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Lactose Intolerance


sssmith1

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sssmith1 Newbie

I was lactose Intolerant when I initially came down with Celiac Disease. I was fine after going on a gluten-free diet. Now, a year later I have been sick multiple times after I ate some form of dairy product. Is it possible for the lactose intolerance to resurface even after going on a gluten free diet?


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kehaulani Newbie

hi! i don't know if i can answer your question but i found some interesting information about lactose intolerance. i am also lactose intolerant and was diagnosed with celiac disease about 2 months ago and have been on a gluten free diet for about 3 months. i read in a book (Living Gluten-free for Dummies) that the enzyme lactase, which breaks down lactose, is found on the tips of the villi in our small intestine. so after being on a gluten free diet and your villi heal, you are most likely able to tolerate dairy products again. is it possible that you may have accidently ate gluten (maybe cross-contamination)? becasue a small amount of gluten in your body may have caused an attack on just the tips of your villi, thus causing the lactase enzyme to be destroyed and causing your lactose intolerance again. this may not be the case, but you never know!

psawyer Proficient

Many people with celiac disease develop other food intolerances. Lactose intolerance is usually temporary, as kehaulani noted.

You may have developed an intolerance to casein, which is the protein in milk. This is the most common intolerance in celiacs after gluten. If you are casein intolerant, you must avoid all dairy products, even those which have little or no lactose. Casein is more difficult than gluten to avoid completely, as it shows up in places you would not expect, and is not always obvious in the ingredients.

I tolerate casein myself, so I am not that knowledgeable in this area, but there are a number of board members who could offer more insight.

sssmith1 Newbie
Many people with celiac disease develop other food intolerances. Lactose intolerance is usually temporary, as kehaulani noted.

You may have developed an intolerance to casein, which is the protein in milk. This is the most common intolerance in celiacs after gluten. If you are casein intolerant, you must avoid all dairy products, even those which have little or no lactose. Casein is more difficult than gluten to avoid completely, as it shows up in places you would not expect, and is not always obvious in the ingredients.

I tolerate casein myself, so I am not that knowledgeable in this area, but there are a number of board members who could offer more insight.

Thank for your insight. Both were very helpful. I will definitely look into this.

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    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
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    • GlorietaKaro
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