LACTASE
Patient Counselling
Patient Counselling
· Use the lactase enzyme tablets just before consuming lactose-containing products.
· There are minimal side effects associated with lactase, if any.
· Lactase can be added directly to milk to break down lactose, making it more digestible.
· Add suggested number of lactase drops into cow’s milk product and shake carton
· Wait 24 hours for lactose digestion to be complete before consuming.
· Lactase treated milk may taste sweeter than standard milk (because the break down products of lactose, glucose and galactose, are sweeter than lactose).
· Tolerance to different sources of lactose varies from person to person, and so tolerance should be tested by introducing small quantities of lactose-containing food into your diet at a time.
· The amount of lactose you can tolerate depends on what symptoms you are experiencing.
· It is important to verify food labels to identify products that contain lactose and other milk products. Look for words that indicate food containing lactose: milk, milk solids, whey, curds, cheese flavours, non-fat milk powder, non-fat milk solids, sweet or sour cream, buttermilk, malted milk.
· Low-lactose foods: soy milk, lactose-hydrolyzed milk, rice milk, lactose-free nutrition supplements
· Foods that may be better tolerated than milk: cheese, cottage cheese, sour cream, yogurt, whipping cream, half and half cream, chocolate milk, ice cream
· These foods contain less lactose than regular milk.
· Try eating small portions of these foods and increase amount if food does not cause any gastrointestinal symptoms.
· In Canada, lactose-free means there is no detectable lactose in the food.
· In order to achieve the recommended dietary allowance of calcium, these other calcium containing foods may be consumed: canned salmon and sardines, fortified soy and rice beverages, and calcium-fortified fruit juices.
References
1. e-Therapeutics. e-CPS: Drug Monographs: Lactaid. Accessed July 4, 2012.
2. Health Canada Natural Health Products Ingredients Database. Available at: http://webprod.hc-sc.gc.ca/nhpid-bdipsn/monoReq.do?id=196&lang=eng. Accessed July 5, 2012.
3. Joans MP. Bloating and Intestinal Gas. Current Treatment Options in Gastroenterology, 2005; 8:311-318.
4. Lexi-Comp. Lactase. Accessed July 4, 2012.
5. Montalto M, et al. Effect of exogenous beta-galactosidase in patients with lactose malabsorption and intolerance: a crossover double-blind placebo-controlled study. European Journal of Clinical Nutrition, 2005; 59:489-493.
6. Medow MS, et al. B-Galactosidase Tablets in the Treatment of Lactose Intolerance in Pediatrics. AJDC, 1990; 144:1261-1264.
7. Shaukat A, et al. Systematic Review: Effective Management Strategies for Lactose Intolerance. Annals of Internal Medicine, 2010; 152(12):797-803.
8. Montalto M, et al. Management and treatment of lactose malabsorption. World J Gastroenterol, 2006; 12(2):187-191.
9. Swagerty DL, et al. Lactose Intolerance. Am Fam Physician, 2002; 65(9):1845-1850.
10. Dieticians of Canada. Managing Lactose Intolerance. Available at: http://www.dietitians.ca/Nutrition-Resources-A-Z/Factsheets/Lactose/Managing-Lactose-Intolerance.aspx. Accessed July 4, 2012.
11. University of California Medical Center. Lactose Intolerance Patient Information. Available at: http://www.ucsfhealth.org/education/lactose/index.html. Accessed July 4, 2012.
12. Compendium of Self-Care Products: The Canadian Reference for Nonprescription Products: 2nd edition. Nutrition Products: Lactose Digestants. Canadian Pharmacists Association, Toronto, ON: 2010; 147.
.
:
· Use the lactase enzyme tablets just before consuming lactose-containing products.
· There are minimal side effects associated with lactase, if any.
· Lactase can be added directly to milk to break down lactose, making it more digestible.
· Add suggested number of lactase drops into cow’s milk product and shake carton
· Wait 24 hours for lactose digestion to be complete before consuming.
· Lactase treated milk may taste sweeter than standard milk (because the break down products of lactose, glucose and galactose, are sweeter than lactose).
· Tolerance to different sources of lactose varies from person to person, and so tolerance should be tested by introducing small quantities of lactose-containing food into your diet at a time.
· The amount of lactose you can tolerate depends on what symptoms you are experiencing.
· It is important to verify food labels to identify products that contain lactose and other milk products. Look for words that indicate food containing lactose: milk, milk solids, whey, curds, cheese flavours, non-fat milk powder, non-fat milk solids, sweet or sour cream, buttermilk, malted milk.
· Low-lactose foods: soy milk, lactose-hydrolyzed milk, rice milk, lactose-free nutrition supplements
· Foods that may be better tolerated than milk: cheese, cottage cheese, sour cream, yogurt, whipping cream, half and half cream, chocolate milk, ice cream
· These foods contain less lactose than regular milk.
· Try eating small portions of these foods and increase amount if food does not cause any gastrointestinal symptoms.
· In Canada, lactose-free means there is no detectable lactose in the food.
· In order to achieve the recommended dietary allowance of calcium, these other calcium containing foods may be consumed: canned salmon and sardines, fortified soy and rice beverages, and calcium-fortified fruit juices.
References
1. e-Therapeutics. e-CPS: Drug Monographs: Lactaid. Accessed July 4, 2012.
2. Health Canada Natural Health Products Ingredients Database. Available at: http://webprod.hc-sc.gc.ca/nhpid-bdipsn/monoReq.do?id=196&lang=eng. Accessed July 5, 2012.
3. Joans MP. Bloating and Intestinal Gas. Current Treatment Options in Gastroenterology, 2005; 8:311-318.
4. Lexi-Comp. Lactase. Accessed July 4, 2012.
5. Montalto M, et al. Effect of exogenous beta-galactosidase in patients with lactose malabsorption and intolerance: a crossover double-blind placebo-controlled study. European Journal of Clinical Nutrition, 2005; 59:489-493.
6. Medow MS, et al. B-Galactosidase Tablets in the Treatment of Lactose Intolerance in Pediatrics. AJDC, 1990; 144:1261-1264.
7. Shaukat A, et al. Systematic Review: Effective Management Strategies for Lactose Intolerance. Annals of Internal Medicine, 2010; 152(12):797-803.
8. Montalto M, et al. Management and treatment of lactose malabsorption. World J Gastroenterol, 2006; 12(2):187-191.
9. Swagerty DL, et al. Lactose Intolerance. Am Fam Physician, 2002; 65(9):1845-1850.
10. Dieticians of Canada. Managing Lactose Intolerance. Available at: http://www.dietitians.ca/Nutrition-Resources-A-Z/Factsheets/Lactose/Managing-Lactose-Intolerance.aspx. Accessed July 4, 2012.
11. University of California Medical Center. Lactose Intolerance Patient Information. Available at: http://www.ucsfhealth.org/education/lactose/index.html. Accessed July 4, 2012.
12. Compendium of Self-Care Products: The Canadian Reference for Nonprescription Products: 2nd edition. Nutrition Products: Lactose Digestants. Canadian Pharmacists Association, Toronto, ON: 2010; 147.
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