim the cream off before drinking the milk? The vitamins in the cream are necessary to digest the minerals in the skim part. And yes, you'd need to gently shake or stir the milk before pouring in order to mix it in. This doesn't seem like a hassle once you've gotten used to it. I guess as far as the "worthwhile-ness" of that milk goes, I'd also consider whether the cows are grassfed, whether it's very expensive or inconvenient, and whether you'd be supporting the local/natural economy by buying it. Raw milk is radically different and from the right farm, nutritionally superior. I'd say grass fed is next in importance, followed by non-homogenized and organic in I'm not sure what order. Happy milk drinking!