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What Is Lactose Intolerance

author avatar Dr. Eric Berg 07/30/2024

We’ve all been there. You enjoy a delicious scoop of ice cream or indulge in a creamy latte, and shortly after, your stomach feels like it’s doing flips. Perhaps you experience bloating, gas, or even an urgent need to find a restroom.

These, my friend, could be signs of lactose intolerance, a common digestive issue that affects many people.

What is Lactose Intolerance?

Lactose intolerance means your body struggles to digest lactose, a type of sugar found in milk and dairy products. This is because your small intestine doesn’t produce enough of the enzyme lactase.

Lactase is responsible for breaking down lactose into simpler sugars (glucose and galactose) for your body to absorb.

Lactose Intolerance Symptoms – It’s Not Just About Your Stomach

While digestive discomfort might be the most talked-about aspect, lactose intolerance symptoms can manifest in a few sneaky ways. Some lactose intolerance symptoms include digestive upset and issues beyond the gut.

Digestive Upset

This is where most of the “classic” lactose intolerance symptoms come into play. Think bloating gas, diarrhea, stomach cramps, and that rumbling feeling in your gut.

It’s important to remember that the severity can differ from person to person. What sends one person running for the bathroom might cause mild discomfort for another.

Man with a headache

Beyond the Gut

Sometimes, lactose intolerance can express itself outside of the digestive tract. Lactose intolerance symptoms can include:

  • Headaches

  • Fatigue

  • Joint Pain

  • Skin Issues, such as acne or eczema.

If you consistently experience these symptoms after consuming dairy and haven’t been able to pinpoint another cause, it’s something to consider.

What Can Cause Lactose Intolerance?

You might be surprised to know there are various reasons why you could experience lactose intolerance, each with its own set of triggers and solutions:

Primary Lactose Intolerance

This is the most common type, often genetically predisposed, and tends to develop gradually over time as we age. As babies, our bodies produce lots of lactase because of breast milk.

But as we transition to adulthood, lactase production naturally declines for many people, making it trickier to digest lactose. This is when people develop lactose intolerance.

Secondary Lactose Intolerance

This type arises from an underlying condition or external factor, like a gastrointestinal illness. Some people develop secondary lactose intolerance due to conditions such as Crohn’s disease or celiac disease.

Certain medications, like antibiotics, can also disrupt the delicate balance of gut bacteria, impacting your ability to produce lactase. Babies born prematurely may also have secondary lactose intolerance as their small intestines are not producing lactase yet.

Congenital Lactose Intolerance

This is very rare, but some babies are born without the ability to produce lactase, usually due to genetics.

Managing Lactose Intolerance Symptoms

Navigating lactose intolerance doesn’t have to be about restriction and misery. Here are some tried-and-tested tips:

Listen to Your Body

Start by understanding your own tolerance. Some people can handle small amounts of dairy without issue, while others react to even the slightest trace. It's a very personalized condition.

Lactase Supplements

These handy over-the-counter pills contain the lactase enzyme. Take them before consuming dairy to help your body digest lactose. You can purchase lactase food in most stores.

Explore Alternatives

The market is brimming with tasty milk substitutes. Almond milk, soy milk, oat milk – the options are vast and often fortified with added nutrients.

Also, experiment with dairy-free alternatives in your favorite recipes. From cashew-based cheeses to creamy coconut yogurts, you might be amazed at what you discover. You may be surprised to learn that there are many lactose-free products on the market now.

Probiotics

These friendly bacteria can play a role in gut health. While they won’t “cure” lactose intolerance, maintaining a healthy balance of gut flora can aid in overall digestion.

Yogurt (with live active cultures), kefir, and fermented foods like sauerkraut and kimchi are all fantastic sources of these beneficial microbes.

Eating foods with probiotics may help with any bacterial overgrowth in your gut.

Living Well with Lactose Intolerance Symptoms

You absolutely can thrive even with lactose intolerance. It requires a bit of awareness and adapting, but you can savor a fulfilling, delicious, and belly-friendly lifestyle. Keep a food diary to help you identify what your triggers are.

Organic pasture-raised milk dairy

Living Lactose-Free

Offers essential information for those managing lactose intolerance while pursuing a ketogenic lifestyle.

Lactose intolerance symptoms, such as bloating, gas, diarrhea, and stomach cramps, occur when the body lacks the enzyme lactase needed to digest lactose, the sugar found in milk. For those affected, navigating a diet that avoids these discomforts is crucial.

The ketogenic diet, which emphasizes low-carb, high-fat foods, often includes dairy, raising the question: is milk keto? Traditional cow's milk, which contains lactose, can hinder ketosis due to its sugar content.

Fortunately, several lactose-free alternatives fit perfectly into a keto diet. Unsweetened almond milk, coconut milk, and heavy cream are excellent options that provide the creamy texture of milk without the lactose.

Additionally, many hard cheeses, butter, and fermented dairy products like Greek yogurt have low lactose content and can be tolerated by most people with lactose intolerance.

Incorporating these keto-friendly dairy alternatives ensures that those with lactose intolerance can maintain their dietary goals without experiencing discomfort.

By understanding the symptoms and making informed choices, individuals can thrive on a lactose-free, ketogenic diet, enjoying both health benefits and culinary satisfaction.

This approach allows for a balanced, enjoyable diet that supports overall well-being while adhering to dietary restrictions.

Conclusion

Lactose intolerance symptoms can be inconvenient, but understanding its nuances and how it affects your body can drastically improve your experience.

By recognizing triggers, managing symptoms, and focusing on a gut-friendly lifestyle, you're empowered to live a healthier, happier life, even if dairy decides to sit this one out.

If you are experiencing these symptoms, it is advisable to talk with your healthcare provider to get a proper diagnosis.


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