Materiały źródłowe

• #1 Lactose intolerance – UF Health

  https://ufhealth.org/conditions-and-treatments/lactose-intolerance

  There is no known way to prevent lactose intolerance. You can prevent symptoms by avoiding foods with lactose.

• #2 Lactose Intolerance – StatPearls – NCBI Bookshelf

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

  Lactose-intolerant patients and their families should be advised that ingestion of lactose-containing products generally only leads to reversible symptoms without causing permanent damage to the gastrointestinal tract (unlike celiac disease). Also, there are no long-term complications if an adequate intake of proteins, calories, calcium, and vitamin D is ensured. […] Primary and congenital lactase deficiency can not be prevented. However, secondary lactase deficiency could be prevented if underlying secondary causes are diagnosed early and promptly instituted appropriate treatment to preserve intestinal mucosal integrity. In addition, avoiding lactose-containing foods helps limit long-term disease severity.

• #3 Lactose Intolerance – StatPearls – NCBI Bookshelf

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

  Lactose-intolerant patients and their families should be advised that ingestion of lactose-containing products generally only leads to reversible symptoms without causing permanent damage to the gastrointestinal tract (unlike celiac disease). Also, there are no long-term complications if an adequate intake of proteins, calories, calcium, and vitamin D is ensured. […] Primary and congenital lactase deficiency can not be prevented. However, secondary lactase deficiency could be prevented if underlying secondary causes are diagnosed early and promptly instituted appropriate treatment to preserve intestinal mucosal integrity. In addition, avoiding lactose-containing foods helps limit long-term disease severity.

• #4 Lactose intolerance: Symptoms, diagnosis, and treatment

  https://www.medicalnewstoday.com/articles/180120

  Avoiding dairy products or taking lactase supplements may help. […] To avoid symptoms, a person with a severe lactose intolerance may need to avoid milk, milk products such as ice cream, and other processed foods that contain milk powder and whey. […] Avoiding lactose may require some trial and error, but food labeling can help, as a product that contains lactose must have a label stating that it contains milk. […] People can use lactase enzyme supplements, which contain lactase, to break down the lactose in milk and milk products. This lowers the chances of lactose intolerance symptoms. […] While there is no cure for lactose intolerance, people can prevent symptoms by avoiding milk and products that contain milk, or by taking lactase enzymes.

• #5 Lactose Intolerance – StatPearls – NCBI Bookshelf

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

  Lactose-intolerant patients and their families should be advised that ingestion of lactose-containing products generally only leads to reversible symptoms without causing permanent damage to the gastrointestinal tract (unlike celiac disease). Also, there are no long-term complications if an adequate intake of proteins, calories, calcium, and vitamin D is ensured. […] Primary and congenital lactase deficiency can not be prevented. However, secondary lactase deficiency could be prevented if underlying secondary causes are diagnosed early and promptly instituted appropriate treatment to preserve intestinal mucosal integrity. In addition, avoiding lactose-containing foods helps limit long-term disease severity.

• #6 Lactose intolerance

  https://www.nhs.uk/conditions/lactose-intolerance/

  Lactose intolerance is when you get symptoms, such as tummy pain, after eating food containing lactose, a sugar found in dairy products. The symptoms can be prevented by eating smaller portions of foods that contain lactose or avoiding them completely. […] For most people with lactose intolerance, the symptoms can be prevented by reducing the amount of food you eat that contains lactose, or by avoiding these foods completely. […] Taking a lactase supplement before having food or drink containing lactose may reduce or prevent symptoms for some people.

• #7 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

  Individuals with LI are usually instructed to follow a lactose-free diet to reduce symptom manifestations. However, the avoidance of all dairy products in patients with LI is no longer recommended today, as the majority of LI patients can tolerate up to 5 g of lactose per single dose approximately the equivalent of 100 mL of milk. […] The major risk associated with the complete elimination of dairy products from the diet is that of developing a calcium deficiency and compromising bone health. Therefore, it is fundamental to ensure adequate calcium intake at each stage of life to build and maintain a healthy skeleton, especially in those with LI, who consume less dietary calcium than non-LI individuals. […] To ensure optimal bone mineralization, the American Academy of Pediatrics supports the use of dairy products in children and adolescents.

• #8 Lactose Intolerance | University Hospitals

  https://www.uhhospitals.org/health-information/health-and-wellness-library/article/diseases-and-conditions/lactose-intolerance

  There is no treatment that can help your body make more lactase. But you can manage your symptoms by changing your diet or by using lactase supplements. […] Today, health experts suggest you try different dairy foods and see which ones cause fewer symptoms. That way you can still get enough calcium and other important nutrients such as vitamin D. […] Here are some tips for managing lactose in your diet: Start slowly. Try adding small amounts of milk or milk products and see how your body reacts. […] Have milk and milk products with other foods. You may find you have fewer symptoms if you take milk or milk products with your meals. […] Eat dairy products with naturally lower levels of lactose. These include hard cheeses and yogurt. […] Look for lactose-free and lactose-reduced milk and milk products. These can be found at many food stores.

• #9 Lactose Intolerance

  http://healthlibrary.gradyhealth.org/Library/Wellness/Prevention/85,P00388

  There is no treatment that can help your body make more lactase. But you can manage your symptoms by changing your diet or by using lactase supplements. […] Today, health experts suggest you try different dairy foods and see which ones cause fewer symptoms. That way you can still get enough calcium and other important nutrients such as vitamin D. […] Here are some tips for managing lactose in your diet: […] Start slowly. Try adding small amounts of milk or milk products and see how your body reacts. […] Have milk and milk products with other foods. You may find you have fewer symptoms if you take milk or milk products with your meals. […] Eat dairy products with naturally lower levels of lactose. These include hard cheeses and yogurt. […] Look for lactose-free and lactose-reduced milk and milk products. These can be found at many food stores.

• #10 Lactose Intolerance – Symptoms | familydoctor.org

  https://familydoctor.org/condition/lactose-intolerance/

  You can reduce discomfort by doing the following: […] Cut back on the amount of dairy you eat or drink. One serving of milk should be ¼ or ⅓ cup. […] Have food in your stomach (not more dairy). […] Wait several hours before having more dairy. […] Choose foods with less lactose. Those include buttermilk and hard cheeses (cheddar, parmesan, Romano), ice cream, and goat cheese. […] Substitute soy or nondairy products. Use a nondairy coffee creamer. […] Take supplements that help you digest lactose. These are pills you can chew before you eat or drink dairy. […] Look for lactose-free foods in the grocery store. […] Eat yogurt (if you can). Yogurt helps with stomach upset. […] Talk to your doctor about vitamin supplements. Eat foods that are naturally high in calcium. These include leafy greens, oysters, sardines, canned salmon, shrimp, and broccoli. Choose orange juice and cereals with added calcium.

• #11 Lactose intolerance | Better Health Channel

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

  Similarly, butter and cream contain very low levels of lactose and are well tolerated. […] Yoghurt is usually well tolerated because the lactose content decreases each day as the bacteria use lactose for energy. […] Fresh cheeses such as cottage cheese and ricotta have very low levels of lactose and are usually well tolerated in small amounts. […] Drink milk in moderate quantities. Most people with this condition can tolerate 240 ml of milk per day, but you need to work out your own tolerance level. […] You can buy milk that has had the lactose broken down, which makes it lactose free. […] 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.

• #12 Lactose intolerance | Better Health Channel

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

  Similarly, butter and cream contain very low levels of lactose and are well tolerated. […] Yoghurt is usually well tolerated because the lactose content decreases each day as the bacteria use lactose for energy. […] Fresh cheeses such as cottage cheese and ricotta have very low levels of lactose and are usually well tolerated in small amounts. […] Drink milk in moderate quantities. Most people with this condition can tolerate 240 ml of milk per day, but you need to work out your own tolerance level. […] You can buy milk that has had the lactose broken down, which makes it lactose free. […] 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.

• #13 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. […] 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. […] Your doctor can help you change your diet to manage your symptoms.

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

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

  Ways to change your diet to minimize symptoms of lactose intolerance include: […] Buying lactose-reduced or lactose-free products. You can find these products at most supermarkets in the dairy section. […] Using lactase enzyme tablets or drops. Over-the-counter tablets or drops containing the lactase enzyme (Lactaid, others) 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. […] Probiotics are generally considered safe and might be worth a try if other methods don’t help.

• #15 Lactose Intolerance (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/lactose-intolerance.html

  People can manage lactose intolerance by not drinking as much milk and eating fewer dairy products. […] A lactase enzyme supplement can help too. Taking this before you eat foods that contain dairy helps your body digest the lactose sugar in dairy and prevent pain, cramping, bloating, gas, and diarrhea. […] Here are some tips for dealing with lactose intolerance: Choose lactose-reduced or lactose-free milk. […] Take a lactase enzyme supplement (such as Lactaid) just before you eat dairy products. […] When you do drink milk or eat lactose-containing foods, eat other non-lactose foods at the same meal to slow digestion and avoid problems. […] Yogurts that contain active cultures are easier to digest and much less likely to cause lactose problems.

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

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

  Lactase produced largely from fungi or yeasts can be used prior to or added to dairy meals to aid in digestion of lactose. […] The notion of adaptation to lactose intolerance dates to the mid-20th century when milk powder was provided to some developing countries. […] Regular ingestion of the prebiotic galacto-oligo-saccharide has been shown to improve both symptoms and breath hydrogen response. […] Probiotics are defined as live microorganisms, when administered in adequate amounts, which confer a health benefit on the host. […] The benefit of consuming probiotics directly is less clear with studies showing variable results.

• #17 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. […] 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. […] Your doctor can help you change your diet to manage your symptoms.

• #18 Lactose Intolerance | AAFP

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

  Patients with mild lactose malabsorption may benefit from using lactase enzyme supplements, such as Dairy Ease. The incubation of milk with lactase enzymes may also be helpful. 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. […] Recent evidence suggests that patients with medically confirmed lactose malabsorption can ingest the number of servings of milk and dairy products recommended by the American Dietetic Association without experiencing gastrointestinal discomfort. Some patients increase their tolerance to lactose with repeated intake.

• #19 Lactose Intolerance – Cause, Symptoms, Diagnosis, Treatment

  https://www.webmd.com/digestive-disorders/digestive-diseases-lactose-intolerance

  You may be able to eat or drink small amounts of dairy. Some people do better if they have it with a meal. And some dairy products, like hard cheese or yogurt, may be easier to digest. […] Also, there are lots of lactose-free dairy products at the supermarket. Or you can take commonly found over-the-counter supplements (like Lactaid) to break down the milk sugars if you still want the real thing. […] Eating foods that contain probiotics might help with your lactose intolerance. Researchers are looking into whether lactic acid bacteria in probiotics might stop your body from turning undigested lactose into gas. […] If you give up milk completely, you can still get plenty of calcium, vitamin D, and other nutrients in a healthy diet. […] The symptoms of lactose intolerance are uncomfortable; your best bet to manage that pain is to watch your diet and limit how much dairy you eat and drink. […] Steps you can take to manage lactose intolerance include learning what foods contain lactose, limiting the amount of dairy in your diet, and taking a supplement to help you digest lactose.

• #20 Can changing the microbiome reverse lactose intolerance?: 2019 News: News: News & Events: Department of Biology: Indiana University Bloomington

  https://biology.indiana.edu/news-events/news/2019/foster-lactose-intolerance.html

  Can changing the microbiome reverse lactose intolerance? […] Recent studies have shown that the symptoms of lactose intolerance can be relieved in some people by changing the population of their intestinal microbes, called the microbiome, to encourage lactose-digesting bacteria. […] Ingesting lactic acid bacteria as a probiotic can alleviate the symptoms of lactose intolerance, but these bacteria may not persist in the colon. A promising new strategy is to feed the lactic acid bacteria a complex sugar that they can digest but humans cannot. […] Larger clinical trials are in progress.

• #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. […] Therefore, according to Ojetti et al., the use of exogenous lactase is useful for the treatment of lactose intolerance, also to avoid the risk of osteoporosis connected to the lack of milk and dairy products intake. […] A possible further therapeutic approach, therefore, could be the selection of milk containing only the type A2. […] Therefore, even the dietary approach represented by yogurt is a valid therapeutic option aimed at improving the clinical picture. […] The bacteria contained in probiotics can also be found in foods, for example, in yogurt. […] 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.

• #22 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.

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

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

  Lactase produced largely from fungi or yeasts can be used prior to or added to dairy meals to aid in digestion of lactose. […] The notion of adaptation to lactose intolerance dates to the mid-20th century when milk powder was provided to some developing countries. […] Regular ingestion of the prebiotic galacto-oligo-saccharide has been shown to improve both symptoms and breath hydrogen response. […] Probiotics are defined as live microorganisms, when administered in adequate amounts, which confer a health benefit on the host. […] The benefit of consuming probiotics directly is less clear with studies showing variable results.

• #24 Prebiotic Strategies to Manage Lactose Intolerance Symptoms

  https://www.mdpi.com/2072-6643/16/7/1002

  A limited number of studies suggest that prebiotics, including galactooligosaccharides (GOS) and potentially low doses of lactose itself, can enhance the proliferation of lactose-metabolizing microorganisms, such as Bifidobacterium and Lactobacillus, and decrease LI symptoms. […] Currently, there is no known method to increase lactase expression in individuals with LNP. […] Some studies suggest that symptoms may be mitigated via regular consumption of prebiotics or low-level lactose. […] Enhancing the colonization of the intestine with these Lactobacillus and Bifidobacterium through the intake of prebiotics could be a promising strategy to mitigate LI symptoms. […] GOS intake has been found to promote the proliferation of lactose-fermenting bacteria such as Bifidobacteria, Lactobacillus, and Faecalibacterium, and this increase in beneficial bacteria is linked to a decrease in LI symptoms. […] The recent studies on GOS consumption suggest that it can increase beneficial lactose-fermenting bacteria in the gut of individuals with lactose intolerance, resulting in decreased symptom severity.

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

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

  Lactose intolerance treatment typically entails consuming fewer dairy products to reduce or eliminate symptoms. […] To prevent GI discomfort, it’s best not to eat dairy on an empty stomach. […] When it comes to natural remedies for lactose intolerance, the most popular and effective strategy is taking lactase enzyme supplements with meals. […] Preliminary research shows probiotics and prebiotics may also alleviate or reduce symptoms of lactose intolerance. […] 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. […] To avoid deficiencies and further ease lactose intolerance symptoms, consider consulting a naturopathic doctor.

• #26 Lactose Intolerance | AAFP

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

  Patients with mild lactose malabsorption may benefit from using lactase enzyme supplements, such as Dairy Ease. The incubation of milk with lactase enzymes may also be helpful. 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. […] Recent evidence suggests that patients with medically confirmed lactose malabsorption can ingest the number of servings of milk and dairy products recommended by the American Dietetic Association without experiencing gastrointestinal discomfort. Some patients increase their tolerance to lactose with repeated intake.

• #27 Lactose intolerance: symptoms and treatment | gesund.bund.de

  https://gesund.bund.de/en/lactose-intolerance

  Someone who finds it difficult to exclude dairy products can experiment to see how much lactose they can tolerate without triggering symptoms. They can then allow themselves to consume this amount, combined with other foods, over the course of the day. […] In most cases, it’s not necessary to cut out all foods containing lactose. The following quantities are normally well tolerated especially if they are consumed together with other foods as part of a meal: up to 12 grams of lactose in one serving for example, 250 milliliters of milk; up to 24 grams of lactose over the course of one day for example, 500 milliliters of milk.

• #28 A Functional Medicine Lactose Intolerance Protocol: Specialty Testing, Elimination Diet, and Supplement Suggestions

  https://www.rupahealth.com/post/a-functional-medicine-lactose-intolerance-protocol-specialty-testing-elimination-diet-and-supplement-suggestions

  A low-lactose diet is the dietary approach recommended for lactose-intolerant people. […] Most people with lactose intolerance do not require a completely lactose-free diet and can tolerate up to 12-15 grams of lactose (equivalent to 8-12 oz of milk) daily. […] Your doctor may recommend a 4-6 week strict dietary elimination of all lactose-containing foods to observe the resolution of digestive symptoms and make a clinical diagnosis of lactose intolerance. […] Nutritional support, including digestive enzymes, dietary supplements, and probiotics, helps individuals with lactose intolerance maintain optimal health and manage their digestive symptoms. […] Patients following a low-lactose diet may need to consider calcium and vitamin D supplements to help meet their nutritional needs. […] Lactase enzyme supplements, such as LACTAID, can be taken with lactose-containing meals to help manage clinical symptoms. […] In secondary lactase deficiency, management is directed at the underlying cause. […] A holistic approach to managing lactose intolerance includes identifying and (if present) addressing underlying causes of lactose intolerance while implementing dietary modifications to limit lactose exposure.

• #29 Lactose intolerance | healthdirect

  https://www.healthdirect.gov.au/lactose-intolerance

  Lactose intolerance is when you cant break down lactose. […] If you’re lactose intolerant, you don’t need to stop eating foods with lactose in them altogether. […] The main treatment for lactose intolerance is to lower the amount of lactose in your diet. You won’t have to remove all lactose from your diet. […] It’s a good idea to visit an accredited practising dietitian. They can help you lower the lactose in your diet and still get enough calcium. […] Lactose intolerance can be temporary. It’s possible to slowly reintroduce milk and other dairy products over time. […] You may also need to change how you eat dairy foods to lower your chance of symptoms. […] Build up your tolerance by starting small and slowly increasing your milk consumption. Most people with lactose intolerance can tolerate cup of milk at a time.

• #30 Lactose Intolerance | AAFP

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

  Patients should be informed that having lactose malabsorption does not mean they are allergic to milk, dairy products, or dairy foods. A milk allergy is related to the proteins in milk rather than the lactose. The degree of lactose malabsorption varies widely among patients, but most patients do not require a totally lactose-free or severely restricted diet. Dairy products should not be totally eliminated because they provide key nutrients such as calcium, vitamins A and D, riboflavin, and phosphorus. […] Adult patients with lactose intolerance should maintain a calcium intake of 1,200 to 1,500 mg per day, including actual dairy products up to their individual threshold for symptoms. Milk intake commonly has to be limited to less than 250 to 375 mL (8 to 12 oz) per day. Patients should consider drinking lactose-reduced milk or taking calcium supplements. Patients should also be advised to avoid medications that contain lactose as filler and certain food products that may contain unrecognized lactose. Patient education is usually highly useful in patients with lactose intolerance.

• #31 Lactose Intolerance

  http://healthlibrary.gradyhealth.org/Library/Wellness/Prevention/85,P00388

  There is no treatment that can help your body make more lactase. But you can manage your symptoms by changing your diet or by using lactase supplements. […] Today, health experts suggest you try different dairy foods and see which ones cause fewer symptoms. That way you can still get enough calcium and other important nutrients such as vitamin D. […] Here are some tips for managing lactose in your diet: […] Start slowly. Try adding small amounts of milk or milk products and see how your body reacts. […] Have milk and milk products with other foods. You may find you have fewer symptoms if you take milk or milk products with your meals. […] Eat dairy products with naturally lower levels of lactose. These include hard cheeses and yogurt. […] Look for lactose-free and lactose-reduced milk and milk products. These can be found at many food stores.

• #32 Lactose intolerance | healthdirect

  https://www.healthdirect.gov.au/lactose-intolerance

  Other things to try: drink milk in small quantities, eat lactose-containing foods with other foods, choose regular fat milk as it has less lactose than low-fat or skim milk, hard cheeses are low in lactose and are usually well tolerated, yoghurt is also often well tolerated as it contains bacteria that break down lactose. […] You can buy enzyme tablets and drops from your pharmacy. Taking these before eating lactose containing foods will help stop your symptoms. […] It’s important to still eat enough calcium. Most adults need at least 1,000 mg of calcium every day more if you are older or a pregnant woman.

• #33 Lactose Intolerance Information & Treatment

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

• #34 Lactose intolerance | Better Health Channel

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

  Most people with lactose intolerance can tolerate cheese well, and small amounts of milk and yoghurt. […] It is important not to eliminate dairy foods completely from your diet if lactose intolerance is suspected, as dairy foods are rich sources of nutrients. […] Some dairy products (such as hard and mature cheeses) contain no lactose, and others (such as cream, butter, cottage cheese and ricotta) contain very little. […] Many people with lactose intolerance can tolerate small amounts of lactose with minimal symptoms. […] Most people with lactose intolerance can handle small amounts of lactose, such as a glass of milk, which contains 8 to 10 grams of lactose. […] Don’t give up milk products entirely. They are an important source of nutrients, especially calcium. […] Hard and matured cheeses such as cheddar, Edam, Swiss, mozzarella, brie and fetta contain no lactose and are tolerated by people with lactose intolerance.

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

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

  Lactose intolerance cannot be prevented. The symptoms of lactose intolerance can be prevented by eating less dairy. […] 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.

• #36 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

  Lactose intolerance (LI) occurs when the small intestine does not produce enough of the lactase enzyme to digest lactose, the sugar found in milk. […] 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. […] 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. Therefore, it is important to pay careful attention to the ingredients lists of products being consumed. […] Fortunately, individuals with LI do not need to completely eliminate dairy products from their diet. In today’s market, there are excellent solutions for LI people. These include naturally lactose-free, and the development of products that rely on the hydrolysis of lactose, into glucose and galactose, using the enzyme lactase.

• #37 Lactose Intolerance – Australasian Society of Clinical Immunology and Allergy (ASCIA)

  https://www.allergy.org.au/patients/food-other-adverse-reactions/lactose-intolerance

  Lactose intolerance can be managed in different ways: […] Lactase enzyme drops or tablets from a pharmacy can be taken before, or added to, regular dairy products to help digest the lactose. […] Lactose can be minimised in the diet by consuming lactose free products. Speaking to your doctor or dietitian can help work out what level of lactose you can tolerate to avoid diet restrictions that are not needed. […] For babies with lactose intolerance, lactose free formula is available. It is important that this is not fed to a baby with cows milk protein allergy. […] Some people are highly sensitive and may need to avoid medications that contain lactose. […] With short term lactose intolerance, lactose may be reintroduced into the diet after it has resolved. […] It is important to choose lactose free foods and drinks that contain similar levels of nutrients, such as protein and calcium, as regular dairy products. A dietitian can help with this. […] Lactose free dairy products are widely available, including: […] Lactose free cows milk, yoghurt, cheese, cream, ice cream and custard. […] Soy milk and yoghurt do not contain lactose. Choose products that have added calcium (calcium fortified).

• #38 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

  Lactose intolerance (LI) occurs when the small intestine does not produce enough of the lactase enzyme to digest lactose, the sugar found in milk. […] 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. […] 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. Therefore, it is important to pay careful attention to the ingredients lists of products being consumed. […] Fortunately, individuals with LI do not need to completely eliminate dairy products from their diet. In today’s market, there are excellent solutions for LI people. These include naturally lactose-free, and the development of products that rely on the hydrolysis of lactose, into glucose and galactose, using the enzyme lactase.

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

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

  Lactose intolerance cannot be prevented. The symptoms of lactose intolerance can be prevented by eating less dairy. […] 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.

• #40 Lactose Intolerance – Australasian Society of Clinical Immunology and Allergy (ASCIA)

  https://www.allergy.org.au/patients/food-other-adverse-reactions/lactose-intolerance

  Lactose intolerance can be managed in different ways: […] Lactase enzyme drops or tablets from a pharmacy can be taken before, or added to, regular dairy products to help digest the lactose. […] Lactose can be minimised in the diet by consuming lactose free products. Speaking to your doctor or dietitian can help work out what level of lactose you can tolerate to avoid diet restrictions that are not needed. […] For babies with lactose intolerance, lactose free formula is available. It is important that this is not fed to a baby with cows milk protein allergy. […] Some people are highly sensitive and may need to avoid medications that contain lactose. […] With short term lactose intolerance, lactose may be reintroduced into the diet after it has resolved. […] It is important to choose lactose free foods and drinks that contain similar levels of nutrients, such as protein and calcium, as regular dairy products. A dietitian can help with this. […] Lactose free dairy products are widely available, including: […] Lactose free cows milk, yoghurt, cheese, cream, ice cream and custard. […] Soy milk and yoghurt do not contain lactose. Choose products that have added calcium (calcium fortified).

• #41 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

  Individuals with LI are usually instructed to follow a lactose-free diet to reduce symptom manifestations. However, the avoidance of all dairy products in patients with LI is no longer recommended today, as the majority of LI patients can tolerate up to 5 g of lactose per single dose approximately the equivalent of 100 mL of milk. […] The major risk associated with the complete elimination of dairy products from the diet is that of developing a calcium deficiency and compromising bone health. Therefore, it is fundamental to ensure adequate calcium intake at each stage of life to build and maintain a healthy skeleton, especially in those with LI, who consume less dietary calcium than non-LI individuals. […] To ensure optimal bone mineralization, the American Academy of Pediatrics supports the use of dairy products in children and adolescents.

• #42 Lactose Intolerance and Cancer Nutrition | Stanford Health Care

  https://stanfordhealthcare.org/medical-clinics/cancer-nutrition-services/during-cancer-treatment/lactose-intolerance.html

  You may have to substitute other things for the dairy products you are used to eating in your diet. It is important to add other sources of calcium when foods containing lactose are omitted from your diet. You may also wish to try Lactaid milk that has had the lactose reduced or removed. Your doctor or registered dietitian can provide more information about this product.

• #43 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.

• #44 What Causes Lactose Intolerance? Types and Prevention

  https://www.webmd.com/digestive-disorders/causes-lactose-intolerance

  It cant be prevented and there isnt a cure for it. But its easily treated. Limit the amount of food and drink you have that contains lactose. […] You can also take lactase enzyme supplements to help your body digest lactose. […] Talk to your doctor about taking calcium supplements with vitamin D and eating calcium-rich foods, such as leafy greens, broccoli, soybeans and some seafood like salmon.

• #45 Lactose intolerance

  https://womenshealth.gov/healthy-eating/food-allergies-and-sensitivities/lactose-intolerance

  For most people, lactose intolerance does not require treatment. Instead, your doctor or nurse will talk to you about how to prevent the symptoms of lactose intolerance. This includes limiting or avoiding foods that have lactose, such as milk and foods made with milk. […] Some ways to help prevent symptoms include the following: […] Limit the amount of foods with lactose that you eat. […] Take a lactase tablet just before eating foods with lactose. The tablet gives your body the lactase it is missing. […] Choose lactose-reduced or lactose-free dairy products. These products have the same nutrients as milk, including calcium and vitamin D. […] If you are lactose-intolerant, your doctor or nurse will likely talk to you about how to get more calcium and vitamin D each day. A dietary supplement may give you the amount you need to help prevent osteoporosis, or you can try lactose-free dairy products.

• #46 Lactose Intolerance | AAFP

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

  Patients should be informed that having lactose malabsorption does not mean they are allergic to milk, dairy products, or dairy foods. A milk allergy is related to the proteins in milk rather than the lactose. The degree of lactose malabsorption varies widely among patients, but most patients do not require a totally lactose-free or severely restricted diet. Dairy products should not be totally eliminated because they provide key nutrients such as calcium, vitamins A and D, riboflavin, and phosphorus. […] Adult patients with lactose intolerance should maintain a calcium intake of 1,200 to 1,500 mg per day, including actual dairy products up to their individual threshold for symptoms. Milk intake commonly has to be limited to less than 250 to 375 mL (8 to 12 oz) per day. Patients should consider drinking lactose-reduced milk or taking calcium supplements. Patients should also be advised to avoid medications that contain lactose as filler and certain food products that may contain unrecognized lactose. Patient education is usually highly useful in patients with lactose intolerance.

• #47 Lactose Intolerance | AAFP

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

  Patients should be informed that having lactose malabsorption does not mean they are allergic to milk, dairy products, or dairy foods. A milk allergy is related to the proteins in milk rather than the lactose. The degree of lactose malabsorption varies widely among patients, but most patients do not require a totally lactose-free or severely restricted diet. Dairy products should not be totally eliminated because they provide key nutrients such as calcium, vitamins A and D, riboflavin, and phosphorus. […] Adult patients with lactose intolerance should maintain a calcium intake of 1,200 to 1,500 mg per day, including actual dairy products up to their individual threshold for symptoms. Milk intake commonly has to be limited to less than 250 to 375 mL (8 to 12 oz) per day. Patients should consider drinking lactose-reduced milk or taking calcium supplements. Patients should also be advised to avoid medications that contain lactose as filler and certain food products that may contain unrecognized lactose. Patient education is usually highly useful in patients with lactose intolerance.

• #48 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

  The best sources of dietary calcium include milk, cheese and dairy products, such as broccoli, collards, kale, turnip greens, and fortified soy products. […] In the last few years, a considerable interest in lactose-free diets as the primary treatment for those suffering from LI has led to a significant growth in the manufacture and sale of lactose-free products and more widespread interest in the health benefits to consumers. […] Therefore, it is essential that LI individuals constantly check and monitor the labels of all food and drink products they consume. […] AILI has assisted in the creation of the first internationally registered symbol that identifies and certifies lactose-free and milk-free products, named Lfree. […] Improving food labelling is a strategy that could guide consumers to choose safer and healthier products. However, there is a strong need to improve the LI dietary approach and post-diagnosis management. Nutritional education for healthy choices and better understanding of food labels are key factors to improve awareness and avoid lactose-containing products, ensuring adequate nutritional requirements.

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

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

  Lactose intolerance prevention […] Patients and carers need to be advised to monitor food labels. The following may contain unexpected lactose: […] Bread. […] Cakes and biscuits. […] Cereals. […] Margarine. […] Dressings. […] Sweets. […] Snacks. […] Ready meals. […] Quorn-based products. […] Baked beans. […] Various drugs, whether prescribed or over-the-counter.

• #50

  https://www.healthychildren.org/English/healthy-living/nutrition/Pages/Lactose-Intolerance-in-Children.aspx

  If your child has lactose intolerance, he or she can still eat lactose-free dairy products including lactose-free milk, cheese, and yogurts—all are good sources of calcium. In addition, your child can get calcium from dark green leafy vegetables such as spinach, broccoli and kale, nuts (almonds), beans (white beans), fish (sardines, salmon) and calcium-fortified orange juice. If you feel your child is not getting enough calcium, talk with your pediatrician about starting a calcium supplement. […] To help alleviate symptoms if/when your child consumes lactose-containing food, your pediatrician may recommend an over-the-counter lactase enzyme supplement. […] If your child’s symptoms are severe and warrant removing all lactose from his or her diet, your pediatrician may refer your child to a registered dietitian. Since dairy is a good source of calcium and vitamin D—which all kids need—a registered dietitian can suggest other foods to provide those nutrients and may suggest vitamin supplements.

• #51 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=90&contentid=p02003

  Lactose intolerance is when the body can’t easily break down or digest lactose. […] You can manage your child’s symptoms with a diet that limits lactose. Your child may not have to stop eating all foods with lactose. […] Here are some tips for managing lactose in your child’s diet: Start slowly. After a week of limiting foods with lactose, try adding small amounts of milk or milk products back to your child’s diet. […] Talk with your child’s provider about what products or diet changes may help your child. […] Always talk with your child’s healthcare provider. Your child’s provider may prescribe a calcium supplement if your child can’t get enough calcium from his or her diet. […] Talk with your child’s provider about what products or diet changes may help your child. You may also find it helpful to see a registered dietitian.

• #52 Pathophysiology and management of second | Biomedical Research

  https://www.currentpediatrics.com/articles/pathophysiology-and-management-of-secondary-lactose-intolerance-in-infants-role-of-caseinbased-nutritional-supplement-25121.html

  Diarrhea is a leading cause of malnutrition and is the third leading cause of death among children under five years. […] Compared to lactose-containing formulas, lactose-free supplementation can reduce the duration of diarrhea by an average of 18 hours. […] Lactose restriction reduces the duration of gastrointestinal symptoms in children with prolonged diarrhea following acute gastroenteritis. […] Lactose-free supplementation may also help to prevent treatment failures, such as vomiting, weight loss, or the need for additional fluids. […] The use of lactose-free supplements has been shown to shorten the average duration of diarrhea by 18 hours. […] Reintroducing lactose-containing formula or foods should be attempted after 24 weeks. […] Lactose avoidance for young children with acute diarrhoea: Breast-feeding should be continued for infants diagnosed with lactose intolerance. […] A brief trial of lactose-free formula in formula-fed infants may be indicated for viral gastroenteritis.

• #53 Pathophysiology and management of second | Biomedical Research

  https://www.currentpediatrics.com/articles/pathophysiology-and-management-of-secondary-lactose-intolerance-in-infants-role-of-caseinbased-nutritional-supplement-25121.html

  Diarrhea is a leading cause of malnutrition and is the third leading cause of death among children under five years. […] Compared to lactose-containing formulas, lactose-free supplementation can reduce the duration of diarrhea by an average of 18 hours. […] Lactose restriction reduces the duration of gastrointestinal symptoms in children with prolonged diarrhea following acute gastroenteritis. […] Lactose-free supplementation may also help to prevent treatment failures, such as vomiting, weight loss, or the need for additional fluids. […] The use of lactose-free supplements has been shown to shorten the average duration of diarrhea by 18 hours. […] Reintroducing lactose-containing formula or foods should be attempted after 24 weeks. […] Lactose avoidance for young children with acute diarrhoea: Breast-feeding should be continued for infants diagnosed with lactose intolerance. […] A brief trial of lactose-free formula in formula-fed infants may be indicated for viral gastroenteritis.

• #54 Lactose Intolerance | AAFP

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

  Patients with secondary lactose intolerance require further investigation to identify the primary problem. 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.

• #55 Lactose Intolerance | AAFP

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

  Patients with secondary lactose intolerance require further investigation to identify the primary problem. 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.

• #56 Pathophysiology and management of second | Biomedical Research

  https://www.currentpediatrics.com/articles/pathophysiology-and-management-of-secondary-lactose-intolerance-in-infants-role-of-caseinbased-nutritional-supplement-25121.html

  Diarrhea is a leading cause of malnutrition and is the third leading cause of death among children under five years. […] Compared to lactose-containing formulas, lactose-free supplementation can reduce the duration of diarrhea by an average of 18 hours. […] Lactose restriction reduces the duration of gastrointestinal symptoms in children with prolonged diarrhea following acute gastroenteritis. […] Lactose-free supplementation may also help to prevent treatment failures, such as vomiting, weight loss, or the need for additional fluids. […] The use of lactose-free supplements has been shown to shorten the average duration of diarrhea by 18 hours. […] Reintroducing lactose-containing formula or foods should be attempted after 24 weeks. […] Lactose avoidance for young children with acute diarrhoea: Breast-feeding should be continued for infants diagnosed with lactose intolerance. […] A brief trial of lactose-free formula in formula-fed infants may be indicated for viral gastroenteritis.

• #57 Can changing the microbiome reverse lactose intolerance?: 2019 News: News: News & Events: Department of Biology: Indiana University Bloomington

  https://biology.indiana.edu/news-events/news/2019/foster-lactose-intolerance.html

  Can changing the microbiome reverse lactose intolerance? […] Recent studies have shown that the symptoms of lactose intolerance can be relieved in some people by changing the population of their intestinal microbes, called the microbiome, to encourage lactose-digesting bacteria. […] Ingesting lactic acid bacteria as a probiotic can alleviate the symptoms of lactose intolerance, but these bacteria may not persist in the colon. A promising new strategy is to feed the lactic acid bacteria a complex sugar that they can digest but humans cannot. […] Larger clinical trials are in progress.

• #58 Can changing the microbiome reverse lactose intolerance?: 2019 News: News: News & Events: Department of Biology: Indiana University Bloomington

  https://biology.indiana.edu/news-events/news/2019/foster-lactose-intolerance.html

  Can changing the microbiome reverse lactose intolerance? […] Recent studies have shown that the symptoms of lactose intolerance can be relieved in some people by changing the population of their intestinal microbes, called the microbiome, to encourage lactose-digesting bacteria. […] Ingesting lactic acid bacteria as a probiotic can alleviate the symptoms of lactose intolerance, but these bacteria may not persist in the colon. A promising new strategy is to feed the lactic acid bacteria a complex sugar that they can digest but humans cannot. […] Larger clinical trials are in progress.

• #59 Can changing the microbiome reverse lactose intolerance?: 2019 News: News: News & Events: Department of Biology: Indiana University Bloomington

  https://biology.indiana.edu/news-events/news/2019/foster-lactose-intolerance.html

  Can changing the microbiome reverse lactose intolerance? […] Recent studies have shown that the symptoms of lactose intolerance can be relieved in some people by changing the population of their intestinal microbes, called the microbiome, to encourage lactose-digesting bacteria. […] Ingesting lactic acid bacteria as a probiotic can alleviate the symptoms of lactose intolerance, but these bacteria may not persist in the colon. A promising new strategy is to feed the lactic acid bacteria a complex sugar that they can digest but humans cannot. […] Larger clinical trials are in progress.

• #60

  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. […] Therefore, according to Ojetti et al., the use of exogenous lactase is useful for the treatment of lactose intolerance, also to avoid the risk of osteoporosis connected to the lack of milk and dairy products intake. […] A possible further therapeutic approach, therefore, could be the selection of milk containing only the type A2. […] Therefore, even the dietary approach represented by yogurt is a valid therapeutic option aimed at improving the clinical picture. […] The bacteria contained in probiotics can also be found in foods, for example, in yogurt. […] 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.

• #61 Can changing the microbiome reverse lactose intolerance?: 2019 News: News: News & Events: Department of Biology: Indiana University Bloomington

  https://biology.indiana.edu/news-events/news/2019/foster-lactose-intolerance.html

  Can changing the microbiome reverse lactose intolerance? […] Recent studies have shown that the symptoms of lactose intolerance can be relieved in some people by changing the population of their intestinal microbes, called the microbiome, to encourage lactose-digesting bacteria. […] Ingesting lactic acid bacteria as a probiotic can alleviate the symptoms of lactose intolerance, but these bacteria may not persist in the colon. A promising new strategy is to feed the lactic acid bacteria a complex sugar that they can digest but humans cannot. […] Larger clinical trials are in progress.

• #62 Lactose Intolerance – Cause, Symptoms, Diagnosis, Treatment

  https://www.webmd.com/digestive-disorders/digestive-diseases-lactose-intolerance

  You may be able to eat or drink small amounts of dairy. Some people do better if they have it with a meal. And some dairy products, like hard cheese or yogurt, may be easier to digest. […] Also, there are lots of lactose-free dairy products at the supermarket. Or you can take commonly found over-the-counter supplements (like Lactaid) to break down the milk sugars if you still want the real thing. […] Eating foods that contain probiotics might help with your lactose intolerance. Researchers are looking into whether lactic acid bacteria in probiotics might stop your body from turning undigested lactose into gas. […] If you give up milk completely, you can still get plenty of calcium, vitamin D, and other nutrients in a healthy diet. […] The symptoms of lactose intolerance are uncomfortable; your best bet to manage that pain is to watch your diet and limit how much dairy you eat and drink. […] Steps you can take to manage lactose intolerance include learning what foods contain lactose, limiting the amount of dairy in your diet, and taking a supplement to help you digest lactose.

• #63 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.

• #64 A Functional Medicine Lactose Intolerance Protocol: Specialty Testing, Elimination Diet, and Supplement Suggestions

  https://www.rupahealth.com/post/a-functional-medicine-lactose-intolerance-protocol-specialty-testing-elimination-diet-and-supplement-suggestions

  A low-lactose diet is the dietary approach recommended for lactose-intolerant people. […] Most people with lactose intolerance do not require a completely lactose-free diet and can tolerate up to 12-15 grams of lactose (equivalent to 8-12 oz of milk) daily. […] Your doctor may recommend a 4-6 week strict dietary elimination of all lactose-containing foods to observe the resolution of digestive symptoms and make a clinical diagnosis of lactose intolerance. […] Nutritional support, including digestive enzymes, dietary supplements, and probiotics, helps individuals with lactose intolerance maintain optimal health and manage their digestive symptoms. […] Patients following a low-lactose diet may need to consider calcium and vitamin D supplements to help meet their nutritional needs. […] Lactase enzyme supplements, such as LACTAID, can be taken with lactose-containing meals to help manage clinical symptoms. […] In secondary lactase deficiency, management is directed at the underlying cause. […] A holistic approach to managing lactose intolerance includes identifying and (if present) addressing underlying causes of lactose intolerance while implementing dietary modifications to limit lactose exposure.

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