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What Can I Eat If I Am Gluten and Lactose Intolerant?

4 min read

An estimated 75% of the world's population is lactose intolerant to some degree, and gluten intolerance is also on the rise, making the combination a common dietary challenge. For those navigating this double restriction, knowing what can I eat if I am gluten and lactose intolerant is crucial for health and comfort.

Quick Summary

This guide outlines a comprehensive list of safe, naturally gluten and dairy-free foods and provides practical strategies for managing a dual intolerance. Learn about ingredient substitutes, label-reading, and how to create balanced meals without compromising on flavor or nutrition.

Key Points

  • Focus on Whole Foods: Build your diet around naturally gluten-free and dairy-free whole foods like fresh fruits, vegetables, lean proteins, and legumes.

  • Embrace Gluten-Free Grains: Utilize safe grains like quinoa, rice, millet, and certified gluten-free oats for your carbohydrate sources.

  • Substitute Dairy Wisely: Replace dairy products with fortified plant-based milk alternatives such as almond, soy, and coconut milk for calcium and vitamin D.

  • Read Labels Religiously: Scrutinize all food labels for hidden sources of gluten (wheat, barley, malt) and dairy (whey, casein, lactose).

  • Prevent Cross-Contamination: Practice safe food handling and storage by using separate utensils and surfaces to avoid accidental exposure.

  • Explore New Recipes: Use your dietary restrictions as a chance to discover exciting new cuisines and dishes that are naturally compliant, such as many Asian or South American recipes.

In This Article

Building a Delicious and Safe Diet

Transitioning to a diet free of both gluten and lactose can feel restrictive at first, but a wealth of naturally safe and delicious foods are available. The key is to focus on whole, unprocessed ingredients and to become proficient at reading food labels for hidden culprits. Below is a detailed breakdown of the foods to enjoy and tips for making your meal planning a breeze.

The Cornerstone of a Dual-Intolerance Diet: Whole Foods

Naturally, unprocessed foods are your best friends. They are free of hidden gluten and lactose additives and form the basis of a nutritious diet. These include:

  • Fruits and vegetables: All fresh fruits and vegetables are safe and should be a staple of your diet. Be cautious with pre-packaged or processed options, which may contain sauces or seasonings with gluten or dairy.
  • Lean proteins: Most unprocessed meat, poultry, fish, and seafood are naturally free of both. Watch out for breaded or marinated versions, which often contain gluten and/or dairy. Excellent options include grilled chicken, baked fish, and roasted turkey.
  • Legumes: A fantastic source of protein and fiber, beans, lentils, chickpeas, and peas are all safe. They can be used as a base for stews, salads, and homemade dips like hummus.
  • Nuts and seeds: These provide healthy fats and are perfect for snacks, toppings, or making your own nut butters and milk. Just be sure to choose plain, unflavored varieties to avoid hidden ingredients.

Navigating Grains and Starches

While wheat, rye, and barley are off-limits, many grains and starches are naturally gluten-free. For oats, always choose products certified gluten-free to avoid cross-contamination.

  • Safe Grains:
    • Rice (brown, white, wild)
    • Quinoa
    • Millet
    • Corn and cornmeal
    • Buckwheat (despite the name)
    • Teff and amaranth
  • Flours: Use alternatives like rice flour, almond flour, corn flour, or chickpea flour for baking and thickening sauces.
  • Potatoes: White and sweet potatoes are naturally gluten and dairy-free and can be prepared in countless ways.

Replacing Dairy: Your Delicious Alternatives

Going dairy-free has never been easier, with a wide variety of plant-based substitutes now available. Always check labels for fortification with calcium and vitamin D, as these are nutrients often missed when removing dairy.

  • Milk substitutes: Almond, soy, coconut, oat (certified gluten-free), and rice milks are readily available for drinking, cooking, and baking.
  • Cheese substitutes: Vegan cheeses made from nuts (like cashew) or other plant bases are good for topping pizzas, salads, and more. Brands like Kite Hill offer ricotta alternatives.
  • Yogurt substitutes: Look for coconut, soy, or cashew-based yogurts for breakfast or snacks.
  • Butter substitutes: Clarified butter (ghee) is virtually lactose-free, but for complete avoidance, use coconut oil, olive oil, or vegan butter sticks.

Comparison Table: Replacements for Common Items

Item to Replace Gluten-Free Alternative Dairy-Free Alternative Combined Solution
Bread Rice bread, quinoa bread, sorghum bread N/A Certified gluten-free bread without milk powder or whey
Pasta Pasta made from rice, corn, lentils, or chickpeas N/A Certified gluten-free pasta
Milk N/A Almond milk, soy milk, oat milk (GF), rice milk Any plant-based milk alternative
Cheese N/A Vegan cheese (cashew, soy-based) Vegan cheese alternatives
Butter N/A Olive oil, coconut oil, vegan butter Olive oil, coconut oil, or certified vegan butter sticks
Yogurt N/A Coconut yogurt, soy yogurt, cashew yogurt Plant-based yogurts
Flour Almond flour, rice flour, corn flour, GF blends N/A Naturally gluten-free flours like chickpea or almond flour

Expert Tips for a Balanced Diet

  1. Read Labels Diligently: Gluten and dairy can be hidden in many processed foods. Watch for ingredients like whey, casein, milk solids, malt, and modified food starch. Look for "Certified Gluten-Free" and "Dairy-Free" labels.
  2. Prevent Cross-Contamination: If you live in a mixed-diet household, use separate cutting boards, toasters, and utensils to prevent your food from coming into contact with gluten or dairy.
  3. Ensure Nutritional Balance: Removing entire food groups requires careful planning to avoid nutrient deficiencies, particularly calcium and vitamin D. Incorporate fortified plant-based milk and calcium-rich foods like kale, broccoli, and fortified juices. Consider consulting a registered dietitian to ensure your nutritional needs are met.
  4. Experiment with Cooking: A dual intolerance can be an opportunity to explore new recipes and cuisines. Many ethnic foods, such as Thai curries (using coconut milk) and stir-fries (with rice), are naturally gluten and dairy-free. Search for recipes online or invest in a specialized cookbook.
  5. Be Prepared for Dining Out: Call restaurants ahead of time to ask about their policies for allergies and intolerances. Always inform your server of your dietary restrictions to ensure they can recommend safe options.

Conclusion: Thriving with a Dual Intolerance

Living with both a gluten and lactose intolerance is manageable and does not mean sacrificing delicious, wholesome food. By centering your diet around naturally safe whole foods, exploring the numerous plant-based and gluten-free alternatives available, and becoming an expert label-reader, you can enjoy a full and satisfying diet. Proactive meal planning and a focus on nutrient-dense foods will ensure your health and comfort are prioritized. The world of gluten-free and dairy-free cuisine is rich and flavorful—you just have to know where to look.

Further Reading

For more information on managing coeliac disease, an autoimmune condition triggered by gluten ingestion, visit the Coeliac Disease Foundation.

Frequently Asked Questions

Gluten intolerance, or non-celiac gluten sensitivity, is a reaction to the protein gluten found in wheat, rye, and barley. Lactose intolerance is the inability to digest lactose, the sugar found in milk and dairy products, due to a deficiency of the lactase enzyme.

Yes, it is possible and not uncommon to have both. Some people with coeliac disease or gluten sensitivity may also develop temporary lactose intolerance due to intestinal damage.

Most are, but it's essential to check the label. Some products, particularly certain oat milk brands, can be cross-contaminated during processing. Look for a 'certified gluten-free' label to be safe.

You can get calcium from fortified plant-based milk, leafy greens like kale and spinach, fortified orange juice, tofu, and legumes. Some cereals are also fortified with calcium.

Great snacks include fresh fruit, nuts and seeds, rice crackers with hummus, corn tortilla chips with guacamole, and plant-based yogurts.

No, it's becoming much easier. Most grocery stores now have dedicated sections for these products. Additionally, many naturally safe items like fresh produce, meats, and legumes are widely available.

Hidden sources include seasonings, sauces, soups, salad dressings, and some processed meats. Always read the ingredient list carefully for terms like whey, casein, malt, and modified food starch.

Yes, but only if they are certified gluten-free. This ensures they were not contaminated with wheat during processing. Oats are naturally gluten-free but often cross-contaminated.

References

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Medical Disclaimer

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