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It's the Dairy, Harry!

An introductory diet lasting two or three days precedes fuller implementation of The Specific Carbohydrate Diet. One of the suggested foods on the"intro diet" is a cheesecake made with dry curd cottage cheese from cow's milk; it is 73% protein and very low in fat. The mention of food like this strikes fear into the heart of a person who follows the gluten-free casein-free diet They usually arrive believing dairy consumption is a most contentious protocol. making it vital to understand the nuances associated with consumption of the various dairy foods on the Specific Carbohydrate Diet.

My friend Jenny, who is celiac makes her cheesecake by dripping yogurt through a filter or cheesecloth. She cannot tolerate the dry curd cottage cheese. She makes her yogurt for cheesecake with cow's milk and drips he yogurt through a filter to drain off the galactose liquid. I use the default dry curd cottage cheese method and can react on occasion with classic bloating, itchy knees and stuffy nasal passages .

Two  separate issues arise around dairy difficulties. There is a great deal of confusion between milk allergy and lactose intolerance, Both adverse reactions are attributable to milk.

Lactose Intolerance
Lactose intolerance is a non-allergic food hypersensitivity, arising from a lack of production of  lactase, the enzyme which is required to digest the predominant sugar in milk. Lactose intolerance is a condition but not actually a disease or malady, and  affects 70% of the world's population. Both lactose intolerance and allergies are more prevalent than most people realize.

Among those over the age of five, approximately 90-95% of black individuals and 20-25% of white individuals world wide have a partial or complete lactose intolerance.

Casein Intolerance
Milk allergy is a true food allergy, the adverse immune reaction to a protein in food that is normally harmless to the non-allergic individual.

The milk protein intolerance produces a non-IgE antibody and it cannot be detected by allergy blood tests.  The protein intolerance invokes a range of symptoms very similar to milk allergy symptoms, and may also include blood and/or mucous in the stool. Treatment for milk protein intolerance is the same as for milk allergy.

A protein can become denatured when its native structure is modified, even slightly modified. "Denaturation" means that the natural structure of the protein has been disrupted and consequently the protein has taken on a new structure, a change even if  minimal.  Heat and pH variations will cause whey protein to change structure.
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Once that structure change occurs, in chemical the protein is considered denatured.

Once again, it is vital to understand that lactose intolerance and cow’s milk intolerance are not related.

Inability to tolerate cow’s milk is an allergic reaction triggered by the immune system.

Problems with Lactose intolerance are caused by the digestive system.

These differences have caused the gluten-free casein-free diet community to misunderstand and appear critical to the Specific Carbohydrate Diet because the diet allows dairy that has been treated to eliminate the lactose. In consideration of the true casein intolerance, the Specific Carbohydrate Diet is clear that dairy is not mandatory.

On the other hand, home incubated yogurt has powerful probiotic properties that they have the ability to neutralize bad digestive bacteria. Yogurt is highly promoted for use on the Specific Carbohydrate Diet.  Some of those who initially react to casein may  be able to eventually tolerate yogurt since the protein molecule is somewhat denatured in the fermentation process.

Seven percent (7%) of U.S. children show symptoms of cow-milk allergy such as wheezing, congestion, frequent ear infections, eczema, skin rashes and digestive troubles. In the vast majority of cases, these problems are eliminated when goat milk is substituted for cow's milk.

Goat's milk lacks the group of proteins that are the main stimulants of allergic reactions to cow dairy products.  Thus, goat milk may be tolerated once tuned into yogurt if it no longer  stresses and depresses the immune system. Those who transition from gluten-free casein-free diet to Specific Carbohydrate Diet frequently find that they tolerate the goat yogurt when it is introduced gradually in tiny amounts once thre is some healing to the damaged gut.

Cheese
The story is similar when it comes to cheese. Bacterial culture used in cheese making consumes lactose during a minimum aging period of thirty days. Soft immature cheeses still contain lactose. Soft ripened cheese like Brie is permitted but used less often than firm cheeses like Havarti, Swiss and Gouda, for example ( Cheddar is permitted but some people have a problem with the enzymes in Cheddar cheese). We suggest cultured butter on Specific Carbohydrate Diet because it has added bacterial cultures or Ghee which has had the whey skimmed off. None of the cultures in any of the approved dairy may contain bifidus.

So Harry and Mary, "How now brown cow?" (or maybe later) because, as you make progress, happily you may be able include the Specific Carbohydrate Diet correct dairy in your daily menus.

As always, Celiac.com welcomes your comments (see below).


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1 Response:

 
Tina Kalvelage

said this on
17 Mar 2012 8:50:06 AM PDT
Thank you for this explanation. I have Crohn's (4 yrs), eczema and psoriasis (43 yrs) and diverticulitis (one bout a year ago) and am intolerant of gluten, soy, and cow dairy, casein, and therefore use Goat milk products. I'm now making my own goat milk yogurt with success using the Gi-ProStarter. I am trying to make Dry Curd Cottage Cheese now with lemon juice instead of rennet. I am wondering if you have an opinion on whether or not I can use the DCCC made from cow milk? I am hesitant because the eczema breaks out with dairy consumption. I don't mind making my own products but it would sure be easier to buy it since i have to make everything now (almond bread, pancakes, etc).




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Make sure that you ask the doctor how long she has to stop the supplements before you have her levels tested and be sure to take them all with you when you have the appointment so the doctor knows what she is taking.

Talk to your doctor. With your family history and symptoms he/she may be able to diagnose based on resolution of your symptoms and family history. Also check with your local hospital if it has it's own lab. Mine covered any labs at a greatly reduced cost based on a sliding fee scale. Did you have an MRI before they did the spinal? Celiacs with neuro impact will have white spots on an MRI that resemble the lesions found with MS. Many neuro doctors don't know this. I went through what you did and they did a spinal on me also based on the MRI results. If my doctor had know what the UBOs (unidentified bright objects) were I would have been diagnosed a couple years sooner than I was. Make sure if you supplement that you ask your doctor which ones you need to stop taking and for how long before they do a blood test to check levels. Sublingual B12 is a good idea when we have nervous system issues, but needs to be stopped for at least a week for an accurate blood level on testing. I hope you get some answers and feel better soon.

Thanks for that. Will get her tested for deficiencies. I did take her to a naturopath and get her on a bunch of vitamins, but she never was tested via bloods, so will get on to that, thanks

Hi Could a mod please move this post: and my reply below to a new thread when they get a chance? Thanks! Matt

Hello and welcome Firstly, don't worry about it but for ease your post (and hopefully my reply) will probably be moved to its own thread. That will make it easier for others to see it and reply and also help Galaxy's own thread here on track and making sense. The antibodies that the celiac tests look for can drop very quickly, so... maybe? Celiac is difficult to test for, there are different tests and sometimes someone doesnt test on one but does on the other. If you can get a copy of the tests and post it here the community may be able to help explain the results. It may have shown damage to the villi, the little tendrils in your intestine that help you extract nutrients from your food. Celiac is one, but not the only, way in which they can get damaged leading to a vast number of potential symptoms and further making diagnosis a tricky proposition. Definitely, there's a connection. Here's a page that explains it in detail: https://stomachachefree.wordpress.com/2012/03/21/liver-disease-in-celiacs/ Fantastic It sounds as if your doctors were happy to diagnose you on the basis of the endoscopy? It may be then that you've found your answer. I hope so, you've clearly had a rotten and very scary time. I'm sure with the positive reaction to the diet you want to go on and get healthy, but I would only add that you should discuss this with your doctors, because they may want to exclude other potential causes if they've not confirmed celiac at this point. Check out the advice for newly diagnosed here: To your family I'd simply say that celiac is a disease of the autoimmune system, the part of our body that fights diseases and keeps us safe. In celiac people the autoimmune system see's the gluten protein found in wheat, barley, or rye grains as a threat to the system and it produces antibodies to attack it and in doing so attacks it's own body as well. It's genetic in component so close family members should consider a test if they have any of the many symptoms. There's roughly 1 person in 100 with celiac but most of them don't know it and are risking getting or staying sick by not finding out. There's further info for them and you here: https://www.celiac.com/gluten-free/announcement/3-frequently-asked-questions-about-celiac-disease/ I'm going to ask a mod to move your post and my reply to a new thread, but wanted to give you an answer first The good news is you've found a great site and there will be lots of support for you here. You've also got 'lucky' in that if you're going to have an autoimmune condition, celiac is a good one Most react really well to the gluten free diet and you will hopefully have much more healing to come! Best wishes Matt