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Diet for Lactose Intolerance
What is lactose intolerance?
Lactose is the name of the sugar found in milk. Lactose intolerance occurs when your body can’t break down all the lactose in the foods you eat. Symptoms of lactose intolerance include:
Diarrhea
Gas
Bloating
Stomach pain
Stomach cramps
What foods contain lactose?
Lactose is found in dairy products, such as:
Milk
Cheese
Yogurt
Ice cream
Sherbet
Items on a food label that contain lactose include:
Milk
Milk solids
Skim milk powder
Cream
Buttermilk
Malted milk
Whey lactose
Curds
Margarine
Some foods that may have hidden sources of lactose include:
Breads
Candies
Cookies
Cold cuts
Hot dogs
Bologna
Sauces and gravies
Dessert mixes
Cream soups
Frostings
Chocolate drink mixes
Salad dressings
Living with lactose intolerance
Take small amounts. In most cases, you don’t need to remove all dairy foods from your diet. You may be able to eat or drink small amounts of dairy products without having any symptoms. It can be helpful to keep a food diary. Keep track of what you eat and drink, and write down when you have symptoms. You may be able to eat yogurt or harder cheeses because they may have less lactose.
Try lactose-free and reduced-lactose products. There are many lactose-free and lactose-reduced dairy products available, including milk, ice cream, and cheeses. These can allow you to still enjoy dairy products. Ask your healthcare provider or dietitian about these products.
Take lactase enzyme supplements. These supplements are available over the counter. Taking the advised dose with your first drink or bite of a dairy product can help prevent symptoms. Talk with your healthcare provider about these supplements. If you are taking other medicines, check with the pharmacist about possible medicine interactions before using any supplements.
How are the body's calcium and vitamin D needs met?
Calcium and vitamin D are needed for strong bones and teeth. If you are not using milk or milk products, you may not be getting enough calcium and vitamin D from your diet. Ask your healthcare provider or dietitian for more information about your body's calcium and vitamin D needs. Increasing your calcium and vitamin D intake through diet is best and gives many health benefits. If you can't, talk with your provider about whether a supplement is right for you.
The following are good sources of calcium:
300 mg calcium | 150 mg calcium | 100 mg calcium |
4 ounces canned salmon | 2 ounces canned sardines | 2/3 cup broccoli |
1 cup calcium-fortified orange juice | 1/2 cup turnip greens, kale, or collards | 1/2 cup okra |
1/4 cup almonds | 1/2 cup tofu | 5 ounces shrimp |
1 cup yogurt | 1 1/2 cups dried beans | 2 cups cabbage |
Online Sources
- National Digestive Diseases Information Clearinghouse. Lactose Intolerance
- National Digestive Diseases Information Clearinghouse. What I need to know about lactose intolerance
- The 2011 Report on Dietary Reference Intakes for Calcium and Vitamin D from the Institute of Medicine: What Clinicians Need to Know, Institute of Medicine
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