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From:
Shelley Case <[log in to unmask]>
Reply To:
Shelley Case <[log in to unmask]>
Date:
Thu, 2 Oct 2003 21:07:23 -0600
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<<Disclaimer: Verify this information before applying it to your situation.>>

  Many people with newly diagnosed celiac disease may also develop
secondary lactose intolerance. This is a temporary condition in which
the level of lactase has fallen as a result of injury to the
gastrointestinal tract. Once on a gluten-free diet, the villi begin to
heal and the level of lactase enzyme increases back to normal levels.
For some, a temporary lactose-free diet may also be necessary, in
addition to a life-long gluten-free diet, to control symptoms. There are
a variety of products specially developed to help in the management of
lactose intolerance:

* Lactose reduced milk and ice cream such as Lactaid
* Lactase enzyme drops added to milk
* Lactase enzyme tablets or caplets taken when dairy products are consumed
* Non-dairy beverages such as soy, rice, nut or potato-based products.
Be aware that some products may contain barley malt extract/flavoring so
read labels carefully. Choose gf beverages that are enriched with
calcium and vitamin D.

I have a section on lactose intolerance including lactose content of
various dairy products, specific brand names and products to use and
dietary strategies in my book "Gluten-Free Diet: A Comprehensive
Resource Guide". See www.glutenfreediet.ca


Shelley Case, B. Sc., RD
Case Nutrition Consulting, www.glutenfreediet.ca
<http://www.glutenfreediet.ca>
Author: Gluten Free Diet: A Comprehensive Resource Guide
Co-Author: Celiac Section, Manual of Clinical Dietetics, American
Dietetic Association and Dietitians of Canada
Medical Advisory Board: Celiac Disease Foundation, Gluten Intolerance
Group, Canadian Celiac Association
Advisory Board: Living Without Magazine and Gluten-Free Living Magazine
EMail: [log in to unmask] <mailto:[log in to unmask]>

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