Chronic exposure to lead (Pb) in livestock grazing in abandoned mining areas affects animal welfare and productivity, as well as represents a significant food safety risk. Here, we evaluate the physiological effects of Pb exposure in goats maintained under extensive farming conditions in a non-remediated mining area. We monitored blood, fecal, and milk Pb levels in two groups of goats, pregnant (n=17) and lactating (n=24), kept in different enclosures with high soil Pb concentrations (geometric means of 270 and 143 μg/g, respectively) in Sierra Madrona mining district (Spain). We also studied the influence of Pb exposure on the ability to mount a cellular immune response, and on oxidative stress and biochemical biomarkers measured in blood. Blood Pb concentration was higher in pregnant than in lactating goats, but this difference was not observed in fecal Pb concentration. Pb levels in feces and milk concentrations were correlated with those measured in blood, with 11% of milk samples showing Pb concentrations above the maximum level (ML) for Pb in raw milk established by the EU (0.02 μg/g wet weight). Animals with increased blood Pb levels showed reduced concentrations of retinol in plasma, but these Pb levels did not affect the cellular immune response. The stimulation of the cellular immune response in lactating goats was associated with an increase in blood Pb and calcium (Ca) levels. The reproductive status and age of goats significantly affected several oxidative stress, antioxidants and plasma biochemistry variables. Goats grazing on soils contaminated by past Pb mining activities may be susceptible to detrimental health effects mediated by retinol deficiency. In view of the detected transfer of Pb through milk, special attention should be paid to the food safety of derived products (i.e. cheese).