Mehmet C. Oz., M.D. and Michael F. Roizen, M.D.
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 In people with mild forms of lactose intolerance, having a little lactose can work to your advantage.
A decrease or absence of movement decreases production of synovial fluid, which increases the chances of developing arthritis and other joint conditions.
If you avoid lactose altogether, then lactose intolerance worsens because you'll lose production of the digestive enzymes needed to process those foods.
Muscle Up Your Pones
4!L /*w""P^ U •
YOU Test: Nancing Act
Stand on one foot, extend your arms out to the sides, and keep yourself balanced. Now close your eyes. |
Dr. Paula Baillie-Hamilton
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 Lactose intolerance is an inability to breakdown one of the sugars in cow's milk. A deficiency of this enzyme is often inherited, and there is a strong association with the disorder and certain ethnic groups. Prevalence among Asian populations is nearly 100 percent, 80 percent among Native Americans, and 70 percent among African Americans. Only 20 percent of the Caucasian population is lactose intolerant. While the genetic component of lactose intolerance is strong, more and more people are developing this problem during late childhood and adulthood. |
Tom Bohager
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 Malabsorption syndrome can exist without an underlying cause, but it is often associated with other disorders, such as cystic fibrosis, celiac disease, chronic pancreatitis, lactose intolerance, and gluten intolerance (sprue, Crohn's disease; see inflammatory bowel disease).
The most common symptoms of this syndrome are anemia, diarrhea, bloating, abdominal cramping, edema (fluid retention), weight loss, muscle cramping, fatigue, and weakness. |
| It helps in the reduction of lactose intolerance and in the control of Candida overgrowth, it protects the gastrointestinal tract, and it strengthens the immune system."1 ţ"For example, the breakdown of food by L. acidophilus leads to production of lactic acid, hydrogen peroxide, and other byproducts that make the environment hostile for undesired organisms. L. acidophilus also produces lactase, the enzyme that breaks down milk sugar (lactose) into simple sugars. People who are lactose intolerant do not produce this enzyme. For this reason, L. |
Neal D. Barnard and Bryanna Clark Grogan
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 The result, lactose intolerance, was once thought to be abnormal, but it is now known to be the biological norm, not only for humans but for all mammals. Because the body's lactase production slacks off gradually, many people do not make the connection between their digestive symptoms and milk products.
In about 85 percent of Caucasians, a genetic mutation causes the lactase enzyme to persist well into adulthood. Even so, lactose intolerance will eventually affect many of them, too. Deleting dairy products from the menu for a few days will show you whether you are among them. |
Thomson Healthcare, Inc.
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 Chinese Medicine: In China, Storax is used in the treatment of syncope, epilepsy, and lactose intolerance in young children.
Indian Medicine: In India, Storax is used for itching, suppurating wounds, leprosy, chronic coughs, and fever. precautions and adverse reactions
No health hazards are known in conjunction with the proper administration of designated therapeutic dosages. Internal administration of the drug occasionally leads to diarrhea. Storax can also trigger contact allergies. |
| Nizami SQ, Bhutta AZ, Molla AM: Efficacy of traditional rice-lentil-yogurt diet, lactose free milk protein-based formula and Soy protein formula in management of secondary lactose intolerance with acute childhood diarrhoea. J Trop Pediatr 42(3): 133-137. 1996.
Peterson TG, Ji GP, Kirk M, et al: Metabolism of the isoflavones genistein and bioachnin A in human breast cancer cell lines. Am J Clin Nutr 68(6 suppl): 1505S-1511S. 1998.
Porch MC, Shahane AD, Leiva LE, et al: Influence of breast milk, Soy or two hydrolyzed formulas on the development of allergic manifestations in infants at risk. |
| To rule out the possible distortion of results due to the presence of small intestinal bacterial overgrowth, lactose intolerance, or celiac disease, the 57 patients with irritable bowel syndrome were selected in part because they did not have these issues. Changes in such symptoms as abdominal bloating, pain and discomfort, feeling of incomplete evacuation, constipation, diarrhea, passage of gas or mucus, and urgency at defecation were evaluated. |
Dr. Sharon Moalem
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 But if you can drink milk without the characteristic bloating, cramping, and diarrhea that signify lactose intolerance, you're a lucky mutant. You probably are descended from farmers who drank animal milk; somewhere along the line, a mutation sprang up that allowed people to keep producing the lactose-processing enzyme called lactase as adults, and that mutation spread throughout farming populations until it landed in your genome. people of african descent have darker skin and are much more likely to have a gene that causes them to produce greater amounts of cholesterol. |
| Much more rapidly than chance should have allowed, bacteria developed mutations that allowed them to lose their lactose intolerance. Just as McClintock maintained about her corn plants, Cairns also reported that bacteria appeared to target specific areas of their genome—areas where mutations were most likely to be advantageous. Cairns concluded that the bacteria were "choosing" which mutations to go after and then passing on their acquired ability to digest lactose to successive generations of bacteria. In a statement that amounted to evolutionary heresy, he wrote that E. |
Tom Bohager
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| Additional causative factors include lack of exercise, a calcium-phosphorus imbalance, lactose intolerance, and a diminished ability to absorb calcium through the intestines. Approximately 15 to 20 million Americans suffer from this disorder.
While treatments are becoming available, prevention is still the most important way to reduce rhe effects of osteoporosis. |
Jonny Bowden, Ph.D., C.N.S.
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 Has all the nutritional value of milk but with several advantages for individuals with lactose intolerance. Yogurt also boosts the immune system, maintains a healthy gut, and has anticancer effects. Try to find those with the least amount of sugar.
4. Nuts: Increasing nut consumption has been associated with reduced risk for heart disease. Nuts also contain about 2 to 3 g of dietary fiber per ounce and several vitamins and minerals, including vitamin E.
5. |
Neal D. Barnard and Bryanna Clark Grogan
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| Lactose, of course, is the sugar that causes digestive upset for many people. lactose intolerance is a normal condition that occurs when the enzymes that allow babies to digest mother's milk naturally start to dissipate. When these enzymes are gone, lactose passes through the intestinal tract undigested. In the lower intestinal tract, bacteria start to ferment the sugar, causing gas, cramps, and diarrhea. lactose intolerance was once thought to be an abnormality but is now known to be the biological norm. |
Jonathan V. Wright, M.D. and Alan R. Gaby, M.D.
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 Lactose intolerance is extremely common among persons of Asian or African descent (with an estimated 80 to 90 percent being affected), as well as among the population of southern Europe and India. Individuals with lactose intolerance often experience nausea, diarrhea, intestinal cramps, or bloating when they consume dairy products. Perhaps more important, the proteins in cow's milk are among the most common allergens in the human diet. |
Bottom Line Health
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| The most common symptom of a lactose intolerance is gastrointestinal discomfort, including diarrhea, cramping and flatulence.
Food allergies affect approximately 11 to 12 million Americans. When you have a food allergy, the immune system mistakenly identifies as harmful the various proteins—or even a single kind of protein—within one or more foods. This triggers a cascade of events that causes immune cells to respond to the "threat" by releasing large amounts of histamine and other chemicals that produce the allergic symptoms.
The most common food allergen is shellfish. |
Marshall Editions
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 Celiac disease (the inability to tolerate wheat and gluten), lactose intolerance, constipation and irritable bowel syndrome are all among more serious conditions that may cause gas. More harmless causes include swallowing air, chewing gum, and eating certain vegetables.
Elimination diet: Exclude gluten, dairy, soy, and processed foods from your diet for a period of three weeks and then reintroducing these items, one at a time, keeping track of symptoms. This can be helpful to identify foods that cause gas. |
Mehmet C. Oz., M.D. and Michael F. Roizen, M.D.
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| If you avoid lactose altogether, then lactose intolerance worsens because you'll lose production of the digestive enzymes needed to process those foods.
Muscle Up Your Pones
4!L /*w""P^ U •
YOU Test: Nancing Act
Stand on one foot, extend your arms out to the sides, and keep yourself balanced. Now close your eyes. Stand as long you can before you have to grab something to get your balance. (Best to do this with a spotter or next | to a wall.)
The threshold for success is fifteen seconds at age forty and thirty seconds at age thirty. |
Marshall Editions
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| Gentian: Gentian can be consumed in several different forms to ease indigestion due to lactose intolerance. Boil 1 g in % cup of water for five minutes to make a liquid decoction that should be taken 30 minutes before meals, up to four times daily. Alternatively, an alcohol-based tincture of gentian can be made and similarly used before meals. Some people may develop a headache after using gentian, or find the bitter taste intolerable.
Carminatives: Herbs such as peppermint, fennel, anise, or ginger, as explained in the section on flatulence (see p. |
| If the levels of the lactase enzyme are low or absent, bacteria in the stomach causes the lactose to ferment, causing symptoms such as abdominal pain and bloating in the stomach, which can lead to diarrhea. lactose intolerance is common in babies, in people who have had stomach surgery, and those with celiac disease. There are some simple tests available to establish whether or not you are lactose intolerant. The easiest is a form of self-testing where you eliminate foods that contain lactose for a couple of days then reintroduce them to see if symptoms return. |
| The symptoms of lactose intolerance, however, can be addressed by using herbs. Some possible remedies are listed below, but also refer to the sections on diarrhea (p. 366) and indigestion (p. 428).
Chamomile: This carminative has anti-inflammatory, antispasmodic, and soothing effects on gastrointestinal tissue. The beneficial effects of chamomile are probably due to two main classes of compounds, the volatile oils (such as bisabolol) and the flavonoids (such as apigenin). |
| In some (Sk suffers, lactose intolerance is so severe that eating yogurt can cause ^K^M^r symptoms. If yogurt makes you bloated and/or gives you diarrhea, exclude it from your diet. If you do eat yogurt, stick to regular yogurt rather than the frozen kind. Frozen yogurt is sometimes re-pasteurized, which kills all the friendly bacteria it otherwise contains. If you must drink milk, try a lactose-free variety. If you must eat cheese, choose hard varieties like Swiss cheese or cheddar as these contain only a trace amount of lactose and are thus less likely to produce digestive upset. |
Dr. Sharon Moalem
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| These studies reported an uptick in mutation across the bacterial genome—many different mutations, not just the targeted mutations designed to overcome lactose intolerance that Cairns observed. But even though these researchers reported a greater range of mutation than Cairns documented, the overall increase in mutation also suggests that the genome has the ability to order mutations on demand when the regular genetic programming just isn't good enough. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
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 In fact, bloating can be a sign of the same conditions—such as lactose intolerance and gastrointestinal disorders—or eating the same foods that cause belching. In addition, bloating can signal water retention—medically known as edema—from eating too Asians and Jews are alsoat in many salty foods or taking certain creased risk, drugs, especially birth control or other estrogen-containing pills. Edema can also be a telltale sign of hypertension and hormonal changes related to menstruation and pregnancy. |
Ann M. Coulston and Carol J. Boushey
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 Historically, this fermentation process was viewed negatively as a cause of lactose intolerance symptoms. However, it is now recognized that the fermentation of lactose, as well as other nonabsorbed carbohydrates, plays an important role in the health of the colon and affects the nutritional status of the individual.
The loss of intestinal lactase activity in lactose maldigesters is permanent. Studies from Israel, India, and Thailand have reported that feeding 50 g of lactose or more per day for periods of 1-14 months has no impact on jejunal lactase activity [17, 123, 124]. |
Dr. Steven R. Gundry
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 Without lactase, milk remains undigested, causing cramps and diar-rhea-the classic signals of lactose intolerance. An adolescent mammal that suddenly gets cramps when dining at Mom's milk bar stops drinking very quickly. Roughly one-third of the world's population is nor lactose intolerant because about 3,000 years ago a Siberian yak herder was born with a simple mutation in the gene that normally shuts down lactase after infancy. |
Elaine Magee
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 Yogurt with active cultures may prove helpful for certain gastrointestinal conditions, including lactose intolerance, constipation, diarrheal diseases, colon cancer, inflammatory bowel disease, and Helicobacter pylori infection.
Researchers from the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University recently concluded, in a review article, that patients with any of the aforementioned conditions might benefit from eating yogurt, thanks to favorable changes in the microflora of the gut, the time food takes to go through the bowel, and enhancement of the immune system. |
Brenda Watson and Leonard Smith
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 But severity of lactose intolerance varies so much from person to person that you must be the judge. If your body responds to the whey found in most bars and shake mixes, opt for products that contain whey protein isolate. Choose whey protein products with less than 0.1 grams of lactose per tablespoon of powder. You may need to contact the manufacturer to find out more information on that, or speak with your health food store's representative, who can point you in the right direction. |
Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan
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| Excessive burping (and farting) can also signal a lactase deficiency
(aka lactose intolerance). Lactase is an enzyme necessary to break down lactose in the digestive tract. If this enzyme is missing, many foods, including milk and other dairy products, of which lactose is a major component can't be digested properly and the end result is gas.
Burping a lot is also a telltale sign of a food allergy or an upset stomach. |
Ann M. Coulston and Carol J. Boushey
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| One double-blind study of this product, published only as an abstract [135], reported that 80% of lactose-intolerant subjects had reductions in lactose intolerance symptoms, compared with 19% in the placebo group. However, objective evidence of improved lactose digestion or altered colonic bacterial fermentation of lactose (e.g., decreased breath hydrogen) was not obtained in this study. Further, longer-term follow-up studies to assess the permanence of the symptom reductions were not conducted.
IX. |
| However, it is also possible that these subjects restricted their milk intakes because of lactose intolerance in childhood, forgot that they had done so, and simply maintained that pattern of milk intake throughout life.
Another potential explanation for the increased prevalence of osteoporosis among lactose maldigesters is that maldigestion of lactose might decrease the absorption of calcium. Human and animal studies suggest that lactose stimulates the intestinal absorption of calcium [61]. |
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