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American Bone Health has closed.  However, on October 1, 2023, we joined forces with the Bone Health and Osteoporosis Foundation (BHOF) so that BHOF could continue offering all of the important programs and services created by American Bone Health. Please visit www.bonehealthandosteoporosis.org for more information about the Bone Health and Osteoporosis Foundation.

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Dealing with Lactose Intolerance

Severnty-five percent of African Americans suffer the uncomfortable symptoms of lactose intolerance and avoid dairy products. There is no cure for lactose intolerance, but it can be managed to reduce the unpleasant symptoms.

  • Reduce the amount of lactose per serving rather than avoiding it. Some studies show that people with lactose intolerance can eat 1 cup of milk with minor or no symptoms. Taken with other foods, some people can tolerate more.
  • Think hard cheese. Hard cheeses, such as most cheddars, Parmigiano-Reggiano and Romano do not have lactose because they are aged.
  • Check yogurts with active cultures. Yogurts with active cultures are much less likely to cause problems. Yogurts or any foods that list “added milk solids” or “whey” can contain significant amounts of lactose.
  • Try plant-based milks. Soy, rice, and almond and other nut milks are completely lactose-free, and can be both a good source of calcium (if they are supplemented with calcium) and these can be a healthy choice for people trying to reduce cholesterol.
  • Mix high-lactose foods with non-lactose foods. By combining non-lactose foods with dairy, the lactose-rich food may pass more slowly through the intestines and have a better chance to be digested properly.
  • Build up intestinal tolerance. Although the lactase enzyme is not increased by the amount of lactose consumed, some studies show that regular consumption of lactose may increase tolerability in both adults and kids.
  • Shop for lactose-free milk. Milk that has been treated with lactase is widely available and often well tolerated by people with lactose intolerance.
  • Small pills are available over the counter that contain lactase. When you take them at the same time that diary food is eaten, lactose digestion is helped and symptoms can be alleviated.  
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