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What kind of cheese is okay for lactose intolerance?

4 min read

Over 65% of the global population has some degree of lactose intolerance, yet many people mistakenly believe this means giving up cheese entirely. The good news is that many delicious cheese varieties are naturally very low in lactose, making it possible to enjoy cheese even with lactose intolerance.

Quick Summary

Hard, aged cheeses such as Parmesan, aged Cheddar, and Swiss are excellent options for those with lactose intolerance, as the aging process breaks down most of the lactose. Many semi-hard and some soft cheeses are also low in lactose, while fresh, high-moisture cheeses typically contain higher amounts and should be limited. Careful selection can allow many people to enjoy cheese without discomfort.

Key Points

  • Aged is better: Hard cheeses that have been aged for a longer period, such as Parmesan and aged Cheddar, naturally have very low lactose content due to fermentation.

  • Parmesan is a top choice: Aged for at least 12 months, Parmigiano-Reggiano contains virtually no lactose, making it an ideal option.

  • Not all soft cheese is high-lactose: Despite their high moisture, cheeses like Brie and Camembert are fermented, which significantly reduces their lactose levels.

  • Read the label: The amount of lactose can vary by brand and aging time, so checking labels for the sugar content is the most reliable method.

  • Watch out for fresh cheeses: High-moisture, fresh cheeses like ricotta, cottage cheese, and cream cheese contain more residual lactose and are more likely to cause symptoms.

In This Article

The Science Behind Low-Lactose Cheeses

To understand what kind of cheese is okay for lactose intolerance, it's helpful to know how lactose levels change during cheesemaking. Lactose is a sugar naturally present in milk. During the cheesemaking process, several factors work together to significantly reduce the lactose content.

First, milk is separated into curds (solids) and whey (liquid). Most of the lactose remains in the whey, which is drained away. The remaining curds are where the cheese is formed. Second, bacteria added during the process, known as starter cultures, ferment the remaining lactose, converting it into lactic acid. The longer a cheese is aged, the more time these bacteria have to break down the residual lactose. This is why aged, hard cheeses are a staple for many with lactose sensitivities.

Best Aged Cheeses for Lactose Intolerance

These cheeses undergo a long aging process, resulting in very low to virtually non-existent lactose content.

Parmesan (Parmigiano-Reggiano)

Often hailed as the king of low-lactose cheeses, authentic Parmesan is aged for a minimum of 12 months, and often much longer. This extended maturation ensures that virtually all lactose is broken down, making it an excellent and flavorful choice for most people with lactose intolerance.

Aged Cheddar

While young cheddar can contain some lactose, extra-sharp or aged cheddar (typically 12+ months) is a great option. The longer it's aged, the less lactose it will contain, with extra-sharp versions often having less than 0.1 grams per serving.

Swiss Cheese

During its production, Swiss cheese undergoes a process that naturally removes a significant amount of whey, where most of the lactose resides. The subsequent fermentation also reduces the lactose content to very low levels, making it a well-tolerated option.

Aged Gouda

Like other aged varieties, Gouda becomes lower in lactose as it matures. Look for products labeled "aged" or "extra-aged" to ensure the lowest lactose content possible.

Other Tolerable Cheese Options

Beyond hard cheeses, several other types can be enjoyed in moderation.

Feta

Traditionally made from sheep's or goat's milk and aged in brine, authentic feta is naturally low in lactose. Its tangy, salty flavor is a great addition to salads and other dishes.

Brie and Camembert

These soft, French cheeses have a surprisingly low lactose content due to the fermentation process that consumes the lactose. While they have less whey drained off than hard cheeses, the fermentation still makes them palatable for many.

Blue Cheese

The mold used to create blue cheese, such as Roquefort or Gorgonzola, aids in breaking down lactose. As a result, blue cheeses are typically well-tolerated by individuals with lactose sensitivity.

A Comparison of Cheese Lactose Levels

Cheese Type Examples Approximate Lactose Content (per 1 oz/30g)
Hard, Aged Parmesan, Aged Cheddar, Swiss 0–0.1 grams
Semi-Hard Gouda, Monterey Jack 0.1–0.3 grams
Soft (Fermented) Brie, Camembert, Feta 0.3–1 gram
Very Soft/Fresh Ricotta, Cottage Cheese, Cream Cheese 1–5 grams

Cheeses to Approach with Caution

Fresh, high-moisture cheeses are generally higher in lactose because they have less time for fermentation and retain more whey. These include:

  • Ricotta: Contains high levels of lactose, as it's made from whey.
  • Cottage Cheese: Fresh and soft, it retains a high percentage of moisture and thus more lactose.
  • Cream Cheese: A fresh, soft cheese that is not aged and can be high in lactose.
  • Fresh Mozzarella: While often better tolerated than other fresh cheeses, it's still higher in lactose than its aged counterparts.
  • Processed Cheese: These products can have lactose and milk solids added back in during processing.

Navigating Your Cheese Consumption

If you have lactose intolerance, there are several strategies to enjoy cheese with minimal discomfort. Start with small portions and monitor your body's reaction. Reading ingredient labels is crucial, as some products may have lactose added. Consider incorporating other foods with your cheese to slow down digestion. For many, consuming 12 grams of lactose daily is tolerable, and a single serving of low-lactose cheese is often well within that limit. You can also consider taking a lactase enzyme supplement before eating dairy to aid digestion.

Conclusion

Lactose intolerance does not mean you must completely abandon your love for cheese. By understanding the cheesemaking and aging process, you can make informed choices and find a wide variety of low-lactose or virtually lactose-free options. Opt for hard, aged varieties like Parmesan, aged Cheddar, Swiss, and Gouda, and explore fermented semi-soft cheeses like Brie and Camembert. Being mindful of portion sizes and carefully reading labels will allow you to savor the rich, complex flavors of cheese without the digestive issues. For more information on managing your diet, consult resources like the National Institutes of Health.

Frequently Asked Questions

Virtually lactose-free cheeses include hard, aged varieties like Parmesan (Parmigiano-Reggiano), extra-sharp Cheddar, and Swiss. The long aging process breaks down almost all the lactose.

During the aging and fermentation process, bacteria consume the lactose and convert it into lactic acid. The longer the cheese ages, the more lactose is broken down, resulting in a lower overall content.

Yes, many people with lactose intolerance can tolerate Brie and Camembert. While they are soft, their fermentation process helps reduce the lactose to low levels.

Aged cheddar is generally safe, but younger, mild cheddar contains more lactose. For best results, opt for extra-sharp or mature cheddar aged for at least 12 months, which has very low lactose levels.

Fresh cheeses like ricotta and cottage cheese have a higher moisture content and are not aged long, so they retain more lactose. These are generally not recommended for those with lactose intolerance.

Low-lactose cheese naturally has very little lactose due to its production process. Lactose-free cheese is specifically treated with the lactase enzyme to break down the lactose, ensuring it has no detectable lactose.

Some people find that cheeses made from goat's or sheep's milk, such as feta, are easier to digest. This is because these milks naturally contain slightly lower concentrations of lactose than cow's milk.

References

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Medical Disclaimer

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