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Can You Still Eat Cheese if Lactose Intolerant? Yes, Here's How

4 min read

According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), over 36% of the U.S. population experiences some degree of lactose intolerance, yet many can still enjoy cheese. The key is understanding which cheeses are naturally low in lactose and why some are easier to digest than others.

Quick Summary

Despite a lactose intolerance, many people can still enjoy cheese, particularly hard, aged varieties. The cheesemaking and aging processes naturally reduce lactose content, making options like Parmesan, cheddar, and Swiss more digestible. Individual tolerance varies, so finding the right type and portion size is crucial for managing symptoms.

Key Points

  • Aged Cheeses Are Best: Hard, aged cheeses like Parmesan, cheddar, and Swiss contain very little to no lactose because bacteria consume it during the aging process.

  • Not All Cheese is Created Equal: The lactose content varies widely; soft, fresh cheeses like ricotta and cottage cheese have significantly higher lactose levels than aged varieties.

  • Lactose is Drained Away: During the cheesemaking process, most of the lactose is washed away with the whey, so cheese naturally starts with a lower lactose concentration than milk.

  • Test Your Personal Tolerance: Individuals have different tolerance levels. It's important to start with small portions of low-lactose cheese to see how your body reacts.

  • Consider Alternatives: If you have severe intolerance, lactase supplements, lactose-free dairy cheeses, and plant-based cheese alternatives are excellent options.

  • Read Ingredient Labels: Processed cheeses or those with added ingredients may contain hidden milk solids, which increase lactose content.

In This Article

For many with lactose intolerance, the thought of giving up cheese is a difficult reality. However, the good news is that you don't have to eliminate it entirely. The amount of lactose in cheese varies dramatically depending on the type and how it's produced. Understanding the cheesemaking process is key to unlocking a world of delicious, low-lactose options.

The Science Behind Low-Lactose Cheese

Lactose is a milk sugar. For individuals with lactose intolerance, the body produces insufficient amounts of the enzyme lactase, which is necessary to break down lactose. In cheesemaking, most of the lactose is actually removed during the processing, leaving behind a product that is often much more tolerable than milk itself. The process involves several steps that systematically reduce the lactose content:

  • Curd and Whey Separation: The first step of cheesemaking involves curdling milk. The resulting liquid, or whey, contains most of the lactose. The whey is drained away, leaving behind the curds, which have a significantly lower lactose concentration.
  • Bacterial Fermentation: Starter cultures, or bacteria, are added to the curds. These bacteria consume the remaining lactose, converting it into lactic acid. This fermentation process is crucial for both flavor development and further reducing the lactose content.
  • Aging: The aging, or maturation, process allows the bacteria more time to consume any last traces of lactose. Hard, aged cheeses are therefore naturally the lowest in lactose, with some containing virtually no lactose at all.

Hard vs. Soft Cheese: A Lactose Comparison

The most significant factor in determining a cheese's lactose level is its moisture content and age. This is why aged, hard cheeses are almost always a safer bet than fresh, soft cheeses for someone with lactose intolerance.

Cheese Type Lactose Content (Approx. per 100g) Why It's Tolerable
Hard, Aged Cheeses 0–1g Most lactose is drained with whey and consumed during long aging periods. Examples: Parmesan, Aged Cheddar, Swiss.
Semi-Hard Cheeses 1–3g A shorter aging period and slightly higher moisture content means slightly more lactose. Examples: Gouda, Provolone.
Soft, Fresh Cheeses 1–6g+ Higher moisture and minimal aging leaves more whey and, thus, more lactose. Examples: Ricotta, Cottage Cheese.
Processed Cheeses Variable Can contain added milk solids or whey, increasing the lactose content. Examples: Kraft Singles, American cheese slices.

Low-Lactose and Lactose-Free Cheese Options

There are numerous delicious choices for cheese lovers with lactose intolerance, from naturally low-lactose varieties to specially-formulated products.

Naturally Low-Lactose Cheeses

  • Parmesan (Parmigiano Reggiano): Aged for at least 12 months, this is an excellent choice as it is virtually lactose-free.
  • Aged Cheddar: Look for cheddars aged for 18 months or more; the longer the aging, the lower the lactose.
  • Swiss Cheese: Hard and aged, Swiss cheese is another naturally low-lactose option.
  • Goat and Sheep's Milk Cheeses: Cheeses made from goat's or sheep's milk, such as aged feta or Pecorino Romano, naturally contain less lactose than those from cow's milk.
  • Blue Cheese: The aging process for blue cheese breaks down most of the lactose, making it a viable option.

Specialty and Dairy-Free Products

  • Lactose-Free Dairy Cheeses: Many brands now offer dairy cheeses that have had lactase enzyme added to break down the lactose, like Arla Lactofree or Green Valley Organics.
  • Dairy-Free Alternatives: For those with severe intolerance or a milk allergy, plant-based cheeses made from nuts, seeds, or soy are a great option.

Practical Tips for Enjoying Cheese

Experimenting with different cheeses and portion sizes is key to finding what works for your body. Here are some tips to help you enjoy cheese without discomfort:

  • Start with Small Portions: Even with low-lactose cheeses, it's wise to start with a small amount to see how your body reacts before indulging in larger portions.
  • Eat Cheese with Other Foods: Consuming cheese as part of a meal, rather than on its own, can help slow digestion and reduce the likelihood of symptoms.
  • Use Lactase Supplements: Over-the-counter lactase enzyme supplements can be taken right before eating cheese to assist in the digestion of lactose.
  • Read Labels Carefully: Check for hidden lactose in processed cheeses, spreads, and pre-shredded varieties, which may contain added milk solids.

Conclusion

While lactose intolerance can be frustrating, it does not have to spell the end of your relationship with cheese. By understanding the cheesemaking and aging process, you can confidently choose low-lactose options like aged cheddar, Parmesan, and Swiss. You can also explore specially-made lactose-free dairy cheeses or plant-based alternatives. Always listen to your body and find your personal tolerance level. With a little knowledge, you can still enjoy the rich flavors of cheese while keeping digestive discomfort at bay.

For more information on managing digestive health, you can consult resources like the National Institute of Diabetes and Digestive and Kidney Diseases.

Frequently Asked Questions

Aged cheese is lower in lactose because the beneficial bacteria used in the cheesemaking process have more time to consume and ferment the lactose into lactic acid. The longer a cheese is aged, the less lactose remains.

Cheeses with the highest lactose content are typically soft, fresh, or processed, such as ricotta, cottage cheese, and American cheese slices. They contain more whey and have not been aged long enough for the lactose to break down.

Goat cheese contains less lactose than cow's milk cheese, making it a better option for many people with lactose intolerance. Harder, aged goat cheeses will have even less lactose.

Consuming cheese as part of a larger meal can help slow down the digestive process. This gives your body more time to break down the lactose, which can reduce or eliminate symptoms.

Lactose-free cheese is a dairy product where the lactose has been removed or broken down. Dairy-free cheese is a plant-based product with no dairy ingredients at all and is suitable for those with milk allergies.

Yes, lactase supplements contain the enzyme needed to digest lactose. Taking a supplement just before consuming cheese can help your body break down the milk sugar and prevent discomfort.

One reliable way to estimate lactose content is by checking the sugar content on the nutritional label. Since lactose is milk sugar, a very low sugar count indicates a low lactose content.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.