Materiały źródłowe

• #1 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Dietary adjustment is the primary form of therapy for patients with lactose intolerance. Advise patients to reduce or restrict products containing lactose. Prehydrolyzed milk (LACTAID) is available and is effective. Yogurt and fermented products, such as cheeses, are better tolerated than regular milk. Soy-based milk or food products are well tolerated. […] Commercially available lactase enzyme preparations (eg, LACTAID, Lactrase) are effective in reducing symptoms; however, they may not be effective in some patients, partially due to insufficient dosing. […] Probiotics (DDS-1 strain of Lactobacillus) have been shown to improve symptoms. […] Supplemental calcium and vitamin D should also be recommended. […] In secondary lactase deficiency, treatment is directed at the underlying cause.

• #2 Lactose Intolerance – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532285/

  Management of lactose intolerance consists of dietary modification, lactase supplementation, and treating an underlying condition in people with secondary lactase deficiency. […] Lactase-containing milk products and calcium supplements are recommended. Limiting the dietary intake of lactose by avoiding the intake of lactose-containing products improves the symptoms of the disease. […] Yogurt contains varying amounts of lactose and may cause symptoms in some patients. Greek yogurt has the least. Yogurt culture microorganisms can produce -galactosidase as part of their lactose utilization pathway. This may promote lactose digestion in vivo. […] Lactase enzyme supplements contain lactase which breaks down lactose in milk and milk-containing products. They are available as lactase enzyme tablets or drops.

• #3 Treatment for Lactose Intolerance – NIDDK

  https://www.niddk.nih.gov/health-information/digestive-diseases/lactose-intolerance/treatment

  Treatments depend on the cause of lactose intolerance. If your lactose intolerance is caused by lactase nonpersistence or congenital lactase deficiency, no treatments can increase the amount of lactase your small intestine makes. Your doctor can help you change your diet to manage your symptoms. […] If your lactose intolerance is caused by an injury to your small intestine, your doctor may be able to treat the cause of the injury. You may be able to tolerate lactose after treatment.

• #4

  https://link.springer.com/article/10.1007/s42399-021-00792-9

  Lactose intolerance is a pathology frequently encountered today. […] Therefore, it is essential to diagnose and properly treat this pathology. Various options exist for diagnosing lactose intolerance: Hydrogen Breath Test, genetic test, Quick Lactose Intolerant Test, Lactose Tolerance Test, Gaxilose Test. Like diagnostic methods, there are several options for treating intolerance. In addition to a food restriction, the use of exogenous enzymes and/or probiotic and the selection of milk containing specific types of beta-caseins less correlated to the appearance of gastrointestinal symptoms are very useful. […] Typically, management of primary lactose intolerance consists of two possible clinical choice: alimentary restriction and drug therapy. The usual behavior for this condition is the avoidance of milk and dairy products from the diet. However, as previously mentioned, dairy foods provide calcium, protein, magnesium, and other minerals and substances that are essential for preventing various diseases and ensuring different physiological functions, such as bone remodelling. The avoidance of all dairy products in patients with lactose intolerance is no longer recommended. Most people with lactose intolerance can tolerate up to 12-15 g of lactose per day. Strategies can be implemented to increase tolerance of lactose in these patients.

• #5 Lactose intolerance – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lactose-intolerance/diagnosis-treatment/drc-20374238

  In people with lactose intolerance caused by an underlying condition, treating the condition might restore the body’s ability to digest lactose, although that process can take months. For other causes, you might avoid the discomfort of lactose intolerance by following a low-lactose diet. […] To lower the amount of lactose in your diet: […] Limit milk and other dairy products […] Include small servings of dairy products in your regular meals […] Eat and drink lactose-reduced ice cream and milk […] Add a liquid or powder lactase enzyme to milk to break down the lactose. […] Most people with lactose intolerance can enjoy some milk products without symptoms. You might tolerate low-fat milk products, such as skim milk, better than whole-milk products. It also might be possible to increase your tolerance to dairy products by gradually introducing them into your diet.

• #6 Lactose intolerance – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lactose-intolerance/symptoms-causes/syc-20374232

  Most people with lactose intolerance can manage the condition without having to give up all dairy foods. […] Treatment of the underlying disorder might restore lactase levels and improve signs and symptoms, though it can take time.

• #7 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Dietary adjustment is the primary form of therapy for patients with lactose intolerance. Advise patients to reduce or restrict products containing lactose. Prehydrolyzed milk (LACTAID) is available and is effective. Yogurt and fermented products, such as cheeses, are better tolerated than regular milk. Soy-based milk or food products are well tolerated. […] Commercially available lactase enzyme preparations (eg, LACTAID, Lactrase) are effective in reducing symptoms; however, they may not be effective in some patients, partially due to insufficient dosing. […] Probiotics (DDS-1 strain of Lactobacillus) have been shown to improve symptoms. […] Supplemental calcium and vitamin D should also be recommended. […] In secondary lactase deficiency, treatment is directed at the underlying cause.

• #8 Lactose Intolerance, Dairy Avoidance, and Treatment Options

  https://www.mdpi.com/2072-6643/10/12/1994

  Lactose intolerance refers to symptoms related to the consumption of lactose-containing dairy foods, which are the most common source for this disaccharide. […] Treatments are discussed, including the inappropriateness of dairy avoidance. In conjunction, effects of dairy products on 19 common diseases are reviewed. Different methods of treatment, lactose-reduced products, plant-based dairy substitutes, adaptation, prebiotics, exogenous lactase, probiotics, and some other dietary interventions are further discussed. […] The avoidance of all dairy products in patients with lactose intolerance is no longer recommended. Most people with lactose intolerance can tolerate up to 12–15 grams of lactose per day. Strategies to increase tolerance of lactose containing foods with the goal of improving nutrition adequacy, avoiding deficiencies and improving symptoms are summarized in Table 4. People with lactose intolerance should be encouraged to restrict rather than avoid lactose with the goal of including some dairy foods in the diet and to benefit from associated nutrients and their higher bioavailability.

• #9 13 Home Remedies for Lactose Intolerance | HowStuffWorks

  https://health.howstuffworks.com/wellness/natural-medicine/home-remedies/home-remedies-for-lactose-intolerance.htm

  Fortunately, most people who are lactose deficient don’t have to completely cut dairy foods from their diets. In fact, it’s been estimated that about 80 percent of people with lactose intolerance are still able to drink enough milk for good nutrition. […] There are a number of different lactase products on the market to help the lactose intolerant continue to include milk or other dairy-based products in their diet. A lactase enzyme powder can be sprinkled or a few drops of the liquid form can be added to milk that will predigest the lactose for you. […] The degree of intolerance differs with each person. The best way to assess your tolerance is first to get all lactose out of your system by avoiding all lactose-containing foods for three to four weeks. Then start with very small quantities of milk or cheese.

• #10 Correct Therapy for lactose intolerance

  https://www.nahrungsmittel-intoleranz.com/en/therapy-for-lactose-intolerance/

  After diagnosis, two points are important for the treatment of lactose intolerance: support from a certified nutritionist and keeping a food and symptom diary. […] The aim of nutritional therapy for lactose intolerance is to find out which food composition best utilizes the residual activity of my lactase. […] In the first 2-3 weeks after diagnosis, lactose (milk sugar, not milk protein!) should be avoided as much as possible in order to give the intestine a regeneration phase. This period is called elimination phase elimination diet. […] During the 6-10 week test phase, you try to increase your lactose intake. […] As part of the treatment of lactose intolerance, a needs-based diet should be followed, i.e. all important nutrients, vitamins and co should be supplied through food. […] In most cases, a low-lactose diet is sufficient to treat lactose intolerance.

• #11 Lactose Intolerance: Symptoms, Diagnostic Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/7317-lactose-intolerance

  Some people with lactose intolerance can tolerate up to 12 grams (g) of lactose at one time, which is a cup of milk or a scoop of ice cream. You can also find lactose-reduced and lactose-free versions of most dairy products at the supermarket. Experiment with these and other dairy alternatives in your diet.

• #12 Lactose intolerance Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/lactose-intolerance

  Cutting down your intake of milk products that contain lactose from your diet most often eases symptoms. Also look at food labels for hidden sources of lactose in non-milk products (including some beers) and avoid these. […] Most people with a low lactase level can drink up to one half cup of milk at one time (2 to 4 ounces or 60 to 120 milliliters) without having symptoms. Larger servings (more than 8 ounces or 240 mL) may cause problems for people with lactase deficiency. […] Milk products that may be easier to digest include: Buttermilk and cheeses (these foods contain less lactose than milk), Fermented milk products, such as yogurt, Goat’s milk, Aged hard cheeses, Lactose-free milk and milk products, Lactase-treated cow’s milk for older children and adults, Soy formulas for infants younger than 2 years, Soy or rice milk for toddlers.

• #13 Lactose Intolerance Causes, Dairy Foods, Symptoms & Tests

  https://www.medicinenet.com/lactose_intolerance/article.htm

  What is the treatment for lactose intolerance? […] The most obvious means of treating lactose intolerance is by reducing the amount of lactose in the diet. Fortunately, most people who are lactose intolerant can tolerate small or even moderate amounts of lactose. It often takes only the elimination of the major milk-containing products to obtain sufficient relief from their symptoms. Thus, it may be necessary to eliminate only milk, yogurt, cottage cheese, and ice cream. […] Another means to reduce symptoms of lactose intolerance is to ingest any milk-containing foods during meals. Meals (particularly meals containing fat) reduce the rate at which the stomach empties into the small intestine. This reduces the rate at which lactose enters the small intestine and allows more time for the limited amount of lactase to split the lactose without being overwhelmed by a full load of lactose at once.

• #14 Lactose Intolerance (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/lactose-intolerance-pro

  Dairy products with a higher fat content, such as ice cream, chocolate milk, cheese, and full-fat rather than skimmed milk, are better tolerated. […] Hard cheeses, such as Cheddar, Edam, Parmesan and Emmental, contain very little lactose and may be well tolerated. […] Milk substitutes (eg soya, oat, nut milk) can also be used but they contain fewer nutrients compared with cow’s milk. […] Lactose-free dairy products in which lactase enzyme is added to the product are widely available and considered to be safe. […] Oral lactase enzyme supplements available commercially can be combined with lactose-containing foods. Alternatively, probiotics that produce lactase in the gut can be taken. The evidence for the effectiveness of these is variable. […] Consider the need for calcium or vitamin D supplementation.

• #15 Pediatric Lactose Intolerance Treatment & Management: Medical Care, Diet, Complications

  https://emedicine.medscape.com/article/930971-treatment

  Yogurt with live cultures is generally well tolerated by individuals with lactose intolerance. Dairy products with reduced or no lactose are widely available. […] Calcium supplementation through the administration of dietary or pharmacological supplements is suggested for any child who does not receive adequate calcium.

• #16 Lactose intolerance | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/lactose-intolerance

  Drink full-fat milk because the fats slow the journey of the milk through the intestines and allow the lactase enzymes more time to break down the sugars. […] Avoid low-fat or non-fat milks they travel quickly through the gut and tend to cause symptoms in lactose intolerant people. […] Eat foods that contain lactose in combination with other foods or spread them out over the day, rather than eating a large amount at once. […] Soy foods such as soy milk and yoghurt are lactose free, a good source of calcium and a good substitute for milk or milk products.

• #17 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Consider consulting with a gastroenterologist and a nutritionist in the management of patients with suspected lactose intolerance. […] Patients should avoid or reduce intake of lactose-containing foods. […] Most patients who are lactose intolerant can ingest as much as 240 mL of milk without an exacerbation of their symptoms. […] Whole milk and chocolate milk may be better tolerated than skim milk. […] Certain medications and foods contain hidden lactose, such as breads, margarine, salad dressings, and candies.

• #18 Treatment for Lactose Intolerance – NIDDK

  https://www.niddk.nih.gov/health-information/digestive-diseases/lactose-intolerance/treatment

  In most cases, you can manage the symptoms of lactose intolerance by changing your diet to limit or avoid foods and drinks that contain lactose, such as milk and milk products. […] Some people may only need to limit the amount of lactose they eat or drink, while others may need to avoid lactose altogether. Using lactase products can help some people manage their symptoms. […] Lactase products are tablets or drops that contain lactase, the enzyme that breaks down lactose. You can take lactase tablets before you eat or drink milk products. You can also add lactase drops to milk before you drink it. The lactase breaks down the lactose in foods and drinks, lowering your chances of having lactose intolerance symptoms. […] Check with your doctor before using lactase products. Some people, such as young children and pregnant and breastfeeding women, may not be able to use them.

• #19 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Dietary adjustment is the primary form of therapy for patients with lactose intolerance. Advise patients to reduce or restrict products containing lactose. Prehydrolyzed milk (LACTAID) is available and is effective. Yogurt and fermented products, such as cheeses, are better tolerated than regular milk. Soy-based milk or food products are well tolerated. […] Commercially available lactase enzyme preparations (eg, LACTAID, Lactrase) are effective in reducing symptoms; however, they may not be effective in some patients, partially due to insufficient dosing. […] Probiotics (DDS-1 strain of Lactobacillus) have been shown to improve symptoms. […] Supplemental calcium and vitamin D should also be recommended. […] In secondary lactase deficiency, treatment is directed at the underlying cause.

• #20 List of 6 Lactose Intolerance Medications Compared

  https://www.drugs.com/condition/lactose-intolerance.html

  Lactose intolerance develops when the small intestine does not make enough of an enzyme called lactase. The body needs this enzyme to digest lactose, a type of sugar found in milk and other dairy products. […] The medications listed below are related to or used in the treatment of this condition. […] Lactaid to treat Lactose Intolerance […] lactase to treat Lactose Intolerance […] Lactaid Fast Act to treat Lactose Intolerance […] Lactaid Ultra to treat Lactose Intolerance […] Lactrase to treat Lactose Intolerance […] Lac-Dose to treat Lactose Intolerance.

• #21

  https://link.springer.com/article/10.1007/s42399-021-00792-9

  Enzyme supplementation therapy with lactase from nonhuman sources to hydrolyze lactose is another important approach. The intake of exogenous lactase is expected whenever foods containing lactose are ingested. This enzymatic compound is obtained from yeast (Kluyveromyces lactis) or fungi (Aspergillus oryzae, Aspergillus niger) and it is able to break down lactose into glucose and galactose to allow a better absorption. Administration of exogenous lactase as pills has been used to treat lactose intolerance in children, adolescents, and adults with extremely good results in terms of improving the clinical picture. […] However, not all clinical studies that have been performed to evaluate the efficacy of exogenous lactase have led to satisfactory results. […] Although the results of these studies are in contrast with each other, it can be said that the administration of exogenous lactase represents, in most cases, a valid therapeutic option. Exogenous lactase does not generally determine serious adverse effects and its use is safe and effective almost always. In fact, in most of the patients, an improvement of the symptoms and therefore of the quality of the life has been found. However, other studies are needed to assess the real efficacy and the exact benefits of using exogenous lactase.

• #22 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Dietary adjustment is the primary form of therapy for patients with lactose intolerance. Advise patients to reduce or restrict products containing lactose. Prehydrolyzed milk (LACTAID) is available and is effective. Yogurt and fermented products, such as cheeses, are better tolerated than regular milk. Soy-based milk or food products are well tolerated. […] Commercially available lactase enzyme preparations (eg, LACTAID, Lactrase) are effective in reducing symptoms; however, they may not be effective in some patients, partially due to insufficient dosing. […] Probiotics (DDS-1 strain of Lactobacillus) have been shown to improve symptoms. […] Supplemental calcium and vitamin D should also be recommended. […] In secondary lactase deficiency, treatment is directed at the underlying cause.

• #23 Treatment for Lactose Intolerance – NIDDK

  https://www.niddk.nih.gov/health-information/digestive-diseases/lactose-intolerance/treatment

  In most cases, you can manage the symptoms of lactose intolerance by changing your diet to limit or avoid foods and drinks that contain lactose, such as milk and milk products. […] Some people may only need to limit the amount of lactose they eat or drink, while others may need to avoid lactose altogether. Using lactase products can help some people manage their symptoms. […] Lactase products are tablets or drops that contain lactase, the enzyme that breaks down lactose. You can take lactase tablets before you eat or drink milk products. You can also add lactase drops to milk before you drink it. The lactase breaks down the lactose in foods and drinks, lowering your chances of having lactose intolerance symptoms. […] Check with your doctor before using lactase products. Some people, such as young children and pregnant and breastfeeding women, may not be able to use them.

• #24 Lactose intolerance – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lactose-intolerance/diagnosis-treatment/drc-20374238

  In people with lactose intolerance caused by an underlying condition, treating the condition might restore the body’s ability to digest lactose, although that process can take months. For other causes, you might avoid the discomfort of lactose intolerance by following a low-lactose diet. […] To lower the amount of lactose in your diet: […] Limit milk and other dairy products […] Include small servings of dairy products in your regular meals […] Eat and drink lactose-reduced ice cream and milk […] Add a liquid or powder lactase enzyme to milk to break down the lactose. […] Most people with lactose intolerance can enjoy some milk products without symptoms. You might tolerate low-fat milk products, such as skim milk, better than whole-milk products. It also might be possible to increase your tolerance to dairy products by gradually introducing them into your diet.

• #25 Nutritional management of lactose intolerance: the importance of diet and food labelling | Journal of Translational Medicine | Full Text

  https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-020-02429-2

  Fortunately, individuals with LI, do not need to completely eliminate dairy products from their diet. […] In most cases, reducing the consumption of, or avoiding, lactose containing foods and drinks, and replacing them with lactose-free alternatives, is sufficient to control the symptoms of intolerance. […] To meet the dietary calcium and high-quality protein requirements of LI individuals, the global dairy industry has developed lactose-free products using the addition of exogenous lactase, -galactosidase, which pre-digests the lactose in milk. […] Lactose-free dairy products allow lactose intolerant subjects to enjoy the taste of dairy without the experience of intestinal symptoms occurring after lactose ingestion. […] Most lactose-intolerant people can eat yogurt without exhibiting typical symptoms; moreover, yogurt consumption is suggested as a suitable dietary strategy to reach the recommended daily intake of calcium for LI individuals.

• #26 Treatment and Therapies for Lactose Intolerance – Frusano

  https://www.frusano.com/en-us/intolerances/lactose-intolerance/lactose-intolerance-treatment.html

  Lactose-free products make the choice easier. […] The large number of lactose-free products in grocery stores today makes it easier for people with Lactose Intolerance to buy food that’s completely free of dairy. However, claims of „lactose free” or „dairy free” are not absolute. Most products labeled as such contain less than 0.1 gram of lactose per 100g. This limit is certain when it is stated explicitly on the packaging, as is the case with the Frusano products. […] Frusano’s delicious, lactose-free products: […] Lactose-free chocolates […] Lactose-free spreads […] Lactose-free gummy bears […] Lactose-free organic Janosch Panama Joy (chocolate drink) […] Lactose-free organic Fili Secco […] Lactose-free organic elderflower syrup […] Lactose-free organic red current syrup

• #27

  https://link.springer.com/article/10.1007/s42399-021-00792-9

  Another possible further therapeutic approach is represented by probiotics. Probiotics are live microorganisms which upon ingestion in sufficient concentrations can exert health benefits to the host. […] The main advantage of probiotics is the absence of absolute contraindications. […] Therefore, this high efficacy, together with the safety of the use of this product, makes RP-G28 a valid option for lactose-intolerant patients who can consume products containing lactose without developing gastrointestinal symptoms.

• #28 Nutritional management of lactose intolerance: the importance of diet and food labelling | Journal of Translational Medicine | Full Text

  https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-020-02429-2

  Worldwide, 70% of the adult population has limited expression of lactase enzyme with a wide variation among different regions and countries. […] Treatment of LI mainly consists of reducing or eliminating lactose from the diet until the symptoms disappear as well as supplementing lactase, and inducing colon microbiome adaptation by probiotics. […] The treatment for LI consists mainly of reducing or eliminating lactose from the diet until the symptoms disappear. Therefore, the dietetic approach has a crucial role in the management of LI patients. […] The right approach includes a lactose-free, or low-lactose diet, oral lactase enzyme replacement, and colon microbiome adaptation, using specific probiotic strains with -galactosidase enzymatic activity. […] Considering that a lactose-free diet is a key treatment for patients diagnosed with LI, it is essential for affected individuals to stay away from selected dairy products and non-dairy foods that contain milk and/or lactose ingredients.

• #29 Lactose Intolerance: Symptoms, Diagnostic Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/7317-lactose-intolerance

  How do you fix lactose intolerance? […] If you want to be able to digest lactose, you need lactase in your gut. Most people with lactose intolerance cant produce lactase naturally. Lactase supplements can give your body the lactase it needs to break down lactose. You can take these as tablets or drops before consuming lactose. […] Researchers are also experimenting with lactic acid bacteria as a possible fix for lactose intolerance symptoms. These are bacteria that convert lactose into lactic acid instead of gas. Ingesting these bacteria as probiotics, together with prebiotics that feed them, may improve lactose tolerance. […] How can I manage lactose intolerance with diet? […] Experiment with your diet to find out what your personal lactose threshold is. Some people find they can tolerate certain dairy foods in certain amounts, or when combined with other foods. Begin with a lactose-free diet, then gradually reintroduce lactose-containing foods to see how your system responds.

• #30 Lactose Intolerance: Symptoms, Causes, Tests, and More

  https://www.healthline.com/nutrition/lactose-intolerance-101

  If you dont want to give up dairy, a few natural treatments may alleviate lactose intolerance. […] Enzyme supplements may help your body digest lactose. […] If you are lactose intolerant, regularly consuming lactose may help your body adapt to it. […] Probiotics are microorganisms that provide health benefits, while prebiotics are types of fiber that function as food for these microorganisms, feeding the beneficial bacteria in your gut. […] You can try several tactics to alleviate lactose intolerance, including enzyme supplements, lactose exposure, and probiotic supplements. Yet, more research is needed on each of these strategies.

• #31 Lactose Intolerance: Symptoms, Diagnosis, Treatment | HealthShots

  https://www.healthshots.com/preventive-care/self-care/lactose-intolerance/

  Lactose intolerance is when the body is unable to digest milk and milk products. […] While there is no treatment for lactose intolerance, consuming lactose-free products and keeping away from dairy products that contain lactose such as cows milk, yoghurt, cheese and ice cream, is the way to manage this condition. […] The treatment of lactose intolerance includes dietary modifications, lactase supplementation and treating underlying conditions, states this research published by StatPearls. To control the symptoms, lactose intolerant people have to undergo a special type of therapy that changes their diet. This may entail taking away or decreasing foods and drinks that contain lactose. The supplements which contain lactase enzyme can also be used in breaking down the milk sugar present in dairy products. For some individuals, they must consume dairy products without lactose or non-dairy alternatives made from plants, says Veena. […] Probiotics with proven efficacy such as Bifidobacterium, Saccharomyces, and Lactobacillus, have been shown to reduce symptoms of lactose intolerance when used as a daily supplement.

• #32 Managing Lactose Intolerance Naturally – Institute for Natural Medicine

  https://naturemed.org/managing-lactose-intolerance-naturally/

  When it comes to natural remedies for lactose intolerance, the most popular and effective strategy is taking lactase enzyme supplements with meals. Lactase enzymes help break down lactose in the digestive tract. […] Preliminary research shows probiotics and prebiotics may also alleviate or reduce symptoms of lactose intolerance. […] Studies also show that active cultures in probiotic-rich foods like yogurt, sauerkraut, miso, kimchi, and sourdough bread may help break down lactose and further diminish lactose intolerance symptoms. […] In addition to natural remedies such as lactase digestive enzymes, prebiotics, and probiotics, research shows some people with lactose intolerance can enjoy dairy again symptom-free. Through a process called adaptation, a person regularly consumes small amounts of dairy, helping the body gradually adapt and eventually tolerate lactose. […] Although there is no cure for lactose intolerance, there are ways to reduce symptoms and occasionally enjoy dairy products. Relief is possible through a combination of diet, supplements, and adaptation.

• #33 Pediatric Lactose Intolerance Treatment & Management: Medical Care, Diet, Complications

  https://emedicine.medscape.com/article/930971-treatment

  Treatment of lactose intolerance may include, but are not limited to managing lactase deficiency and lactose intolerance, as well as the use of dietary aids. Medication is not currently a component of care in this condition. […] Consultation with a pediatric gastroenterologist is suggested if the patient has symptoms that do not resolve after dietary elimination of lactose or if the patient has severe symptoms. […] This can be improved by dietary manipulation. If the quantity of lactose is increased slowly over time, lactobacilli are stimulated to grow in the colon. A greater number of lactobacilli allow the lactose to break down into monosaccharides. […] Lactase derived from yeast can be added to milk products as drops or ingested as chewable tablets prior to ingestion of lactose-containing substances.

• #34 Correct Therapy for lactose intolerance

  https://www.nahrungsmittel-intoleranz.com/en/therapy-for-lactose-intolerance/

  After diagnosis, two points are important for the treatment of lactose intolerance: support from a certified nutritionist and keeping a food and symptom diary. […] The aim of nutritional therapy for lactose intolerance is to find out which food composition best utilizes the residual activity of my lactase. […] In the first 2-3 weeks after diagnosis, lactose (milk sugar, not milk protein!) should be avoided as much as possible in order to give the intestine a regeneration phase. This period is called elimination phase elimination diet. […] During the 6-10 week test phase, you try to increase your lactose intake. […] As part of the treatment of lactose intolerance, a needs-based diet should be followed, i.e. all important nutrients, vitamins and co should be supplied through food. […] In most cases, a low-lactose diet is sufficient to treat lactose intolerance.

• #35 Correct Therapy for lactose intolerance

  https://www.nahrungsmittel-intoleranz.com/en/therapy-for-lactose-intolerance/

  Regular lactose intake can promote the adaptation of the colon microbiome by supporting the growth of lactose-digesting bacteria, potentially reducing intolerance symptoms. […] The lactose-splitting enzyme lactase can be purchased in tablet, solution or powder form and taken with food. […] These tablets should not be seen as a treatment for lactose intolerance, but as an aid in everyday life. […] Lactase preparations last for approx. 2 years, i.e. old packs should be disposed of as the enzyme activity is no longer present. […] Nowadays you can find lactose-free dairy products in almost all supermarkets. […] You should therefore use these products with a little common sense and still use lactose-containing dairy products in your permanent diet. […] Long-term consequences are only to be expected if lactose is consciously avoided over a long period of time. […] Even a violation of the diet is not harmful (only unpleasant).

• #36 Treatment for Lactose Intolerance – NIDDK

  https://www.niddk.nih.gov/health-information/digestive-diseases/lactose-intolerance/treatment

  Treatments depend on the cause of lactose intolerance. If your lactose intolerance is caused by lactase nonpersistence or congenital lactase deficiency, no treatments can increase the amount of lactase your small intestine makes. Your doctor can help you change your diet to manage your symptoms. […] If your lactose intolerance is caused by an injury to your small intestine, your doctor may be able to treat the cause of the injury. You may be able to tolerate lactose after treatment.

• #37 Lactose Intolerance | AAFP

  https://www.aafp.org/pubs/afp/issues/2002/0501/p1845.html

  Persons with lactose intolerance are unable to digest significant amounts of lactose because of a genetically inadequate amount of the enzyme lactase. […] Treatment consists primarily of avoiding lactose-containing foods. Lactase enzyme supplements may be helpful. […] Patients should consider drinking lactose-reduced milk or taking calcium supplements. […] Patients with mild lactose malabsorption may benefit from using lactase enzyme supplements, such as Dairy Ease. […] However, patients should be warned that the lactase enzymes might not completely relieve the symptoms because the digestion of lactose is incomplete or because it is difficult to determine the effective dose of lactase enzyme. Therefore, enzyme supplementation should be an adjunct to, not a substitute for, dietary restriction. […] Effective treatment of the underlying condition, such as administration of metronidazole (Flagyl) for treatment of giardiasis or a gluten-free diet for management of celiac disease, may not only ameliorate symptoms but also improve lactose intolerance.

• #38 Lactose Intolerance (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/lactose-intolerance-pro

  Treat the underlying cause. […] Resuscitation with intravenous rehydration may occasionally be required. Antibiotics should be avoided unless there is strong evidence for a bacterial cause. […] Mothers who breastfeed should be advised to continue. […] Parents of formula-fed infants with likely post-gastroenteritis lactase deficiency (diarrhoea lasting beyond two weeks) can make a temporary switch to lactose-free formula, with review after two weeks and an aim to re-introduce lactose at eight weeks. Improvement in symptoms should be seen after 2-3 days. […] All premature infants should be breastfed where possible. […] Tube feedings with milk containing lactose in premature infants usually contain breast milk, or if not possible, reduced-lactose milk. […] Babies with severe lactase deficiency require a diet full of essential nutrients but excluding lactose. […] They cannot be breastfed; they need lactose-free formula milk and must be weaned on to lactose-free foods.

• #39 Lactose intolerance Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/lactose-intolerance

  You can add lactase enzymes to regular milk. You can also take these enzymes as capsules or chewable tablets. There are also many lactose-free dairy products available. […] Not having milk and other dairy products in your diet can lead to a shortage of calcium, vitamin D, riboflavin, and protein. You need 1,000 to 1,500 mg of calcium each day depending on your age and sex. Some things you can do to get more calcium in your diet are: Take calcium supplements with Vitamin D. Talk to your health care provider about which ones to choose. Eat foods that have more calcium (such as leafy greens, oysters, sardines, canned salmon, shrimp, and broccoli). Drink orange juice with added calcium.

• #40 Lactose intolerance Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/lactose-intolerance

  You can add lactase enzymes to regular milk. You can also take these enzymes as capsules or chewable tablets. There are also many lactose-free dairy products available. […] Not having milk and other dairy products in your diet can lead to a shortage of calcium, vitamin D, riboflavin, and protein. You need 1,000 to 1,500 mg of calcium each day depending on your age and sex. Some things you can do to get more calcium in your diet are: Take calcium supplements with Vitamin D. Talk to your health care provider about which ones to choose. Eat foods that have more calcium (such as leafy greens, oysters, sardines, canned salmon, shrimp, and broccoli). Drink orange juice with added calcium.

• #41 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Dietary adjustment is the primary form of therapy for patients with lactose intolerance. Advise patients to reduce or restrict products containing lactose. Prehydrolyzed milk (LACTAID) is available and is effective. Yogurt and fermented products, such as cheeses, are better tolerated than regular milk. Soy-based milk or food products are well tolerated. […] Commercially available lactase enzyme preparations (eg, LACTAID, Lactrase) are effective in reducing symptoms; however, they may not be effective in some patients, partially due to insufficient dosing. […] Probiotics (DDS-1 strain of Lactobacillus) have been shown to improve symptoms. […] Supplemental calcium and vitamin D should also be recommended. […] In secondary lactase deficiency, treatment is directed at the underlying cause.

• #42 Lactose intolerance Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/lactose-intolerance

  You can add lactase enzymes to regular milk. You can also take these enzymes as capsules or chewable tablets. There are also many lactose-free dairy products available. […] Not having milk and other dairy products in your diet can lead to a shortage of calcium, vitamin D, riboflavin, and protein. You need 1,000 to 1,500 mg of calcium each day depending on your age and sex. Some things you can do to get more calcium in your diet are: Take calcium supplements with Vitamin D. Talk to your health care provider about which ones to choose. Eat foods that have more calcium (such as leafy greens, oysters, sardines, canned salmon, shrimp, and broccoli). Drink orange juice with added calcium.

• #43 Lactose Intolerance Information & Treatment

  https://www.columbiadoctors.org/health-library/condition/lactose-intolerance/

  What can you do about lactose intolerance? […] If you have lactose intolerance: […] Limit the amount of milk and milk products in your diet. […] Eat or drink milk and milk products that have reduced lactose. Try milk with reduced lactose, such as Lactaid milk. […] Eat or drink other foods instead of milk and milk products. Try soy milk and soy cheese. And use nondairy creamers in your coffee. […] Use lactase products. These are dietary supplements that help you digest lactose. […] Try yogurt. Some people who are lactose-intolerant can eat some kinds of yogurt without problems, especially yogurt with live cultures. […] Read food labels for lactose and for lactose’s „hidden” names. These include dry milk solids, whey, curds, milk by-products, and nonfat dry milk powder. […] Get enough calcium in your diet. Foods that have calcium include: […] Broccoli, bok choy, kale, collard greens, mustard greens, and turnip greens. […] Canned sardines. […] Calcium-fortified orange juice. […] Calcium-fortified soy milk and tofu. […] Almonds. […] Dried beans.

• #44 8 Lactose Intolerance Treatments & Remedies: Pills, Foods | The StrategistSalesGift GuidesBeautyHomeKids and BabiesKitchen and DiningFashionTechTravelFitnessSearchCloseSalesGift GuidesBeautyHomeKids and BabiesKitchen and DiningFashionTechTravelFitnessSear

  https://nymag.com/strategist/article/lactose-intolerance-treatment.html

  Both experts also suggest probiotics — the healthy bacteria in your gut which maintain a healthy digestive system — for helping your body process lactose. Probiotics are naturally found in fermented foods like pickles, yogurt, and sauerkraut, but you can also purchase them in supplement form. […] Choosing smaller servings of dairy can help prevent symptoms (“the smaller the serving, the less likely it is to cause intestinal issues,” says Stollman) but you don’t have to cut milk from your diet entirely. She says that drinking milk in combination with other food can slow digestion and may decrease symptoms of lactose intolerance. […] Because reducing your dairy intake can mean losing a good source of calcium, Russo also recommends adding some high-calcium, non-dairy foods to your diet. Chia seeds, raw almonds, and sunflower seeds are good snack-sized options, but she says you can also add more leafy greens like broccoli rabe, kale, and arugula, or sweet potato to your meals.

• #45 Correct Therapy for lactose intolerance

  https://www.nahrungsmittel-intoleranz.com/en/therapy-for-lactose-intolerance/

  After diagnosis, two points are important for the treatment of lactose intolerance: support from a certified nutritionist and keeping a food and symptom diary. […] The aim of nutritional therapy for lactose intolerance is to find out which food composition best utilizes the residual activity of my lactase. […] In the first 2-3 weeks after diagnosis, lactose (milk sugar, not milk protein!) should be avoided as much as possible in order to give the intestine a regeneration phase. This period is called elimination phase elimination diet. […] During the 6-10 week test phase, you try to increase your lactose intake. […] As part of the treatment of lactose intolerance, a needs-based diet should be followed, i.e. all important nutrients, vitamins and co should be supplied through food. […] In most cases, a low-lactose diet is sufficient to treat lactose intolerance.

• #46 Lactose Intolerance: Types, Causes, and Treatment

  https://www.healthline.com/health/lactose-intolerance

  Theres currently no way to make your body produce more lactose. Treatment for lactose intolerance involves decreasing or completely removing milk products from the diet. […] An over-the-counter lactase enzyme is available in capsule, pill, drops, or chewable form to take before consuming dairy products. […] Taking calcium supplements or eating foods that are either naturally high in calcium or are calcium-fortified is recommended. […] Symptoms will go away if milk and milk products are removed from the diet. […] Drinking low-fat or fat-free milk may also result in fewer symptoms. Try dairy milk alternatives such as: almond, flax, soy, rice milk. […] Milk products with the lactose removed are also available.

• #47 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Consider consulting with a gastroenterologist and a nutritionist in the management of patients with suspected lactose intolerance. […] Patients should avoid or reduce intake of lactose-containing foods. […] Most patients who are lactose intolerant can ingest as much as 240 mL of milk without an exacerbation of their symptoms. […] Whole milk and chocolate milk may be better tolerated than skim milk. […] Certain medications and foods contain hidden lactose, such as breads, margarine, salad dressings, and candies.

• #48 6 Remedies for Lactose Intolerance

  https://health.clevelandclinic.org/remedies-for-lactose-intolerance

  Medications, dietary changes, abdominal massage and physical activity can all help you start to feel better […] Over-the-counter (OTC) medications are often the fastest way to get relief, but the type you need depends on the symptoms you’re experiencing. […] Massaging your abdomen can help get things moving, which can relieve gas, bloating and pressure. […] A review of six studies found that ginger eases nausea and vomiting better than a placebo. Peppermint is also known for its stomach-soothing effects. […] Heat relaxes abdominal muscles, which can get things moving in your digestive tract. […] You can also minimize your symptoms by having milk with a meal, which slows digestion and reduces how much lactose enters your intestine at once. […] Another option is to have smaller amounts of dairy (4 ounces or less) throughout the day, which can prevent overwhelming your digestive system with lactose. […] Take an OTC lactase medication before having dairy. […] Choose reduced-lactose or lactose-free dairy products. […] Try lactose-free milk alternatives, like oat milk or almond milk. […] Improve your gut health with prebiotics and probiotics.

• #49 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Consider consulting with a gastroenterologist and a nutritionist in the management of patients with suspected lactose intolerance. […] Patients should avoid or reduce intake of lactose-containing foods. […] Most patients who are lactose intolerant can ingest as much as 240 mL of milk without an exacerbation of their symptoms. […] Whole milk and chocolate milk may be better tolerated than skim milk. […] Certain medications and foods contain hidden lactose, such as breads, margarine, salad dressings, and candies.

• #50 Peroral gene therapy of lactose intolerance using an adeno-associated virus vector | Nature Medicine

  https://www.nature.com/articles/nm1098_1131

  Gene therapy is usually reserved for severe and medically refractory disorders because of the toxicity, potential long-term risks and invasiveness of most gene transfer protocols. Here we show that an orally administered adeno-associated viral vector leads to persistent expression of a -galactosidase transgene in both gut epithelial and lamina propria cells, and that this approach results in long-term phenotypic recovery in an animal model of lactose intolerance. […] A gene 'pill’ associated with highly efficient and stable gene expression might be a practical and cost-effective strategy for even relatively mild disorders, such as lactase deficiency.

• #51 Prebiotics’ Role in Treating Lactose Intolerance – Today’s Dietitian Magazine

  https://www.todaysdietitian.com/newarchives/0717p18.shtml

  Current management of lactose intolerance depends on the degree of lactase deficiency and may include avoidance of lactose, restricted amounts of lactose, lactase enzyme supplementation, or the use of probiotics. New evidence suggests prebiotics may be another option for management of lactose intolerance. […] Prebiotics also may have a role to play in lactose intolerance. Andrea Azcarate-Peril, PhD, an assistant professor of medicine at the University of North Carolina (UNC) School of Medicine and director of the UNC Microbiome Core Facility, says, „prebiotics [and specifically pure GOS] have been shown to impact the gut microbiome of lactose-intolerant individuals.” […] Azcarate-Peril’s and colleagues’ analysis concluded that the study demonstrated modulation of the gut microbiome by prebiotics in lactose-intolerant individuals. „We were able to correlate Bifidobacterium with symptoms. Specifically, the individuals that reported pain and cramping had less bifidobacteria. Approximately 70% of people stated they felt better, and about 90% showed increases in beneficial Bifidobacterium,” Azcarate-Peril says.

• #52 Is Lactose Intolerance Reversible? New Treatment May Help

  https://dailygalaxy.com/2025/01/lactose-intolerance-reversible-new-treatment/

  Lactose intolerance is a widespread condition that affects millions of people worldwide. […] While dietary changes and supplements are the traditional go-to solutions, a new treatment method is raising eyebrows and offering potential relief. […] Functional neurology, a treatment focusing on enhancing the brain-gut connection, is now emerging as an innovative approach to help those struggling with lactose intolerance. […] A recent study focused on improving the body’s ability to process lactose by utilizing specific neurological exercises and reflex adjustments to optimize the communication between the brain and the gut. […] Functional neurology aims to identify and fix disruptions in the communication between the brain and the gut that may affect digestion. […] Functional neurology therapists use a range of techniques to help restore balance. These include motion-based tasks, reflex adjustments, and other methods that encourage the nervous system to send the right signals for proper digestion.

• #53

  https://link.springer.com/article/10.1007/s42399-021-00792-9

  Lactose intolerance is a pathology frequently encountered today. […] Therefore, it is essential to diagnose and properly treat this pathology. Various options exist for diagnosing lactose intolerance: Hydrogen Breath Test, genetic test, Quick Lactose Intolerant Test, Lactose Tolerance Test, Gaxilose Test. Like diagnostic methods, there are several options for treating intolerance. In addition to a food restriction, the use of exogenous enzymes and/or probiotic and the selection of milk containing specific types of beta-caseins less correlated to the appearance of gastrointestinal symptoms are very useful. […] Typically, management of primary lactose intolerance consists of two possible clinical choice: alimentary restriction and drug therapy. The usual behavior for this condition is the avoidance of milk and dairy products from the diet. However, as previously mentioned, dairy foods provide calcium, protein, magnesium, and other minerals and substances that are essential for preventing various diseases and ensuring different physiological functions, such as bone remodelling. The avoidance of all dairy products in patients with lactose intolerance is no longer recommended. Most people with lactose intolerance can tolerate up to 12-15 g of lactose per day. Strategies can be implemented to increase tolerance of lactose in these patients.

• #54 Lactose Intolerance, Dairy Avoidance, and Treatment Options

  https://www.mdpi.com/2072-6643/10/12/1994

  Lactose intolerance refers to symptoms related to the consumption of lactose-containing dairy foods, which are the most common source for this disaccharide. […] Treatments are discussed, including the inappropriateness of dairy avoidance. In conjunction, effects of dairy products on 19 common diseases are reviewed. Different methods of treatment, lactose-reduced products, plant-based dairy substitutes, adaptation, prebiotics, exogenous lactase, probiotics, and some other dietary interventions are further discussed. […] The avoidance of all dairy products in patients with lactose intolerance is no longer recommended. Most people with lactose intolerance can tolerate up to 12–15 grams of lactose per day. Strategies to increase tolerance of lactose containing foods with the goal of improving nutrition adequacy, avoiding deficiencies and improving symptoms are summarized in Table 4. People with lactose intolerance should be encouraged to restrict rather than avoid lactose with the goal of including some dairy foods in the diet and to benefit from associated nutrients and their higher bioavailability.

• #55 Lactose Intolerance Diagnosis & Treatment – ADH

  https://allieddigestivehealth.com/conditions-and-diseases/lactose-intolerance/

  The first-line therapy for lactose intolerance is to completely eliminate dairy from the diet. Your gastroenterologist can guide you on what foods to eat to replace the nutrients in dairy. However, if you don’t want to cut out dairy completely, your physician may suggest enzyme supplements, probiotics, and prebiotics. While it may be uncomfortable, it is also possible for some to expose your body to lactose often until your body adapts and is able to digest it.

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