
Lactase is an enzyme in the gut that is needed to break down lactose, a sugar found in dairy products. Many adults experience lactose intolerance due to a decrease in lactase levels after childhood, which can cause symptoms like nausea, bloating, and diarrhea. While some people may choose to avoid dairy altogether, others can manage their symptoms by gradually introducing small amounts of dairy into their diet. This process trains intestinal bacteria to aid lactose digestion. Additionally, consuming dairy with other foods, choosing low-lactose options, and using lactase supplements or drops can help individuals with lactose intolerance include dairy in their diet.
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Eat dairy with other foods
If you are lactose intolerant, you may still be able to consume dairy products in moderation and alongside other foods. Lactose intolerance occurs when your small intestine does not produce enough of the enzyme lactase, which is required to digest lactose, a sugar found in milk and milk products.
How to Eat Dairy with Other Foods
Firstly, it is important to understand that not all dairy products contain the same amount of lactose. For example, hard cheeses, such as Swiss or cheddar, have small amounts of lactose and generally do not cause symptoms of lactose intolerance. Similarly, yogurt is often tolerated by lactose-intolerant people due to the bacteria used in the culturing process, which naturally produces the enzyme that breaks down lactose. Greek yogurts, in particular, are well tolerated due to their low lactose and higher protein content.
Other dairy products with low lactose content include kefir, skyr, heavy cream, and butter, which only contains trace amounts of lactose. By consuming these dairy products with other foods, you may be able to manage your lactose intolerance and avoid symptoms such as bloating, diarrhea, and gas.
Tips for Eating Dairy with Other Foods
- Start slowly by adding small amounts of dairy to your meals and gradually increasing the amount over time.
- Choose low-lactose dairy options, such as hard cheeses, yogurt, or lactose-reduced milk.
- Experiment with different dairy products to find those that cause fewer symptoms.
- Consume dairy with other foods to slow the digestive process and lessen symptoms.
- Include sources of vitamin D, such as eggs, salmon, or vitamin D-fortified foods, to enhance calcium absorption.
- Consider combining dairy with non-dairy sources of calcium, such as fish with soft bones (e.g., canned salmon or sardines).
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Gradually introduce dairy into your diet
If you're lactose intolerant, you may still be able to enjoy dairy products by gradually introducing them into your diet. This process can help train your intestinal bacteria to aid in lactose digestion, reducing symptoms of lactose intolerance. Here are some tips to help you gradually add dairy to your diet:
Start with small amounts: Begin with a small portion of dairy, such as a ¼ cup of milk with meals. After a few days, you can gradually increase the amount, working your way up to a ½ cup, and eventually a full cup. It's important not to rush this process, as your body needs time to adjust.
Combine with other foods: When reintroducing dairy, it's best to combine it with other foods. Eating dairy alongside fats and proteins can slow down the digestive process, reducing the likelihood of gastrointestinal problems. For example, you could add a small amount of milk to your morning cereal or oatmeal, or sprinkle cheese on your salad or pasta.
Choose lower-lactose options: Opt for dairy products that are naturally lower in lactose, such as Greek yogurt, kefir, and hard cheeses like Cheddar, Swiss, or Parmesan. These options tend to be better tolerated by people with lactose intolerance.
Space out your servings: Instead of consuming a large amount of dairy in one sitting, space out your servings throughout the day. For example, you could have a small cup of milk with breakfast and a serving of yogurt or cheese later in the day.
Listen to your body: Everyone's tolerance to lactose is different. Pay attention to how your body reacts to dairy and adjust your intake accordingly. If you experience discomfort after consuming a certain type or amount of dairy, reduce your intake or try a different dairy product.
By gradually introducing dairy into your diet and following these tips, you may be able to enjoy dairy products again without experiencing the unpleasant side effects of lactose intolerance. Remember to always consult with your doctor or a registered dietitian before making significant changes to your diet, especially if you have a diagnosed condition.
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Choose low-lactose dairy products
Dairy foods are a great source of calcium and protein, but for those with lactose intolerance, consuming them can lead to gas, diarrhea, bloating, abdominal pain, and nausea. The good news is that not all dairy foods are high in lactose, and there are plenty of low-lactose dairy products to choose from.
Yogurt is a great option for those with lactose intolerance. The bacteria used in the culturing process naturally produce the enzyme that breaks down lactose. Greek yogurts, in particular, are well tolerated due to their low lactose levels and higher protein content, which slows down stomach emptying and increases tolerance. Yogurt with probiotics is another good option, as it contains low levels of lactose and is generally well tolerated.
Hard cheeses, such as Swiss or cheddar, are another low-lactose option. These cheeses have small amounts of lactose and generally do not cause any symptoms of lactose intolerance. Butter is another dairy product that is low in lactose. The lactose content of butter is very low, as the liquid part of milk, which contains lactose, is removed during processing.
Kefir is a fermented beverage that is traditionally made by adding "kefir grains" to animal milk. Limited research suggests that it is well tolerated by people with lactose intolerance when consumed in moderate quantities. Whey isolate is another option for those looking for a low-lactose protein source. It contains the lowest levels of lactose among dairy protein powders, but the lactose content can vary between brands.
Lactose-free and lactose-reduced milk and milk products are also available in most grocery stores. These products have the same nutritional value as regular milk and are a good option for those who want to consume dairy without the lactose.
In addition to choosing low-lactose dairy products, those with lactose intolerance can also try gradually introducing small amounts of dairy into their diet to increase their tolerance. It is important to experiment and see how your body responds to different dairy products and amounts to determine what works best for you.
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Take lactase enzyme supplements
Lactase is an enzyme in the gut that is needed to break down lactose. Many adults have trouble digesting foods with lactose because their level of lactase decreases after childhood, which is normal. People with intestinal disease or injury may also become lactose intolerant. Symptoms of lactose intolerance include nausea, bloating, gas, diarrhoea, or cramping. These symptoms usually occur 30 minutes to 2 hours after eating a food with lactose.
Lactase enzyme supplements are available in caplet or chewable form in the digestive aid section of the grocery store or pharmacy. They contain the enzyme lactase, which is needed for the digestion of lactose. Over-the-counter tablets or drops containing the lactase enzyme (Lactaid, for example) might help you digest dairy products. You can take tablets just before a meal or snack. Or the drops can be added to a carton of milk. These products don't help everyone who has lactose intolerance.
The amount suggested on the label may not be needed. Try a smaller dose and increase only if needed. Store brand varieties may be available and may be cheaper. You can also buy lactase enzyme drops and add them to milk.
If you are on a low-lactose diet, talk to your doctor and/or a registered dietitian about your calcium and vitamin D intake. Dairy foods are the best source of calcium and include excellent-quality protein and substantial amounts of potassium and riboflavin. Adding vitamin D enhances the nutritional value, too.
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Consume other calcium-rich foods
Dairy products are the most common sources of calcium. However, if you are lactose intolerant, you can still ensure you get enough calcium by consuming other calcium-rich foods.
Fish with soft bones, such as canned salmon or sardines, are rich in calcium. Salmon also has vitamin D, which helps your body absorb and use calcium. Other types of fish with vitamin D include certain kinds of flatfish (e.g. flounder), tilapia, shrimp, catfish, crab, trout, haddock, oysters, squid, pollock, anchovies, crawfish, mullet, scallops, whiting, clams, and shad.
You can also get calcium from seeds. Poppy seeds, sesame seeds, celery seeds, and chia seeds are all high in calcium. For instance, 1 tablespoon (9 grams) of poppy seeds contains 127 mg of calcium, or 10% of the recommended Daily Value (DV).
Yogurt is another excellent source of calcium. One cup (245 grams) of plain yogurt contains 23% of the DV for calcium. Greek yogurt is also well tolerated due to its low level of lactose and higher protein content.
Other calcium-rich foods include dried figs, Parmesan cheese, and goat's milk.
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Frequently asked questions
Lactase is an enzyme in the gut that breaks down lactose, a sugar found in dairy products. Lactase supplements are available in caplet or chewable form in the digestive aid section of the grocery store or pharmacy.
If you are taking tablets, it is recommended to take them just before a meal or snack. If you are taking lactase drops, these can be added to a carton of milk.
Cultured milk products such as yogurt are a good source of lactase as the bacteria used in the culturing process naturally produce the lactase enzyme. Hard cheeses such as Swiss or cheddar also contain small amounts of lactose.
It is important to note that lactase supplements may not work for everyone who is lactose intolerant. If you are on a low-lactose diet, it is recommended to talk to your doctor or dietitian about your calcium and vitamin D intake.











































