Treatment
Symptoms usually improve on decreasing or removing milk products from the diet. Up to one-half cup of milk is tolerated by most people with low lactase levels. Larger servings evoke symptoms.
Lactase enzymes are available in liquid and tablet forms without a prescription. These can be added to milk. Supplemental calcium is also recommended.
Milk products that are easier to digest include:
- Buttermilk and cheeses (they have less lactose than milk)
- Fermented milk products, such as yogurt
- Goat's milk (but drink it with meals, and make sure it is supplemented with essential amino acids and vitamins if you give it to children)
- Ice cream, milkshakes, and aged or hard cheeses
- Lactose-free milk and milk products
- Lactase-treated cow's milk for older children and adults
- Soy formulas for infants younger than 2 years
- Soy or rice milk for toddlers
