Lactose Free Diet


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Lactose is a carbohydrate that is found primarily in milk and milk products as well as in foods with added milk or why. In order to be used by the body, lactose must be hydrolyzed into galactose and glucose by the enzyme lactase. Lactose intolerance occurs when there is a deficiency of this enzyme.

If the small intestine contains insufficient lactase activity to hydrolyze an ingested load of lactose, the unabsorbed lactose remains in the intestine and acts osmotically to draw water in to the area.  This may cause symptoms of nausea, bloating, and cramping, later when the lactose and water enter the colon, the lactose is metabolized by bacteria, producing carbon dioxide, hydrogen and organic acids. The patient can experience abdominal pain, bloating and cramping, plus gas and diarrhea.

Special Instructions:

1.Read labels each time a product is purchased. Ingredients often change. Be alert to whey, curd, lactose, skim milk powder or dry milk solids, casein and galactose.

2.Lactate, lactic acid and latalbumin do not contain lactose and do not have to be eliminated.

3.All foods must be prepared without milk, cream or other foods which contain lactose.

A vitamin/mineral supplement may be necessary, consult your physician or dietician. Be aware that certain vitamin/mineral preparations may contain lactose.


Carbonated drinks, coffee, tea, fruit Milk (including cow’s, goat, etc)

Beveragesdrinks, some instant coffee, Lacticin forms such as evaporated,

100 (1) and other lactose free milk powdered, condensed,

Or those treated with lactase enzyme,buttermilk, Yogurt, cheese

Lactose free products such as Pedi sureice cream, sherbet Ovaltine,

(2), Ensure (2), Forta Drink (2) and Mocha            hot chocolate, some cocas

Mix (3), Lactose Free Hot Coca (By Carnation)and instant coffee beverages,

            Powdered drink mixes, lactobacillus/acidophilus treated        -----------milk

Infant FormulaIsomil (2), ProSobee(2),Similac (2), Enfamil (2),

Nutramigen (4), ProtagenGood start,

(4), Pregestimil (4)

Breads and CerealsBreads and rolls made withprepared mixes such as muffins,

Milk, French bread, some pancakes, some dry

Cooked and prepared cereals,cereals such as Total (5)

Macaroni, spaghetti, sodaspecial K (6), and cocoa

Crackers.Krispies (6) (read Labels)

Instant cream of wheat (7)

Breads and rolls to which

Milk solids have been added,

Zwieback, French toast made

With milk.

DessertsFruit ice, gelatin, angelCommercial cakes, cookies

Food cake, homemade cake,and mixes, custard, pudding,

Pies, cookies made without milksherbet, ice cream, chocolate

Pudding made with substitutepie crust made with butter or

Tofu based desserts, Mocha mixmargarine, gelatin made with

Frozen dessert, popsicles.Carrageenan.

EggsAll eggs and egg products whichScrambled eggs made with milk,

Do not contain lactose.Souffles or omelets containing


Fats/oilsMargarines: (Nucoa or Fleischmann’s)Margarine or dressings

Or dressings that do not contain milkcontaining milk products, butter

Products, oils, shortening bacon,cream, Cream cheese, peanut

Rich’s Nondairy whipped topping,butter, salad dressings

Some nondairy creamers, nuts, nutcontaining lactose, sour cream


FruitsAll fresh, canned or frozen thatAny canned or frozen processed

Is not processed with lactosewith lactose

Meat, Fish, PoultryPlain beef, chicken, fish, turkeyCreamed or breaded meat, fish

Lamb, real pork and ham, serainedor fowl, sausage products,

Junior meats and vegetables andliver sausage, cold cuts

Meat combinations that do not containcontaining milk solids, cheese

Milk products, kosher frankfurters,


SoupsClear soups, vegetable soup, consommé,Cream soups made with milk

Cream soups made with mocha mix (3)or cheese, chowders,

Or nondairy creamer.Commercially prepared

Milk based soups

VegetablesFresh, canned or frozen made Any to which lactose is added

Without milk products.During processing, creamed,

Breaded or buttered vegetables

Instant potatoes, frozen French

Fries if processed with lactose.

MiscellaneousSoy sauce, carbo, popcorn,           Chocolate, some cocoas, toffee

Olives, sugar candy, sugar, cornsome instant coffees, certain

Syrup, gravy made with water,antibiotics and vitamin/mineral

Baker’s cocoa, pickles pure preparations, milk containing

Seasonings, spices, wine, spice blends, monosodium

Molasses, monosodium glutamateglutamate extender, artificial

Instant coffees with lactose.Sweeteners containing lactose

Such as Equal (8), Sweet ‘N Low

(9), some dairy creamers.

1.LactAid Milk and Tablets

2.Ross Laboratories

3.Presto food products

4.Mead Johnson

5.General Mills

6.Kellogg Company


8.G.D Searle and company

9.NIFDA a (National Institutional food Distribution Association)

Note:Brand name is used for clarification only and do not constitute an endorsement. Also, ingredients may be changed by the manufacture without notice. Always read labels.

Typical uses of Lactose

Ascorbic acid and citric acid mixtures


Cakes and sweet rolls

Canned and frozen fruits and vegetables

Caramels fudge and coated candies

Cheese foods and spreads

Cookies and cookie sandwich fillings

Cordials and liqueurs

Cottage cheese and cottage cheese dressings

Diabetic and diabetic preparations

Dried soups

French Fries and corn curls

Health and Geriatric foods

Ice cream

Infant Formulas

Instant coffee

Instant potatoes

Meat products prepared with fillings, such as luncheon meats, frankfurters

Modified skim milk

Party dips

Pie crust and fillings

Powdered coffee cream

Powdered soft drinks

Salad dressings

Sour cream

Spice blends

Starter cultures

Sweetened condensed milk

Sweetness-reducers in icings, candies, preserves and fruit pie fillings


Vitamin and mineral mixtures (lactose commonly used as filler)

Partial Listing of name Brand Foods Free of lactose

(Store Surveyed- Von’s, Fresno, CA)


Breads: Country heart, Honey wheat BerryVon’s white or wheat Bread, Orowheat 12 grain

Bread, Orowheat cracked wheat bread, bread.

Rainbow white bread, Wonder wheat white

Bread, Toscana’s extra sourdough French,

Basque, sourdough.

Crackers: Von’s Graham and cinnamonSunshine Krispy saltines (mild cheddar flavor)

Graham crackers, Sunshine Honey and Nabisco vegetable thins, Nabisco chicken in a

Cinnamon graham crackers, Premium basket, cheese crackers, Hi Ho crackers,

Saltines, Triscuits, Nabisco Honey maidHoney maid crackers chocolate graham crackers

Graham and cinnamon graham crackers,

Ritz crackers, Nabisco wheat thins, Von’s

What thins, Nabisco Rykrisp.

Cereals: Cheerios, Honey-Nut cheeriosCinnamon Toast Crunch, Golden Grahams

Rice Krispies, Cornflakes, Chex Cereals,Special K.

Total, Froot Loops, Cocoa Pebbles, Trix,

Cocoa puffs, Crispix, Post raisin bran, Captain

Crunch, Lucky Charms, Wheaties, Von’s Crunchy

Granola Bars (oat/honey, Cinnamon)

Nature Valley crunch granola bars.           All other granola bars.

Condiments: All brands of mayonnaise,           Milk or cream base salad dressing


Lunch Meats: Louis Rich Turkey ham,

Turkey Bologna, Smoked Turkey breast

Oven-Roasted Turkey breast, Oscar Meyers

Bologna, Louis Rich turkey franks

Miscellaneous: Ore-Ida tater tots, Golden fries, Tyson chiken chunks, any brand batter

Golden crinkles, Von’s French fries, shoestring, tater dipped fish

Tots, Crinkle fries

With lactose restriction it may be difficult to consume

Enough calcium. Below is the RDA for calcium and

recommended supplements.

Calcium supplementation

Tums Ultra (400 mg)Calcium Carbonate (600 mg)

Age 1-3 years     11

RDA 500 mg/d. 

Age 4-8 years 21 1/4

RDA  800 mg/d.

Age 9-18 Years   32

RDA 1400mg/d