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Tolerating Lactose Intolerace

02/17/06 @ 07:30:00 am, by Kate Hopkins Email 1532 views • Categories: Food Health and Safety, Milk

In the course of discussing milk, it's prudent to bring up the fact that there is a fair percentage of the world's population who cannot drink milk without a certain amount of physical discomfort. This condition, brought on by the lack of the enzyme lactase in a person's biological make-up, is called Lactose Intolerance.

Lactase helps a person metabolize lactose into galactose and glucose, both of which are types of sugar. These sugars are easily broken down in the small intestine. If there is no or limited lactase available to break down the lactose, the milk molecule will ferment and release carbon dioxide. I'll let you figure out what happens next.

A typical human is born with the ability to create a fair amount of lactase. This makes sense when realizing that mothers breast feed their children after their birth. As a child is weaned off of mother’s milk, the need for lactase decreases. As a person grows older, they produce less lactase, making digesting lactose more difficult and thereby making drinking milk a less desirable proposition. However for some people on this planet, this is not an issue as they have lactase persistence.

What makes Lactase Persistence so interesting to me is that it's a dietary genetic mutation that has occurred in homo sapiens that has created a clear delineation within the world population. Sometime between 4500 and 4000 BCE, a group or groups of people adapted to their diet of milk, even after weaning off of mother’s milk. This adaptation allowed their bodies to process lactose long into adulthood. If you can drink milk without difficulty, it's reasonably safe to assume you can trace your ancestry to Western Eurasia and/or parts of the Mediterranean. If you can't drink milk as an adult, some of your ancestors come from elsewhere in the world.

The fact that's often lost upon most of us Western Eurasian Descendants is that Lactose Intolerance is the de facto baseline of homo sapiens. It's us adult milk drinkers who are the anomaly amongst the world population.

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Comments, Pingbacks:

Comment from: Lauren [Visitor] · http://babybearsporridge.wordpress.com/
I didn't know this, and it's fascinating! Thanks so much for posting the information.
PermalinkPermalink 02/17/06 @ 10:19
Comment from: Michael [Visitor]
What many people forget I think is that the "milk does the body good" is a marketing ploy.

This started sometime back in the 1950s when milk suddenly was available in "abundance", because pretty much until then milk was rare.

Personally I am medium tolerant with lactose, but milk makes me a bit queazy and i haven't drunk any in years (and no disire really).
PermalinkPermalink 02/17/06 @ 10:32
Comment from: jjs [Visitor]
As a one having this I can tell it's not always easy. In a restaurant I have to be quite careful what to order. Sometimes I can get lactose with meals I never imagined there is some.
PermalinkPermalink 02/17/06 @ 10:44
Comment from: Sally [Visitor]
I never thought of it that way! Cool. I sometimes crave milk. I can't imagine not being able to drink it. Very interesting post. Thanks.
PermalinkPermalink 02/17/06 @ 11:57
Comment from: William [Visitor]
That's one reason why your local supermarket is now doing a roaring sale in 'lactose free' milk that removes the lactose from it (I'm not sure if they inject lactase or actually remove the lactose.. there's also pills containing lactase which you can use to tolerate milk-heavy foods).. personally I find the lactose free milk tasteless, but my friend who has to drink it or go without thinks its better than nothing.

http://www.lactaid.com/ if you're interested.
PermalinkPermalink 02/17/06 @ 12:33
Comment from: Erin [Visitor] · http://erineats.blogspot.com/
What a great site you have here.

I've had luck with the lactose-free milk, but I've never been able to drink regular milk, so I guess I don't really know what it tastes like. Lactose intolerance is a pain in the butt, lemme tell ya. I'm just glad I have a medium tolerance, which means I can handle aged cheeses, yogurt, sour cream, but not milk, icecream or lightly aged cheeses.
PermalinkPermalink 02/17/06 @ 14:29
Comment from: Beth - Zen Foodism [Visitor] · http://www.zenfoodism.com/
Very interesting information. Thanks.

Your discussion of ancestors and heritage in relation to lactose intolerance made me think.... because my sister and I share the same parents (and were both raised on big ol' glasses of milk with dinner) and she has grown up to be lactose intolerant while I am not.

Also, is there any truth to the idea that eating yogurt regularly can increase one's tolerance for dairy?
PermalinkPermalink 02/17/06 @ 15:56
Comment from: Nicholas Caratzas [Visitor]
Even doctors can miss lactose intolerance.

True story: A relative suddenly came down with what two doctors told him was IBS. Months of drug treatment alleviated but did not eliminate the problem. On the suggestion of an LI sufferer (not a doctor,) the patient tried switching to lactose-free milk for his daily cereal. His problems cleared up almost immediately and he was able to get off the medicine.

And, like Erin, it isn't an all-or-nothing thing for me either, though the critical serving size seems to decrease as I age.
PermalinkPermalink 02/17/06 @ 15:58
Comment from: Barbara Fisher [Visitor] · http://www.tigersandstrawberries.com/
I was the one who caught on that Zak had lactose intolerance that came on as he aged. (That's my husband.) But, that is what it is.

Sometimes, he forgets to take the lactaid or whatever and gets quite ill.

My mother is lactose intolerant, but my father is not. I inherited my father's tolerance. If I'd had a sibling, it would have been interesting to see which way they would have turned out.
PermalinkPermalink 02/17/06 @ 17:02
Comment from: Sara [Visitor] · http://lactoseintolerance.blogspot.com
Interesting article. I will link to it in my blog, When Dairy is Not Your Friend.
PermalinkPermalink 02/17/06 @ 17:12
Comment from: mrs D [Visitor] · http://www.belly-timber.com/
Fascinating. I'm lactose intolerant and I've never really pondered how my ancestry ties in. The intolerance, oddly, comes from my father's side, and they were English/Scottish dairy farmers!

I've never had much luck with lactaid faux milk, and prefer rice or soy milk on my cereal, but I never just drink faux milk of any kind. I'm just grateful that my intolerance (like many folks') doesn't extend to sheep or goat dairy as well.

(And yeah, what jjs said about restaurant ordering. Manufacturers put whey and casein in the most unexpected things. (Nalley's guac and bean dips are a prime, annoying example.))
PermalinkPermalink 02/17/06 @ 20:09
Comment from: Ann [Visitor]
I'm lactose intolerant and am increasinly relying on homemade kefir (cultured milk--lactose gets eaten more successfully than in yogurt) and raw milk to squeak in a little more absorbable calcium into my diet. And it's damn good stuff.

I've been a mostly soy girl for years but the scientific debate over plant estrogens "good or bad?" made me more moderate. So now I drink tons of whole milk in kefir or raw. At least I am not in severe dairy distress anymore! Just reading your article made me hurt!

Anytime you want to take up the plant estrogen debate, I'm there with bells on. It's quite a feminist issue, paired with endometriosis and breast cancer and all that....
PermalinkPermalink 02/17/06 @ 21:41
Comment from: Papilles & Pupilles [Visitor] · http://papillesetpupillesallergies.blogspot.com/
All the allergy & intolerance increase dangerously in western europe ! Concerning : egg, peanut, lactose, gluten, fish, .... In france, food allergies have doubled the last four years !
PermalinkPermalink 02/18/06 @ 04:57
Comment from: Susan [Visitor]
Hi, Do you test product samples, such as frozen yogurt?
PermalinkPermalink 03/02/07 @ 13:52
Comment from: Ed [Visitor] Email · http://www.smoochies.biz
In Manhattan, New York, there is a place called Smoochies Lite and Creamy, it is an ice cream store which serves only lactose free ice cream. It is located at 60 west 23 st. between 5th and 6th aves.
PermalinkPermalink 10/07/07 @ 13:35

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