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What cheeses should lactose intolerant people avoid?

4 min read

Globally, an estimated 75% of the population has some form of lactose intolerance. For these individuals, knowing what cheeses should lactose intolerant people avoid is essential for preventing discomfort and enjoying meals worry-free.

Quick Summary

Lactose-intolerant individuals should avoid fresh, high-moisture cheeses like cottage and ricotta, which retain more lactose, and favor aged, hard varieties with minimal lactose content.

Key Points

  • Avoid Fresh, Soft Cheeses: Varieties like cottage cheese and ricotta have high lactose content because they retain more whey.

  • Favor Aged, Hard Cheeses: The aging process in cheeses like Parmesan, aged cheddar, and Swiss significantly breaks down lactose, making them virtually lactose-free.

  • Check Nutrition Labels: Look for cheeses with low sugar content (ideally <1g per serving), as this indicates a lower lactose level.

  • Read Processed Cheese Ingredients: Processed cheese products and spreads can contain added milk solids and whey, which increase lactose content.

  • Know Your Personal Tolerance: Individual reactions to lactose vary, so start with a small amount of any new cheese to gauge your tolerance level.

  • Consider Dairy-Free Alternatives: If you have a severe intolerance, plant-based cheese substitutes are an excellent, safe option.

In This Article

Understanding Lactose in Cheese

Lactose is a naturally occurring sugar found in milk. The amount of lactose in cheese varies significantly depending on the cheesemaking process, particularly the aging period and how much whey (the watery part of milk) is drained. During fermentation, beneficial bacteria consume lactose and convert it into lactic acid. The longer a cheese is aged, the more lactose is broken down, resulting in a lower lactose content.

Fresh, soft cheeses, where most of the whey is kept, tend to have the highest lactose levels. Conversely, hard, aged cheeses have most of the whey removed, and the remaining lactose is metabolized during the ripening process, making them better tolerated by many with lactose sensitivities.

Cheeses to Avoid: High-Lactose Varieties

To minimize symptoms, people with lactose intolerance should be cautious with or avoid the following cheeses, which typically have higher lactose content:

  • Cottage Cheese: Contains one of the highest lactose levels among cheeses, with around 3–4g of lactose per 100g. Its soft, curd-based texture retains significant amounts of whey.
  • Ricotta: A soft, fresh cheese that is made from whey, which is naturally high in lactose. It contains approximately 3.2–5.1g of lactose per 100g.
  • Cream Cheese and Mascarpone: These fresh, high-moisture cheeses have lactose contents ranging from 3.5–4.6g per 100g. They are not aged, so the lactose remains in high concentrations.
  • Processed Cheese Spreads: Products like Philadelphia are often made with added milk solids and starches, increasing their lactose content. A typical processed cheese spread can have around 6.5g of lactose per 100g.
  • Young Cheeses: Cheeses that are aged for only a short time, such as young cheddars or goudas, will have more lactose than their mature counterparts.

Comparison of Lactose Content in Cheeses

This table provides a quick reference for the estimated lactose content in different cheese types, helping you make informed choices.

Cheese Type Lactose Content (g/100g) Notes
Cottage Cheese 3.5–4.0 Highest lactose content, very soft and fresh.
Ricotta 3.2–5.1 Made from whey, which retains high lactose.
Cream Cheese 4.0–4.6 Fresh, soft cheese with no aging.
Processed Cheese ~6.5 Often contains added milk solids.
Mozzarella 1.0–3.0 Content varies; aged versions are lower.
Feta 1.0–2.0 Content can vary; often lower due to salting.
Aged Cheddar <0.1 Extended aging breaks down lactose.
Parmesan <0.1 Aged for 12+ months, virtually lactose-free.
Swiss/Emmental <0.1 Long fermentation process reduces lactose.
Brie/Camembert <0.1–1.0 Soft, but fermentation reduces lactose.

Safe Cheeses: Low-Lactose Options

For many with lactose intolerance, hard and aged cheeses are safe to consume. These cheeses are characterized by their longer aging periods, which naturally break down the milk sugar.

  • Aged Hard Cheeses: Parmesan, Swiss (Emmental), and aged Gouda have a robust flavor and are virtually lactose-free. The longer they are aged, the lower the lactose content.
  • Mature Cheddar: A great option for sandwiches and cooking, mature cheddar has very little lactose due to the prolonged aging process.
  • Blue Cheeses: Roquefort, Gorgonzola, and other blue cheeses are generally low in lactose.
  • Lactose-Free Cheeses: Many brands offer specially made lactose-free cheeses, where the lactase enzyme has been added to break down the milk sugar completely.
  • Plant-Based Alternatives: If even low levels of lactose are problematic, many excellent plant-based, dairy-free cheese substitutes are available made from nuts, seeds, or soy.

How to Choose Cheese Wisely

  • Read Labels: Always check the nutrition label, especially the 'Sugars' line. A low sugar content (under 1g per serving) is a strong indicator of low lactose.
  • Know Your Tolerance: Everyone's level of lactose intolerance is different. Start with small portions of low-lactose cheeses to see how your body reacts before consuming larger amounts.
  • Look for 'Aged': When shopping for cheddar or gouda, look for labels like 'mature,' 'aged,' or 'extra-aged' to ensure the lowest possible lactose content.
  • Check Ingredients: Processed cheeses or shredded cheeses can sometimes contain added ingredients that include milk solids or whey, increasing lactose content. Be wary of these products.

Conclusion: Navigating Cheese with Confidence

Living with lactose intolerance doesn't mean you have to give up cheese entirely. By understanding how aging and the cheesemaking process affect lactose content, you can easily distinguish between high-lactose cheeses to avoid and low-lactose varieties that are generally safe to enjoy. Fresh, soft cheeses like cottage and ricotta are typically high in lactose, while aged, hard cheeses such as Parmesan and aged cheddar are excellent, low-lactose alternatives. Always pay attention to labels, start with small portions, and remember that many delicious dairy-free substitutes also exist. By following these guidelines, you can savor the flavor of cheese without the discomfort. For more information on managing dietary restrictions, consult authoritative health resources like the Better Health Channel.

Frequently Asked Questions

Fresh, soft cheeses like cottage cheese, ricotta, and cream cheese contain the highest levels of lactose because their production process retains more whey and they are not aged long enough for the lactose to be broken down.

As cheese ages, bacteria consume the lactose and convert it into lactic acid during fermentation. The longer the cheese ages, the more lactose is broken down, resulting in a lower concentration of lactose in the final product.

The lactose content in mozzarella can vary. While some fresh mozzarella has moderate levels, aged or shredded mozzarella often contains less lactose. Always check the label and ingredient list.

Many people with lactose intolerance can tolerate feta cheese, as it generally has a lower lactose content (around 1–2g per 100g) compared to very soft cheeses. Individual tolerance varies, so it's best to test a small portion first.

Processed cheese products, including slices and spreads, are generally not safe for lactose-intolerant individuals. They often contain added whey and milk solids, increasing their overall lactose content.

Look at the nutrition label for the sugar content. Since lactose is a milk sugar, a low sugar value (e.g., less than 1g per serving) typically indicates a low lactose content. You can also check for an 'aged' or 'mature' label, which suggests lower lactose.

Yes, many excellent dairy-free and plant-based cheese alternatives are available. These are typically made from nuts like cashews or almonds and are completely lactose-free, making them safe for all levels of intolerance.

References

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Medical Disclaimer

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