Milk intolletarance

[Eldene]

As many Celiac disease patients also are milk (casein etc) intollerant, which comes first, please?

[Scott Adams]

The casein/cow's milk intolerance is is normally secondary, after the villi are damaged.

Many people with celiac disease, especially those who are in the 0-2 year range of their recovery, have additional food intolerance issues which could be temporary. To figure this out you may need to keep a food diary and do an elimination diet over a few months.

Some common food intolerance issues are dairy/casein, eggs, corn, oats, and soy. The good news is that after your gut heals (for most people who are 100% gluten-free this will take several months to two years) you may be able to slowly add some these items back into your diet after the damaged villi heal.

This article may be helpful:

 

 

 

[knitty kitty]

Hello @Eldene,

Lactase, the enzyme that digests dairy is made in the tips of the villi.  When the villi are damaged in CeD, they can no longer produce lactase and the undigested dairy gets digested by intestinal bacteria which can result in bloating and diarrhea.  Segments of the dairy protein casein resembles segments of gluten and antibodies can confuse the two and attack both.  

This article is helpful...

Mucosal reactivity to cow's milk protein in coeliac disease

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1810502/

[Eldene]

On 11/18/2023 at 7:30 AM, knitty kitty said:

Hello @Eldene,

Lactase, the enzyme that digests dairy is made in the tips of the villi.  When the villi are damaged in CeD, they can no longer produce lactase and the undigested dairy gets digested by intestinal bacteria which can result in bloating and diarrhea.  Segments of the dairy protein casein resembles segments of gluten and antibodies can confuse the two and attack both.  

This article is helpful...

Mucosal reactivity to cow's milk protein in coeliac disease

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1810502/

Thank you!