Lactose intolerance makes everyday life difficult for millions of people worldwide. If you have ever experienced unpleasant symptoms – bloating, abdominal cramps, diarrhoea – after consuming dairy products, then you know just how limiting this condition can be. Lactose enzyme supplements (products containing the enzyme lactase) offer a possible solution that can help alleviate these symptoms.
But does it really work? When is it best to use it? And how can it be incorporated into everyday life?
In this article, we take a detailed look at how lactose enzyme replacement works, its effectiveness and its practical application. We’ll share information to help you decide whether this solution might be right for you.
What is lactose intolerance?
Lactose intolerance is one of the most common digestive problems. The small intestine does not produce enough of the enzyme lactase, which is needed to break down milk sugar (lactose). As a result, lactose passes undigested into the large intestine, where it is fermented by bacteria, causing unpleasant symptoms.
Symptoms usually appear between 30 minutes and 2 hours after consuming dairy products:
Abdominal pain and cramps
Bloating
Gas formation
Diarrhoea
Vomiting
The severity of the symptoms depends on the extent of the lactase deficiency and the amount of lactose consumed.
How does lactose enzyme replacement work?
Lactase enzyme supplementation is based on a simple principle: lactase taken in the form of dietary supplements helps to break down milk sugar before it reaches the large intestine.
Steps in the process:
1. Input: Tablets or capsules containing the lactase enzyme should be taken immediately before or at the same time as consuming food containing lactose.
2. Activation: The enzyme is activated in the stomach and the small intestine.
3. Dismantling: The lactase enzyme breaks down lactose into two simple sugars: glucose and galactose, which the body absorbs easily.
4. Results: The symptoms can be avoided or significantly reduced, as the lactose does not reach the large intestine undigested.
How effective is lactose enzyme supplementation?
Taking lactase supplements is an effective solution for many people, but it is important to understand that it does not work equally well for everyone.
Research findings
Numerous studies have examined the effectiveness of the lactase enzyme. The majority of these studies show that the lactase enzyme can significantly reduce the symptoms of lactose intolerance when taken in the correct dose and at the right time.
What does efficiency depend on?
The degree of lactase deficiency in an individual: In more severe cases, a higher dose may be required.
The amount of lactose consumed: More lactose requires a greater amount of enzyme.
The quality and form of the enzyme: Different preparations vary in their effectiveness.
Timing of revenue: Taking it before or at the same time as a meal is most effective.
How should we use the lactase enzyme correctly?
The success of lactose enzyme supplementation depends largely on it being used correctly.
Practical advice:
Determining the dose: Start with a low dose and increase it if necessary. Most preparations contain 3,000–9,000 FCC lactase units per tablet.
Date of receipt: Take the enzyme immediately before a meal or with your first mouthful.
Taking lactose content into account: You may need to take more tablets when eating foods with a higher lactose content.
Storage: Store in a dry, cool place to maintain its effectiveness.
When should you NOT use the lactase enzyme?
If you are allergic to milk protein (this is different from lactose intolerance)
If the person concerned is a baby or a young child (seek medical advice)
If you are unsure about your diagnosis
What types of lactase supplements are available?
There are numerous lactase enzyme preparations available on the market, which differ in their form and active ingredient content.
Tablet format
The most common form. Easy to dose, with a long shelf life.
Benefits:
Practical
Can be dispensed in precise quantities
Stable active ingredient content
Disadvantages:
It can be problematic if you have difficulty swallowing
It dissolves more slowly
Capsule format
It is similar to the tablet, but is often absorbed more quickly.
Chewable tablet
It has a pleasant flavour and is easy to use.
Benefits:
Faster absorption
You don’t have to swallow it
A pleasant taste
Disadvantages:
It can be more expensive
May contain sugar
Drops
A liquid form that can be added directly to food or drink.
Benefits:
Flexible dosing
It can be added to the dish in advance
Ideal for children
Disadvantages:
Shorter shelf life
It’s harder to measure out
Frequently asked questions about lactose enzyme replacement therapy
Is the use of the lactase enzyme safe in the long term?
Yes, lactase enzyme supplements are considered safe even with long-term use. They are not addictive and do not impair the body’s own enzyme production.
Are there any side effects?
Side effects of the lactase enzyme are rare and are usually mild. They may include:
Mild abdominal discomfort
Constipation or diarrhoea (rarely)
Allergic reaction (very rare)
If you experience any unusual symptoms, please consult your doctor.
Can children use it too?
In the case of children, always consult a paediatrician before use. Most preparations are safe, but the dose must be adjusted to the child’s age and body weight.
How much does lactose enzyme replacement cost?
The price of lactase enzyme supplements varies; they are generally available for between 2,000 and 5,000 forints in packs of 30 to 100 tablets. The monthly cost depends on how often they are used, but is generally affordable even for families on an average income.
Could this lead to dairy products being avoided altogether?
The lactase enzyme is not a substitute for a lactose-free diet, but it does allow you to consume dairy products from time to time without experiencing any symptoms. For many people, this means a better quality of life, as they do not have to give up their favourite foods entirely.
Is it more effective to use certain brands?
The effectiveness of lactase enzyme supplements depends on the number of enzyme units (FCC). Look for a supplement that contains at least 3,000 FCC units per tablet and is produced by a reputable manufacturer.
Other treatment options for lactose intolerance
As well as lactose-enzyme supplements, there are other ways of managing lactose intolerance.
Lactose-free products
Lactose-free milk, cheese, yoghurt and other dairy products are now widely available. These products contain lactose that has already been broken down, so they are safe to eat.
Plant-based alternatives
Almond, soya, oat and coconut milk can be excellent alternatives to cow’s milk. However, it is important to ensure you are getting enough calcium and vitamin D.
Gradual adaptation
Some people are able to gradually increase their lactose tolerance by regularly consuming small amounts of dairy products. This does not work for everyone, but it may be worth trying under medical supervision.
Probiotics
Certain probiotics may help improve the digestion of lactose by supporting healthy gut flora. Their effectiveness varies from person to person.
When should you see a doctor?
Although lactose intolerance is not usually dangerous, there are cases where medical advice is required.
Consult your doctor if:
The symptoms are severe or persistent
There is blood in the stool
Significant weight loss has been observed
The symptoms significantly impair quality of life
The diagnosis is uncertain (other digestive problems can also cause similar symptoms)
We’re talking about a child
Diagnostic options
If you suspect you are lactose intolerant, your doctor may carry out various tests:
Hydrogen Exhalation Test: The most common diagnostic method
Lactose tolerance test: Measuring blood sugar levels after consuming lactose
Stool acidity test: Particularly in the case of infants
Genetic test: For the detection of primary lactase deficiency
Live life to the full despite being lactose intolerant
A diagnosis of lactose intolerance does not mean you have to give up your favourite foods or restrict your social life. Lactase enzyme replacement can be a safe and effective way of managing your symptoms, allowing you to enjoy dairy products from time to time without any major discomfort.
It is important to note: Everyone’s body is different. What works for one person may not necessarily be effective for another. Start with small steps, listen to your body’s signals, and don’t hesitate to see a doctor if you need help.
As well as using the lactase enzyme, it is worth gradually trying lactose-free products and plant-based alternatives to find the solution that works best for you. Varying your diet not only helps to manage your symptoms but also ensures you get the right nutrients.
Remember: knowledge is power. The more you know about your condition, the easier it will be for you to manage it. Share your experiences with your family and friends so that they can understand your situation and support you.
The Endomedix team of experts is at your disposal, if you have any further questions about managing lactose intolerance or digestive problems. Don’t let lactose intolerance dictate your life – with the right solutions, you can live freely.
