Lactose intolerance should not be a reason for you not to be able to enjoy dairy. Here are a few tips to be healthy and enjoy dairy too.
1) Know Your Lactose Limit
If you're lactose intolerant, it's still possible to eat foods with lactose -- in moderation. The key is to know your limit. Keep a food diary, write down when, what, and how much you ate, and how it affected you. You should see a pattern emerge and will learn how much or how little lactose you can tolerate. Then, stick to your limit. Every individual has a different reaction to lactose so don’t ape someone else’s diet.
2) Consider Lactose-Free Milk and Other Dairy
For regular milk drinkers, most supermarkets have lactose-free or low-lactose milk in their dairy case or specialty foods sections. You can also find lactose-free cheese, lactose-free yogurt, and other dairy products. It can be difficult to get enough calcium when you are lactose intolerant. Lactose-free milk, however, has the same amount of calcium as traditional milk.
3) Take Control of Your Diet
Rather than struggling to find something on a menu that you can eat, take control by “Tiffining” it. When cooking at home, you can replace milk in recipes with lactose-free milk. Or buy a cookbook that features lactose-free recipes and start experimenting. Many classic recipes can be adapted to fit a lactose-intolerant diet. Control what ingredients go in the meal and you may be surprised at how much you can eat.
4) Consider Lactase Supplements
It's not a cure, but taking lactase enzyme supplements can help you tolerate foods containing lactose. Supplements are found in a variety of forms, including liquid, caplets, and chewable tablets. They may be particularly helpful if you don't know the exact ingredients in your meal. If supplements do not resolve your symptoms, be sure to check with your doctor.
5) Look Out for Hidden Lactose
Lactose is found in most dairy products, except those marked "lactose-free," such as lactose-free milk or cheese. It also can be in prepared foods such as dried mixes, frozen meals, and baked goods. Read food labels carefully, and watch out for ingredients such as "milk solids," "dried milk," and "curd." If you choose to eat these foods, you may need to take a lactase supplement to help prevent symptoms.
6) Ask your Nutritionist or Physician for advice
Learning a new way of eating isn't easy, but you don’t have to do it alone. Ask your doctor to recommend a nutritionist or dietitian to help you manage your diet. She can teach you how to read food labels, share healthy eating tips, determine how much dairy you can tolerate without symptoms, and come up with reduced-lactose or lactose-free alternatives to provide a well-balanced diet.
7) Smaller Portions Cause Fewer Symptoms
Maybe you can't enjoy a big glass of milk with toast, but you can try a smaller serving. Start with a 4-ounce glass instead of a full 8 ounces. Gradually increase the amount of dairy you eat until you begin to notice unpleasant symptoms. Listen to your body. It will tell you when you've reached your limit. If you want to avoid lactose completely, try lactose-free dairy milk or non-dairy beverages, such as soy milk which is an easy alternative available.
8) Enjoy Dairy on the Side
Instead of eating or drinking dairy products by themselves, try having them with food that doesn't contain lactose. For some people, combining dairy with other food may reduce or even eliminate their usual symptoms. So don't just drink a glass of milk in the morning. Pour it over cereal like oats or semolina or have a slice of toast or roti on the side
9) Make Better Cheese Choices
With lactose intolerance, you can still eat cheese, but choose carefully. Hard, aged cheeses like Swiss, parmesan, and cheddars are lower in lactose. Other low-lactose cheese options include cottage cheese (paneer) or Feta cheese made from goat or sheep's milk. Certain types of cheeses -- especially soft or creamy ones like Brie -- are higher in lactose. If you want to avoid dairy completely, try lactose-free and dairy-free cheeses if available.
10) Learn to Love Yogurt
When you eat curd/ yogurt, the bacterial cultures can help break down the lactose. Plus just one cup of plain, low-fat yogurt provides a good amount of calcium. But forget frozen yogurt. It doesn't contain enough live cultures, which means it may cause problems for people who are lactose intolerant. To be safe, you can always choose lactose-free yogurt too.
11) Probiotics for Lactose Intolerance
For some people, probiotics can ease symptoms of lactose intolerance. Probiotics are live microorganisms, usually bacteria that restore the balance of "good" bacteria in your digestive system. They can be found in foods like yogurt/ buttermilk or kefir -- probiotic-rich milk and fermented foods -- as well as dietary supplements. Check with your doctor to see if probiotics might help you.
12) Eating Out When Lactose Intolerant
It's possible to eat out following a lactose-free diet. Ask your server if there's a guide for the menu that shows you which foods contain milk. Or let your host know which foods you're avoiding. Take a lactase supplement in case dairy ingredients slip in. Eat simply. For example, skip cream sauces, sour cream, white sauces or baked dishes made with milk based white sauce or milk based bakery products.
13) Low-Lactose Home Cooking
Cooking low-lactose requires a change of thinking. The simpler you cook the better. Use herbs and seasonings to flavor meat, fish, and vegetables. Stick to fresh ingredients and use fewer prepared/ packaged foods. Experiment with chicken stock or lactose-free milks/ soya milk to make sauces or sweet dishes like kheer or milk shakes. Use hung curds in salads or as dressing. Use low-lactose cheeses or paneer for baked dishes. Cuisines like ours (Indian) don't rely very much on dairy products so having “ghar Ka Khana” is always the best option.
14) Avoiding Dairy Will Not Make You Calcium Deficient
A very low intake of dairy does not mean you have no other foods providing you with Calcium. Try incorporating foods like nuts, dry fruits, leafy vegetables, whole cereals, pulses and soya milk/ tofu to ensure you are not insufficient in Calcium levels.
15) Learn to Listen to Your Body’s Signals
As you experiment with eating dairy products, you'll figure out how much your digestive system can tolerate. Listen to your body and choose accordingly. Want a bowl of kheer? Remember how you felt the last time you ate one. Were you bloated, uncomfortable, or getting cramps? If so, take a lactase supplement or have a low-lactose alternative instead.