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How to increase calcium when lactose intolerant?

4 min read

According to the National Institute of Diabetes and Digestive and Kidney Diseases, many people with lactose intolerance may consume some amount of lactose without symptoms. However, for those needing to completely avoid dairy, learning how to increase calcium when lactose intolerant is crucial for maintaining bone health and overall wellness.

Quick Summary

This guide provides practical strategies for increasing calcium intake without relying on dairy. It covers a range of non-dairy food sources, fortified products, and supplements, along with essential tips for boosting absorption and ensuring adequate daily intake.

Key Points

  • Diverse Diet: Focus on a variety of non-dairy foods like leafy greens (kale, collards), nuts (almonds), seeds (sesame, chia), and canned fish with bones (sardines) to meet calcium needs.

  • Fortified Products: Utilize fortified plant-based milks, juices, tofu, and cereals to conveniently boost your daily calcium intake.

  • Vitamin D is Key: Ensure adequate vitamin D through fortified foods or sunlight exposure, as it is essential for the body to absorb and utilize calcium effectively.

  • Strategic Supplementation: If dietary changes are insufficient, consider taking a calcium supplement like calcium citrate or carbonate after consulting with a healthcare provider.

  • Smart Lifestyle: Incorporate weight-bearing exercise and limit factors like high sodium and excessive alcohol to further support bone density and calcium retention.

  • Lactase Enzymes: Explore lactase enzyme supplements to potentially help digest smaller amounts of lactose, allowing for some intake of low-lactose dairy like certain yogurts or aged cheeses.

In This Article

Navigating Calcium Needs Without Dairy

For individuals with lactose intolerance, dairy products can cause uncomfortable symptoms, making it difficult to meet the recommended daily calcium intake. Calcium is a vital mineral for building and maintaining strong bones, but it also plays a critical role in nerve function, blood clotting, and muscle contraction. Fortunately, a variety of dairy-free strategies can help you get the calcium your body needs.

Non-Dairy Food Sources of Calcium

Diversifying your diet with calcium-rich, non-dairy foods is a cornerstone of this approach. These foods offer a range of additional nutrients and benefits that contribute to a healthy lifestyle.

Leafy Greens and Vegetables

Many dark leafy greens are excellent sources of bioavailable calcium. This means your body can absorb the calcium from these plants relatively easily compared to greens like spinach, which contain oxalates that inhibit absorption.

  • Collard Greens: Cooked collard greens are a stellar source of calcium.
  • Kale: This versatile green can be added to salads, smoothies, or sautéed as a side dish.
  • Bok Choy: Also known as Chinese cabbage, this is another great low-oxalate option.
  • Broccoli: Adding broccoli to your meals provides a decent calcium boost along with other vitamins and fiber.

Fish with Edible Bones

For those who consume fish, certain canned varieties with soft, edible bones are powerful calcium sources. The canning process softens the bones, making them easy and safe to eat.

  • Canned Sardines: A small can of sardines with bones can provide a significant portion of your daily calcium needs.
  • Canned Salmon: Similar to sardines, canned salmon (with bones) is another excellent option.

Nuts, Seeds, and Legumes

Adding nuts, seeds, and beans to your diet can contribute substantially to your daily calcium intake.

  • Seeds: Poppy, sesame, and chia seeds are particularly high in calcium.
  • Almonds: A handful of almonds is a great snack that provides calcium, healthy fats, and protein.
  • Beans: Varieties such as white beans, black beans, and chickpeas are good sources of calcium and fiber.

Fortified Foods and Beverages

For a convenient way to meet calcium requirements, many products are fortified with calcium and vitamin D during manufacturing. When shopping, always check the nutrition labels to ensure the product has been fortified.

  • Plant-Based Milks: Soy milk, almond milk, oat milk, and rice milk are commonly fortified with calcium to levels similar to cow's milk.
  • Fortified Juices: Certain orange juices are fortified and can provide a good dose of calcium.
  • Tofu: Tofu set with calcium sulfate is a common and excellent calcium source. Be sure to check the label, as not all tofu is processed with calcium.
  • Cereals: Many breakfast cereals are fortified with calcium and other vitamins.

The Importance of Vitamin D and Other Nutrients

Calcium absorption is heavily dependent on vitamin D. Without sufficient vitamin D, your body cannot effectively use the calcium you consume. Spending time in the sun helps your body produce vitamin D naturally. However, dietary sources are also important.

  • Dietary Sources of Vitamin D: Fatty fish like salmon and eggs contain vitamin D. Many fortified foods, including plant-based milks and cereals, also have added vitamin D.
  • Magnesium and Vitamin K: These nutrients are also important for bone health and work in concert with calcium and vitamin D.

Calcium Supplements

If dietary sources are not enough, supplements can help bridge the gap. It is best to consult with a healthcare provider or registered dietitian before starting a supplement to determine the right type and dosage for your needs.

  • Calcium Citrate: Often recommended as it is well-absorbed, even on an empty stomach.
  • Calcium Carbonate: More common and affordable, but it should be taken with food for optimal absorption.
  • Lactase Enzyme Supplements: For some, taking a lactase enzyme supplement can help digest small amounts of dairy, allowing them to include lower-lactose dairy products like some yogurts or hard cheeses in their diet without discomfort.

Comparison of Non-Dairy Calcium Sources

Food Source Serving Size Approximate Calcium (mg) Notes
Fortified Soy Milk 1 cup 299 Often fortified with Vitamin D.
Firm Tofu (Calcium-Set) 1/2 cup 253 Check label for calcium sulfate.
Canned Sardines with Bones 3 oz 325 Also rich in Omega-3s.
Cooked Collard Greens 1/2 cup 110 Good bioavailability.
Cooked Kale 1 cup 94 A versatile leafy green.
Almonds 1 oz (23 nuts) 76 Provides healthy fats and protein.
Sesame Seeds 1 tbsp 80 Sprinkle on salads or use in tahini.

Lifestyle Adjustments for Better Bone Health

Beyond diet, several lifestyle factors can influence bone density and calcium utilization.

  • Exercise: Regular weight-bearing exercise, such as walking, jogging, or weightlifting, helps strengthen bones.
  • Limit Sodium and Caffeine: Excessive intake of sodium and caffeine can increase calcium excretion.
  • Avoid Smoking and Excessive Alcohol: These habits can interfere with how your body uses calcium.

Conclusion

Maintaining adequate calcium intake with lactose intolerance is a manageable and achievable goal. By focusing on a diverse range of non-dairy foods, including leafy greens, nuts, seeds, fortified products, and potentially supplements, you can successfully support your bone health without relying on dairy. Incorporating vitamin D through food or safe sun exposure is also key to ensuring proper absorption. A holistic approach that includes smart dietary choices and a healthy lifestyle will pave the way for strong, resilient bones for years to come. Remember to consult a healthcare professional for personalized dietary advice. For more in-depth information on nutrition for lactose intolerance, consider visiting the NIDDK website for their resources on eating, diet, and nutrition.

Frequently Asked Questions

Yes, it is entirely possible to meet your daily calcium requirements from a varied diet rich in non-dairy sources like dark leafy greens, fortified plant-based milks, tofu, and certain fish.

Vitamin D is extremely important, as it helps your body absorb and use the calcium you consume from food and supplements. Without enough vitamin D, your body cannot effectively utilize the calcium.

No. While many leafy greens like kale and collard greens are excellent calcium sources, some, such as spinach and Swiss chard, contain compounds called oxalates that bind to calcium and inhibit its absorption.

Calcium citrate is often recommended as it is well-absorbed and can be taken at any time, with or without food. Calcium carbonate is another option but is best absorbed when taken with food.

Lactase enzymes help break down the lactose in dairy products, which can allow individuals to consume lower-lactose dairy items like aged cheese or yogurt. This can help them meet their calcium goals, but does not provide calcium directly.

For most adults, the recommended daily calcium intake is between 1,000 and 1,200 milligrams per day, though this can vary by age and life stage. It's best to consult a healthcare professional for a personalized recommendation.

The body can produce vitamin D from sun exposure, but it can also be obtained from dietary sources like fatty fish (salmon) and fortified foods (milks, cereals). Supplements are another option if diet and sun exposure are insufficient.

References

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Medical Disclaimer

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