The Science Behind Lactose in Cheese
To understand which cheeses are problematic for lactose intolerance, it's helpful to know how lactose levels change during cheesemaking. Lactose is the natural sugar found in milk. When cheese is made, cultures of bacteria are added to milk to convert lactose into lactic acid through a fermentation process. The resulting solids, or curds, are then separated from the liquid whey, with much of the remaining lactose draining away with the whey.
For hard, aged cheeses, the fermentation and aging process continues over many months or even years. During this time, any leftover lactose is broken down by the bacteria, resulting in a finished product with very little or even trace amounts of lactose. In contrast, fresh or soft cheeses are made and sold more quickly, retaining more of their moisture and, consequently, a higher percentage of lactose.
Cheeses to Avoid: High Lactose Offenders
If you have lactose intolerance, certain fresh and soft cheeses are more likely to cause symptoms due to their higher lactose content. It is generally recommended to avoid or limit the following:
Fresh and Soft Cheeses
These products are not aged long enough for the lactose to be fully converted. Their high moisture content traps more lactose-rich whey.
- Ricotta: Often made from whey, ricotta contains some of the highest levels of lactose, with some varieties having over 3 grams per 100 grams.
- Mascarpone: This creamy Italian cheese, used in desserts like tiramisu, is high in lactose, sometimes containing around 4 grams per 100 grams.
- Cottage Cheese: The curds of cottage cheese are surrounded by a liquid containing lactose, making it a common irritant for those with sensitivity.
- Cream Cheese: A popular spreadable cheese, cream cheese is not aged and retains a significant amount of lactose.
- Processed Cheese Spreads: These products are often made with milk proteins and other ingredients that can contain high levels of lactose.
Fresh Goat's Cheese
While many aged goat and sheep milk cheeses are well-tolerated, fresh goat's cheese can contain higher levels of lactose.
Feta Cheese
Though aged for a period, feta is still stored in brine and has a relatively high moisture content. Its lactose level is higher than that of many aged hard cheeses, making it a possible trigger for sensitive individuals.
Lists of Cheeses to Avoid and Enjoy
High-Lactose Cheeses to Limit or Avoid
- Ricotta
- Mascarpone
- Cottage Cheese
- Cream Cheese
- Processed Cheese Slices
- Fresh Goat's Cheese
- Queso Fresco
Low-Lactose Cheeses to Consider
- Aged Cheddar (extra mature)
- Parmesan (Parmigiano-Reggiano)
- Swiss (Emmentaler)
- Gouda (aged)
- Brie (aged)
- Camembert
- Provolone (aged)
Comparison Table: High vs. Low Lactose Cheeses
| Feature | High-Lactose Cheeses | Low-Lactose Cheeses |
|---|---|---|
| Type | Fresh, soft, creamy | Aged, hard, dry |
| Aging Time | Short or none | Long (several months to years) |
| Lactose Content | Higher (often 2-5g per 100g) | Very low to trace amounts (often <1g per 100g) |
| Moisture Content | High | Low |
| Lactose Conversion | Limited, sold before significant fermentation | Extensive, almost all converted to lactic acid |
| Texture | Soft, wet, spreadable, or curd-like | Hard, firm, crumbly |
| Examples | Ricotta, Mascarpone, Cottage Cheese | Parmesan, Aged Cheddar, Swiss |
Managing Your Cheese Choices
It's important to remember that the severity of lactose intolerance varies from person to person. Some individuals may be able to consume small amounts of higher-lactose cheeses without issues, while others may experience significant discomfort from even trace amounts. Reading labels and understanding the cheesemaking process can help you make informed choices. When trying a new cheese, it is wise to start with a small portion to gauge your personal tolerance.
Exploring Lactose-Free Alternatives
In addition to naturally low-lactose cheeses, many lactose-free and dairy-free cheese alternatives are available. Lactose-free dairy cheeses have the lactase enzyme added during production to break down the lactose for you. Dairy-free options, made from plant-based milks like cashews, almonds, or soy, are completely free of dairy and a safe choice for those with a more severe intolerance or milk allergy.
Conclusion
For those with lactose intolerance, fresh, soft, and un-aged cheeses like ricotta, mascarpone, and cottage cheese should be approached with caution due to their higher lactose content. The key to successful cheese consumption lies in understanding the aging process; the longer a cheese has aged, the more lactose has been converted, and the more likely it is to be well-tolerated. Hard, aged varieties such as Parmesan and extra-mature cheddar are your best bet. By making informed choices and being mindful of portion sizes, you can continue to enjoy the rich flavors of cheese while managing your digestive health.
For additional health and dietary information, the National Institutes of Health offers valuable resources and research.