The Nuance

Can You Make a Lactose Intolerance Disappear?

When it comes to certain food sensitivities, there may be a way to change your destiny

Markham Heid
Elemental
Published in
5 min readAug 22, 2019

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Illustration: Kieran Blakey

RRoughly three-quarters of the world’s adult population has trouble digesting lactose, which is a type of sugar found in milk and other dairy products. For many of these folks, a glass of milk or a slice of pizza triggers gas, bloating, cramps, stomach pain, and diarrhea.

Doctors routinely label people who experience these symptoms as “lactose intolerant” and counsel them to avoid dairy products. “That’s bad advice,” says Dennis Savaiano, a professor of nutrition policy at Purdue University.

Savaiano has been studying lactose intolerance since the 1980s. He says nearly all infants are born with a digestive enzyme called lactase, which allows their gut to break down the lactose in dairy without difficulty. And roughly a quarter of adults — in particular, those of Northern European ancestry — retain high levels of this digestive enzyme. These people have no issues with dairy.

But sometime around the age of five or six, a large number of people experience a gradual drop in their gut’s production of lactase. This drop puts these “maldigesters” at risk for symptoms of lactose intolerance, Savaiano says.

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Markham Heid
Elemental

I’m a frequent contributor at TIME, the New York Times, and other media orgs. I write mostly about health and science. I like long walks and the Grateful Dead.