More than 37 million North Americans
Lactose intolerance, the inability to digest milk sugar, is very common Lactose is the natural sugar
found in milk and milk products If you don’t have enough enzymes to break down the lactose in the
food you eat, you will experience a variety of unpleasant symptoms such as gas, bloating, diarrhea,
and cramps
Lactose intolerance should not be confused with milk allergy, which is hypersensitivity to the
proteins in dairy products If you are allergic to milk, consuming a lactose-reduced product will not
prevent a reaction
Nutrition Connection
You can control symptoms of lactose intolerance by choosing a diet that limits dairy products Here
are general guidelines:
Read labels carefully Lactose is found in dairy products, including milk, yogurt, and cheese Such
dairy products can be an ingredient or component of various food products such as cookies, breads,
processed meats, hot dogs, some artificial sweeteners, and even some medications When reading
labels, look for milk, milk solids, cream, whey, cheese flavors, curds, and nonfat milk powder
Eat lactose-reduced products For people with more severe intolerance who still want dairy
products, grocery stores sell lactose-free dairy products
70% of people of African and Asian descent are partly or entirely
lactose intolerant after 4 years of age
Stick to low-lactose foods Most lactose-intolerant people can consume cultured dairy products
such as yogurt because the bacteria used in fermentation use up most of the lactose for fuel Others
include hard cheeses, such as cheddar, edam, and gouda
Try slowly adding milk to your diet Most lactose-intolerant people can consume some milk
without much discomfort Try ¼ cup of milk and gradually increase the amount You’ll find, in time,
your tolerance will increase Additionally, drink milk with meals, never on an empty stomach
Get calcium from other sources If you are very intolerant, other calcium-rich foods include
broccoli, fortified and enriched breads and juices, canned salmon, pinto beans, rhubarb, and spinach
Eat foods rich in vitamin D Since D is also needed for strong bones, eat eggs, salmon, and yogurt
if you can’t consume foods rich in calcium, since both nutrients are needed for strong bones Talk to
your doctor about adding a supplement
Beyond the Diet
Although there is no cure for lactose intolerance, there are ways you can still enjoy dairy products
without suffering the symptoms Here are some recommendations:
Take enzymes Pharmacies carry enzyme drops that can be added to milk and enzyme tablets that
can be taken before eating dishes containing dairy products, to help your body break down lactose
Consider probiotics Probiotics are living organisms found in foods such as yogurt and kefir You
can also look for probiotics in supplement form
Avoid lactose filler If you’re severely lactose intolerant, avoid medications containing a lactose
filler Ask your doctor if substitute drugs are available