Skip to content

What milk can you drink with lactose intolerance?

4 min read

An estimated 65% of the world's population has a reduced ability to digest lactose after infancy, but fortunately, a wide variety of delicious alternatives mean you no longer have to wonder what milk can you drink with lactose intolerance. From fortified plant-based milks to specially processed cow's milk, there are many choices available to suit your dietary needs.

Quick Summary

For those with lactose intolerance, several milk options exist, including lactose-free cow's milk and various dairy-free alternatives such as soy, almond, and oat milk, each offering distinct nutritional profiles and flavors.

Key Points

  • Lactose-Free Dairy: Cow's milk with lactase enzyme added, offering the same high-quality protein and calcium as regular milk without the digestive issues.

  • Soy Milk: A popular, high-protein plant-based option that is nutritionally comparable to cow's milk, though it is a common allergen.

  • Oat Milk: Naturally lactose-free and a versatile, creamy, and fiber-rich choice, but check labels for gluten-free certification.

  • Almond Milk: A low-calorie, nutty-flavored alternative, though naturally low in protein unless fortified with added nutrients like calcium and vitamin D.

  • Nutrient Fortification: Many plant-based milks are fortified with essential nutrients like calcium and vitamin D to make their nutritional profile more robust.

  • Lactase Supplements: For occasions when you choose to consume regular dairy, lactase enzyme supplements are available to help aid digestion.

  • Individual Tolerance: Some people can tolerate small amounts of lactose, especially when consumed with other foods or in fermented products like some yogurts or hard cheeses.

In This Article

Understanding Lactose Intolerance

Lactose intolerance is a common digestive issue caused by the body's inability to produce enough of the enzyme lactase, which is needed to break down lactose, the sugar found in milk. When a person with lactose intolerance consumes dairy products, undigested lactose travels to the colon, where it is fermented by bacteria. This process can lead to uncomfortable symptoms such as bloating, gas, stomach pain, and diarrhea. The severity of symptoms varies widely among individuals and depends on the amount of lactose consumed. While some people can tolerate small amounts of dairy, others need to avoid it entirely. The good news is that advancements in food technology and the growing popularity of plant-based diets have led to an explosion of delicious and nutritious milk options that cater specifically to those with lactose intolerance.

Lactose-Free Dairy Milk

For those who prefer the taste and nutritional profile of traditional cow's milk but want to avoid the digestive issues, lactose-free dairy milk is an excellent option. It is made by adding the enzyme lactase directly to cow's milk, breaking down the lactose into simpler, more easily digestible sugars. Brands like Lactaid and Fairlife use this process. Fairlife uses an ultra-filtration process that also removes lactose while concentrating protein and calcium.

Benefits of Lactose-Free Dairy Milk:

  • Nutritionally Identical: It contains the same high-quality protein, calcium, and vitamins (like A, D, and B12) as regular milk.
  • Familiar Taste and Texture: The taste and creamy texture are virtually the same as regular milk, making it a simple switch for most people.
  • Convenient Substitution: It can be used as a 1:1 substitute in all your favorite recipes for cooking, baking, and beverages.

Plant-Based Milk Alternatives

Plant-based milks are inherently lactose-free and have become staples for many. Their nutritional content varies significantly, so it’s important to read labels, especially to ensure they are fortified with calcium and vitamin D if you are relying on them for these nutrients.

Soy Milk

As one of the original milk alternatives, soy milk is made from soybeans and is prized for its high protein content, which is comparable to cow's milk. It has a creamy texture and is often fortified with calcium and vitamins. However, soy is a common allergen, which can be an issue for some individuals.

Oat Milk

Oat milk has surged in popularity due to its creamy consistency and versatility, especially in coffee. It's naturally sweet, though fortified unsweetened versions are available. Oat milk is also a good source of fiber, specifically beta-glucans, which may help lower cholesterol. For those with celiac disease, it is crucial to select brands that are certified gluten-free due to potential cross-contamination with wheat.

Almond Milk

Known for its mild, nutty flavor and low-calorie count, almond milk is a popular choice. It is low in protein compared to dairy or soy milk, so it's important to choose a fortified version if you rely on milk for calcium and vitamin D.

Coconut Milk

Coconut milk (the refrigerated beverage, not the canned version) is very creamy and adds a rich flavor to drinks and recipes. It is naturally low in protein but has a higher fat content, with saturated fat being the dominant type.

Other Options

Other alternatives include rice milk, which is often watery and high in carbohydrates, and hemp milk, which offers healthy omega-3 and omega-6 fatty acids but has a more earthy taste.

Choosing the Right Milk for You

Selecting the best milk depends on your individual needs and preferences. Here are some key factors to consider:

  • Taste and Texture: Do you prefer a nutty, creamy, or sweet flavor? Oat and coconut milks are generally creamier, while almond and rice milks are lighter.
  • Nutritional Needs: If protein is a priority, soy or lactose-free cow's milk is your best bet. For lower calories, almond milk is a good choice.
  • Dietary Restrictions: Be mindful of other potential allergens like soy and tree nuts.
  • Cooking and Baking: Some alternatives behave differently than dairy milk in recipes. Oat and lactose-free dairy milk are known for their reliable performance in baking and cooking.

Comparison of Popular Milk Options

Feature Lactose-Free Dairy Soy Milk Oat Milk Almond Milk
Lactose No No No No
Protein (per cup) ~8g ~8g ~4g ~1g
Calories (per cup) ~120-150 ~105 ~130 ~37-60
Naturally Fortified? No (already present) Yes, often Yes, often Yes, often
Allergen Concerns No (for lactose) Yes (for soy) Yes (for gluten) Yes (for nuts)

Conclusion

Navigating a lactose-intolerant diet has become easier than ever with the vast selection of milk products available. Whether you stick with a processed dairy option like Lactaid, which offers the same nutrients and flavor as regular milk, or venture into the world of plant-based milks like creamy oat or high-protein soy, you can find a suitable and enjoyable alternative. By understanding the differences in taste, nutrition, and potential allergens, you can make an informed choice that allows you to enjoy milk without the discomfort. For some, a combination of these options may work best. The most important step is to find what works for your body and your lifestyle. For more information on navigating milk alternatives and their nutritional profiles, see the Harvard Health article In search of a milk alternative.

Frequently Asked Questions

No, lactose-free milk has a very similar nutritional value to regular milk, including the same levels of protein, calcium, and vitamins. The only difference is that the lactose sugar is broken down into simpler sugars, making it easier to digest.

Lactose-free milk can taste slightly sweeter than regular milk. This is because the added lactase enzyme breaks down lactose into more digestible sugars, glucose and galactose, which our taste buds perceive as sweeter than lactose itself.

Yes, lactose-free milk can be used as a direct 1:1 substitute for regular milk in most cooking and baking recipes without affecting the outcome.

Yes, individuals with lactose intolerance can also use lactase enzyme supplements, which are available in tablet or capsule form and are taken just before consuming dairy products to help with digestion.

Soy milk is traditionally considered the highest in protein among plant-based milks, often matching the protein content of cow's milk. Pea milk is another good option with a comparable protein level.

No, oat milk is not always gluten-free. Oats can be cross-contaminated with gluten during processing. If you have celiac disease or a gluten sensitivity, you should only choose oat milk that is specifically labeled and certified as gluten-free.

No, if you have a cow's milk protein allergy, you should avoid lactose-free cow's milk. This milk still contains the same milk proteins that trigger an allergic reaction; only the sugar (lactose) has been removed or broken down.

References

  1. 1

Medical Disclaimer

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