Food & Cooking: Lactose Intolerance

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Food Intolerance vs. Allergies

A food intolerance often affects only the digestive system and causes less serious symptoms, usually gastrointestinal symptoms, nausea, vomiting, or dehydration. In contrast, a true food allergy affects the immune system, and even small amounts of the offending food can trigger a range of symptoms, which can be severe or life-threatening.

See also the Troop 883 First Aid Guide: Food Allergies and Intolerance


Lactose Intolerance

People with lactose intolerance are unable to fully digest the sugar (lactose) in milk. As a result, they have diarrhea, gas and bloating after eating or drinking dairy products. The condition, which is also called lactose malabsorption, is usually harmless, but its symptoms can be uncomfortable.


Foods to Avoid that Contain Lactose

  • milk — all types of cow’s milk, goat’s milk, and buffalo milk
  • cheese — especially soft cheeses, such as cream cheese, cottage cheese, mozzarella, and ricotta
  • butter
  • yogurt
  • ice cream, frozen yogurt, and dairy-based sherbet
  • buttermilk
  • sour cream
  • whipped cream

Foods to with Low Lactose

Some people with lactose intolerance may be able to handle low amounts – it is best to learn and find out before making any assumptions.

  • Butter, especially clarified butter
  • Certain types of yogurt
  • Kefir or skyr
  • Aged and hardened cheeses
  • Heavy cream

Foods and Substitutes to Enjoy

  • Milk alternatives: lactose-free milk, rice milk, almond milk, oat milk, coconut milk, cashew milk, hemp milk
  • Lactose-free yogurts: coconut yogurt, almond milk yogurt, soy yogurt, cashew yogurt
  • Healthy fats: avocados, olive oil, sesame oil, coconut oil