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What causes lactose intolerance?

Nov 10, 2025
Lactose intolerance affects about one in ten people, but it's a natural part of aging, not a disease. Lactose is the sugar in milk, while lactase is the enzyme that breaks it down. Unabsorbed lactose can cause gas and bloating. Surprisingly, not all dairy is off-limits; aged cheeses and butter may be easier to digest. Most people can tolerate roughly 10 grams of lactose daily. Determining if you’re lactose intolerant can involve an elimination diet or a hydrogen breath test.
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INSIGHT

Lactase Decline Explains Intolerance

  • Lactose intolerance usually results from a natural decrease in lactase production with age.
  • Undigested lactose reaches the large intestine and ferments, causing symptoms like bloating and pain.
ADVICE

Choose Low-Lactose Dairy Options

  • Avoid high-lactose products like milk and condensed milk if you are intolerant.
  • Choose aged cheeses and butter which typically contain very little lactose.
INSIGHT

Small Amounts Are Often Tolerable

  • Most people with lactose intolerance tolerate about 10 grams of lactose daily.
  • That equals roughly 200 milliliters of milk, allowing some dairy for calcium intake.
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