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How to get calcium while being lactose intolerant?

4 min read

More than 65% of the world's population has a reduced ability to digest lactose after infancy. This widespread condition means many people must find alternative strategies to ensure adequate calcium intake without the digestive discomfort often caused by dairy products.

Quick Summary

Maintain sufficient calcium intake without dairy by exploring diverse food sources like leafy greens, fortified products, and supplements. Learn absorption strategies to support optimal bone health.

Key Points

  • Embrace Fortified Products: Many plant milks, juices, and cereals are fortified with calcium and vitamin D, providing a reliable dairy alternative.

  • Choose Low-Oxalate Greens: Focus on dark leafy greens like kale and bok choy for highly absorbable calcium, while minimizing high-oxalate options like spinach.

  • Incorporate Canned Fish: Sardines and canned salmon with bones are excellent sources of both calcium and bone-strengthening vitamin D.

  • Add Seeds and Legumes: Integrate sesame seeds, chia seeds, almonds, and calcium-set tofu into your diet for significant calcium contributions.

  • Prioritize Vitamin D: Ensure you get enough vitamin D from sun exposure or supplements, as it is crucial for proper calcium absorption.

  • Consider Supplements Wisely: If diet isn't enough, discuss calcium citrate supplements with a healthcare provider, taking smaller doses for better absorption.

  • Learn to Tolerate Low-Lactose Dairy: Some individuals can tolerate small portions of low-lactose dairy products like aged cheese and yogurt with active cultures.

In This Article

Sourcing Calcium from Non-Dairy Foods

For those who are lactose intolerant, finding reliable sources of calcium outside of traditional dairy is crucial for maintaining bone health and preventing conditions like osteoporosis. Fortunately, a variety of non-dairy foods are rich in this essential mineral.

Leafy Greens with High Bioavailability

Not all leafy greens are created equal when it comes to calcium absorption. The presence of compounds called oxalates and phytates can bind to calcium, making it difficult for the body to absorb. Some excellent, low-oxalate choices include:

  • Kale: Just one cooked cup can provide a significant amount of calcium that is readily absorbed by the body.
  • Collard Greens: An outstanding source of calcium, with a cup of cooked collards offering a substantial portion of your daily needs.
  • Bok Choy: Also known as Chinese cabbage, this vegetable offers good calcium bioavailability.

While spinach contains calcium, its high oxalate content means the mineral is poorly absorbed, so it is not an ideal primary source for your daily needs.

Nuts, Seeds, and Legumes

Many plant-based foods in this category are nutritional powerhouses and can contribute to your daily calcium intake.

  • Sesame Seeds: These tiny seeds are packed with calcium, especially when consumed as tahini (sesame paste).
  • Chia Seeds: A one-ounce serving contains a notable amount of calcium and other vital nutrients.
  • Almonds: A handful of almonds provides a decent dose of calcium along with healthy fats and protein.
  • White Beans: Cooked white beans are a good source of calcium and other minerals.
  • Tofu (Calcium-Set): It is important to check the label, as tofu made with calcium sulfate is a powerful calcium source.

Canned Fish with Edible Bones

For those who consume fish, certain varieties offer a dual benefit of calcium and vitamin D, which is essential for calcium absorption.

  • Sardines: A serving of canned sardines with the bones is an excellent source of highly absorbable calcium.
  • Canned Salmon: Like sardines, canned salmon that includes the soft, edible bones provides a rich supply of calcium.

The Role of Fortified Products

For many, relying solely on whole foods can be challenging to meet daily calcium requirements. Fortified products can offer a consistent and convenient way to boost intake.

Fortified Plant Milks and Juices

These beverages are specifically designed to mimic the nutritional profile of dairy milk and are often fortified with calcium and vitamin D. Popular choices include:

  • Soy Milk: Often fortified to be nutritionally similar to cow's milk, with comparable levels of calcium and protein.
  • Almond Milk: Many brands are fortified with higher calcium levels than dairy milk.
  • Oat Milk and Rice Milk: Also widely available with added calcium, though nutritional content can vary.
  • Orange Juice: Calcium-fortified orange juice is another easy way to get a significant calcium boost.

Fortified Cereals and Grains

Some breakfast cereals and other grain products are fortified with high levels of calcium, making them a great starting point for the day. It is important to read labels, as fortification levels differ significantly between brands.

Maximizing Absorption and Addressing Deficiencies

Getting enough calcium is only part of the equation; ensuring your body can properly absorb and utilize it is equally important.

Vitamin D: The Absorption Ally

Vitamin D is a critical partner to calcium, as it helps your body absorb the mineral effectively. Sources include:

  • Sunlight: Your body naturally produces Vitamin D from sun exposure.
  • Fatty Fish: Salmon, sardines, and other fatty fish are natural sources.
  • Fortified Foods: Many fortified milks, juices, and cereals also contain added Vitamin D.
  • Supplements: A supplement may be necessary, particularly for those with limited sun exposure.

The Supplement Option

If dietary sources are insufficient, supplements can fill the gap. Calcium citrate is often recommended as it is better absorbed than calcium carbonate and can be taken at any time. However, the body absorbs calcium most efficiently in doses of 500mg or less, so splitting your daily dose can be beneficial. Always consult with a doctor or registered dietitian before starting any new supplement regimen.

Comparison of Calcium Sources

To highlight the variety available, here is a comparison of calcium content and bioavailability for different sources:

Food Source Approximate Calcium (mg) Per Serving Bioavailability Considerations Notes
Cooked Collard Greens (1 cup) ~324 mg High, due to low oxalate content A powerful plant-based option.
Tofu (Calcium-set) (1/4 block) ~553 mg High Varies by preparation; check labels.
Fortified Plant Milk (1 cup) ~300-500 mg High, often includes Vitamin D Content varies by brand and type.
Canned Sardines with Bones (3.75 oz) ~351 mg High, with added Vitamin D Great source of Omega-3s.
Cooked Kale (1 cup) ~177 mg High, due to low oxalate content A versatile and nutritious leafy green.
Cooked Spinach (1 cup) ~99 mg Low, due to high oxalate content Not a reliable calcium source, despite high content.

Conclusion: A Diverse Approach is Best

Living with lactose intolerance doesn't mean sacrificing your bone health. By adopting a diversified strategy that incorporates a variety of nutrient-rich foods, fortified products, and, if necessary, supplements, you can meet your daily calcium requirements without digestive upset. Combining calcium with adequate Vitamin D intake is the key to maximizing absorption. Consulting with a healthcare professional can help tailor a nutritional plan that best suits your individual needs. Remember, a varied diet is a healthier diet, and a dairy-free lifestyle offers a world of delicious and effective alternatives for building and maintaining strong bones.

Frequently Asked Questions

Excellent non-dairy calcium sources include collard greens, kale, bok choy, calcium-set tofu, canned salmon, sardines with bones, and sesame seeds (or tahini).

For most adults, lactose intolerance does not directly impact the absorption of calcium. The primary risk to bone health comes from avoiding dairy, leading to an overall lower calcium intake.

Yes, many fortified plant milks like soy, almond, and oat milk are excellent calcium sources, often containing levels comparable to or even higher than cow's milk. Always check the label for calcium and vitamin D fortification.

Although spinach contains a lot of calcium, it is also high in oxalates, which bind to the calcium and prevent it from being absorbed effectively by the body. This is why low-oxalate greens like kale and collards are better choices.

Yes, it is entirely possible to meet calcium needs on a well-planned vegan diet by consistently consuming a variety of high-calcium plant-based foods, fortified products, and considering supplements if necessary.

Vitamin D is essential for your body to properly absorb calcium from your diet. Without sufficient vitamin D, your body can't effectively use the calcium you consume, which can weaken bones over time.

Supplements can be a reliable way to meet your daily calcium needs, especially if dietary intake is insufficient. Calcium citrate is often recommended as it is well-absorbed. Consult with a healthcare professional to determine if a supplement is right for you.

References

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Medical Disclaimer

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