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Diltiazem (Cardizem LA)- Multum There are several tests that can be used to diagnose LI. In the lactose tolerance test, blood glucose is examined at several points after lactose ingestion to determine whether it was digested. Elevated levels imply colonic maldigestion of lactose with resultant hydrogen production.

Tolerance Level Adults who retain the ability to ingest dairy products can take Diltiazem (Cardizem LA)- Multum advantage of their nutrients (i. Those whose diets completely restrict milk intake are especially prone to osteoporosis and osteopenia, increasing the risk of bone fractures in later life. Unfortunately, they may assume that they are completely lactose intolerant and voluntarily cease ingestion of all dairy products.

The pharmacist can provide advice on determining the individual lactose tolerance level, allowing patients to still obtain the nutrients found in dairy products.

Patients should be advised to identify all milk-containing foods and avoid them scrupulously for about three weeks.

If symptoms persist, there are two possibilities. If further lactose restriction does not cause symptoms to abate, orleans must seek a physician diagnosis. If the symptoms do remit, they should remain on the lactose-free diet for three more weeks. Then, adhering to the same diet, the patient should ingest one-quarter cup of milk with breakfast.

If symptoms recur, the patient is highly lactose intolerant and should adhere to the diet without introducing milk. However, if they tolerate the milk without symptoms, they should repeat the diet and milk for several days. They should then increase the amount of milk to one-half cup and repeat the cycle. Eventually, they will come to a level that is comfortable for them. OTC Lactase Products Pharmacists can also aid patients by suggesting that they purchase lactase-containing tablets.

The most i could i feel cold product is Lactaid. Lactaid Original Strength Caplets contain 3,000 FCC units of lactase. The suggested dose is three caplets swallowed or chewed with the first bite of a dairy product.

Lactaid Fast Act is available as caplets or chewable vanilla tablets. Generic products are also available. Milk Substitutes Patients may also be advised by the pharmacist on nonpharmacologic methods to prevent LI.

The major thrust is to substitute normal dairy products with lactose-free versions. There are a wide variety of milk substitutes on Diltiazem (Cardizem LA)- Multum market. They Diltiazem (Cardizem LA)- Multum the Lactaid brand, real milk products to which lactase has been added, producing altered milk that is useful for those with LI.

The Dairy Ease lactating of products includes whole milk, reduced-fat, and fat-free options. Consumers can also try Diltiazem (Cardizem LA)- Multum line of soy substitutes, such as Silk Soymilk products, or rice-based milk substitutes, such as Rice Dream. Milk Allergy Some patients with LI mistakenly believe that they have developed a milk allergy.

It is critical to differentiate LI from a milk allergy. However, LI is not due to an allergic reaction--it is a food intolerance.

Harrington LK, Mayberry JF. A re-appraisal of lactose intolerance. Int J Clin Pract. Seppo L, Tuure T, et al. Can primary hypolactasia manifest itself after the age of 20 years. Shrier I, Szilagyi A, et al. Impact of lactose containing foods and the genetics of lactase on diseases.

Lomer M, Parkes G, et al. Lactose intolerance in clinical practice--myths and realities. Beyerlein L, Pohl D, et al. He T, Venema K, et al. The role of colonic metabolism in lactose intolerance. Accessed October 27, 2008. Krawczyk M, Wolska M, et al.

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