A lactose free diet means eating foods that do not contain lactose- a sugar that is found in most milk products. Some people cannot properly break down lactose or lack a properly functioning enzyme required for the breakdown of lactose. Some can eat small amounts of lactose without having symptoms while others have to avoid it completely.
Low Lactose Diet
Generally eliminates only milk and cow products. However, some can tolerate milk in small amounts (2 oz) throughout the day or as part of a meal. Some can tolerate small amounts of yogurt.These patients can experiment to find a level of lactose they can tolerate. It is generally better tolerated with a meal, than by itself. Some people can build up their tolerance by gradually introducing the lactose-contained foods.
All lactose products must be eliminated, including foods that are prepared with milk, both at home and in commercially packaged foods. These people may be able to use 100% lactose free milk or soy milk. Labels should always be read carefully.
Lactose Digestive Aids and Products
Many people can drink milk in which the lactose has been partially or completely broken down.
|Milk & milk products||100% lactose-free milk, soy milk||Milk; whole, skim, 1%, 2%, buttermilk, sweet acidophilus milk: evaporated milk, powdered dry milk, sweetened condensed milk, instant hot chocolate and cocoa mixes, cheese|
|Vegetables||Fresh, frozen, and canned vegetables without added milk or milk products. Tomato paste and purée, tomato and spaghetti sauces without cheese||Creamed or breaded vegetables, packaged dried potato mixes, tomato and spaghetti sauce with cheese|
|Fruits||Fresh, frozen, canned, and dried fruits||None|
|Breads & Grains||Water-based breads (Italian, French, Jewish rye), rice and popcorn cakes, graham crackers, rusky, Pareve Jewish bakery products, cooked and dry cereals without added milk solids, pasta, rice, oats, barley, cornmeal, bulgar, and other plain grains||The following made with milk or milk products, breads, rolls, biscuits, muffins, pancakes, sweet rolls, waffles, crackers, instant and dried cereals with added milk products, some packaged grain mixes, packaged macaroni mixes|
|Meat & meat substitutes||Plain beef, lamb, veal, pork, wild game, poultry,fish, shellfish, eggs, kosher prepared meat products, peanut butter, peas, beans, or lentils (dried, canned, or frozen), all nuts and seeds, tofu||Eggs, fish, meat, or poultry (breaded or creamed), luncheon meats, sausage, frankfurters, some brands of egg substitutes and powdered eggs|
|Fats & oils||Bacon, butter, margarine without milk derivatives (whey), salad dressing without cheese or milk, vegetable oils, olives, most non-dairy creamers, mayonnaise, gravy made without milk or milk products||Cream, half & half, sour cream cheese, chip dips, some types of margarine, salad dressing with cheese or milk, whipped toppings|
|Sweets & desserts||Angel food cake, gelatin, fruit ice, fruit popsickles, fruit roll ups, hard candy, gum drops, jellybeans, licorice, fruit pie fillings||Ice cream, ice milk, some brands or sherbet, soufflé, mousse, pudding, custards, packaged dessert mixes, milk chocolate, toffee, caramel, butterscotch|
|Beverages||Postum, lactose-free nutritional supplements (Sustacal, Ensure, Nutren), vegetable juice, fruit juices and drinks, tea, carbonated beverages, beer, wine, distilled spirits (gin, rum, etc.), cocoa powder, most coffee||Instant iced tea, instant coffee, Ovaltine, chocolate drink mixes, cordials, liqueurs, milk-based nutritional supplements (carnation instant breakfast)|
|Soups||Bouillon, broth, meat or vegetable stock soups, bisques and chowders made with water, soy milk, or 100% lactose-free milk||Cream soup, canned and dehydrated soup mixes containing milk products|
|Miscellaneous||Popcorn, plain pretzels, plain potato and corn tortilla chips, salsa, mustard, ketchup, pickles, uncreamed horseradish, relish, sace3s made without milk or milk products, sugar, honey, jams and jellies, maple and corn syrup, molasses, herbs, spices, salt, pepper||Cream or cheese sauces, ranch-style or cheese-flavored snack pretzels or chips, cheese curls, sugar substitutes with lactose asses, medications and vitamin/mineral supplements with lactose added|