yes, i still see alot of misunderstanding about lactose. alot of misuse of
lactose free formulas as well. this is my understanding of the situation :

generally speaking, infants tolerate lactose, as that is the milk sugar in
breastmilk - duh! they have the enzyme lactase to digest it. however, babies
whose mothers have hyperlactation syndrome (oversupply) get a greater
PROPORTION (or  percentage) of lactose-loaded milk. so even though they have
the enzyme lactase to handle the lactose, they sort of get too much lactose
for that feed.

this would not have anything to do w/ the mother's consumption of lactose in
ice cream or other dairy products. the extra lactose she consumes may cause
her lactose intolerance but her  body does not deposit the extra undigested
lactose in her milk. as children age, and naturally outgrow the need for
breastmilk, and naturally take less of it, their production of the lactase
enzyme decreases. hence older children and adults become lactose intolerant.
we have discussed in our archives how possibly / probably humans are not
meant to consume milk at older ages.

dairy allergy or sensitivity has to do w/ the protein portion of the milk
not the milk sugar. i  still hear LCs getting mixed up  about this.


Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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