Lactose-free

Nutrient analysis of stabilized rice bran and its derivatives indicates that it is a good source of protein, dietary fiber and carbohydrates, in addition to several valuable phytonutrients, antioxidants, vitamins and minerals (Table 17.1). SRB and its water-soluble and water-insoluble derivatives contain all the nutrients at different levels. They are gluten and lactose free and do not give rise to any food allergy. 

The carbohydrates in rice bran are made up of the cell wall components such as polysaccharides, oligosaccharides, hemicelluloses, starch and some sugars. The health benefits of rice bran polysaccharides and hemicelluloses are discussed under phytochemicals of rice bran below. It is lactose-free and gluten-free. The water-soluble non-starchy polysaccharides, oligosaccharides and hemicelluloses are concentrated in the water-soluble fraction of rice... 

The fiber of rice bran products, especially the RiceMucil is helpful in maintaining normal gastrointestinal and colon health (Tomlin and Read, 1988). It helps in bowel regularity. Patients with irritable bowel syndrome, inflammatory bowel disease and colitis get excellent relief with RiceMucil . As has been mentioned in the earlier part of this chapter, the fiber of rice bran is non-bloating and lactose free, and the acidic environment the fiber creates during the fermentation of undigested food improves colon health and induces all the healthy enzymes and fnendly bacteria to proliferate (Folino et al, 1995 Life Sciences News Letter, 1999). It has been scientifically demonstrated to have an excellent nutritional support for gut and colon health. 

Polymeric formulas typically have low osmolality of 300 to 500 mOsm/kg. These formulas also usually supply essential vitamins and minerals in amounts similar to the Adequate Intakes or Recommended Dietary Allowances for these nutrients when the formula is delivered in amounts adequate to meet the macronutrient requirements of most patients. Many polymeric formulas are inexpensive relative to oligomeric formulas. Most polymeric formulas are lactose-free and gluten-free, as are most modern tube feeding products. Products designed to be used as oral supplements generally are polymeric and often have sucrose or other simple sugars added to improve taste. 

Goppert (G7) recommended in 1917 that lactose should be replaced by other sugars in the diet of galactosemics and that a lactose-free diet should be given from as early an age as possible. These 2 principles have formed the basis of all attempts at treating galactosemia. 

By pre-treating milk with lactase, all adults can enjoy milk and a whole range of other lactose-free dairy products can be made such as ice cream and yogurt. In the production of ice cream, lactose hydrolysis can also be used to improve certain properties such as the texture, sweetness and tendency to crystallize. The increased sweetness is also advantageous in the manufacture of flavored milk products because less sugar needs to be added. 

The real need for lactose-free milk products is hmited as most lactase-deficient adults can tolerate larger amounts than they are likely to consume. 

Haverberg, L., Kwon, P. H. and Scrimshaw, N. S. 1980. Comparative tolerance of adolescents of differing ethnic backgrounds to lactose-containing and lactose-free dairy drinks. I. Initial experience with a double blind procedure. Am. J. Clin. Nutr. 33, 17-21. 

Kocian, J., Skala, I, and Bakos, K. 1973. Calcium absorption from milk and lactose-free milk in healthy subjects and patients with lactose intolerance. Digestion 9, 317— 324. 

Milk This group contains dairy products. This includes milk, yogurt, and cheese. These are your calcium-rich foods. Two or three servings a day are sufficient. A serving is one cup of milk or yogurt or 1-1/2 to 2 ounces of cheese. Choose low-fat or fat-free milk, yogurt, and other milk products. If you don t or can t consume dairy products, choose lactose-free products. 

One of the largest-scale processes with enzymes is the hydrolysis of lactose to glucose and galactose (250 000 tpy) (Liese, 1999). As a significant fraction of consumers, especially in Asia, are lactose-intolerant, a condition which gives rise to rashes and stomach ailments, hydrolysis of lactose has considerable utility for the manufacture of lactose-free milk (Silk ). 

A. Niederwieser, P. Giliberti, and A. Matasovic, lVe-l-Deoxyfructosyl-lysine in urine after ingestion of a lactose free, glucose containing milk formula, Pediatr. Res., 1975, 9, 867-872. 

If specific treatment is considered necessary, supplemental lactase can be provided as replacement therapy. This is derived from specific species of yeast or fungus and is available as caplets, tablets, and drops. Whole milk pretreated with lactase is marketed in some states as Lactaid and can be used by lactose maldigesters. The availability of the replacement enzyme has made unnecessary the use of the lactose-free diet, which can be nutritionally unsound, as discussed. Also, since lactose is common in many foods and drinks and is used in... 

One problem arises with sugar-free toffees. What about the lactose Lactose is a native component of skim milk solids and if the product is to be sugar-free then lactose-free milk powder will have to be used. If lactose is acceptable, as it would be in a reduced calorie product, then by replacing the sugar and glucose acceptable products can be made. 

Storage diseases Some of the genetic metabolic diseases require special dietary measures, e.g. (1.) disorders of the urea cycle are treated by means of a diet similar to that applied in encephalopathy (s. p. 594), (2.) Gierke s disease necessitates a high-carbohydrate diet (s. p. 595), (i.) Cori s disease is treated with formula diets and a starch diet (s. p. 596), (4.) galactosaemia requires a galactose-and lactose-free diet (s. p. 597), and (5.) in fructose intolerance, a fructose- and saccharose-free diet must be given, (s. p. 597)... 

Nausea can occur. Esophagitis following inhalation of cromoglicate has been reported. It was much improved by prophylactic antacids given before each inhalation (SEDA-5, 169). In a patient with lactose intolerance, cromoglicate disodium capsules with lactose produced nausea, bloating, and flatulence. Lactose-free formulations produced no such symptoms (SEDA-13, 135). 

Milk Calcium rich foods. Choose lactose-free products, (blue)... 

Lactose-free, liquid for replacement feedings (Ensure, Isocal, and Osmolite), consisting of 50% carbohydrates, 15% protein, 15% fat, and 20% other nutrients in an isotonic solution (300-340 mOsm/kg H20). Provides 1 calorie per milliliter of feeding. 

Lactose-free Ensure, Jevity, Osmolite (Ross) Sustacal Liquid, Isocal, Ultracal (Mead Johnson) FiberSource, Resource (Sandox) Entrition, Nutren (Clinitek) Attain, Comply (Sherwood) Used as oral supplement, tube feeding or meal replacement Ready to use Meets daily intake of vitamins and minerals... 

Name three common lactose-free liquid polymeric enteral nutritional support therapy preparations. Three common lactose-free liquid polymeric enteral nutritional support therapy preparations are Ensure, Isocal, and Osmolite. 

Best Calcium Foods Milk, yogurt, cheese (lactose-free products are now available for lactose-sensitive persons), goat s milk, soy milk, canned salmon, canned sardines, steamed leafy greens (kale, spinach, dandelion, mustard), broccoli, tofu, figs, legumes, and raw nuts and seeds (also their butters and milks). 

Lactose intolerance is a distinct entity from cow milk protein sensitivity and causes abdominal pain, diarrhea, nausea, flatulence, and/or bloating. While avoidance of milk and other dairy products will bring relief in children suffering from lactose intolerance, it may cause problems in optimal bone mineralization owing to lack of calcium in diet. Several lactose-free and lactose-reduced milks are now available in markets to cater to such infants. The scope of transgenic technology to reduce the lactose content in the milk of small animals has been reviewed elsewhere in this chapter (Section IV.A). The extension of this technique to include farm animals is targeted in the future. 

Early refeeding as tolerated is recommended. The AAP guidelines recommend age-appropriate diet resumption as soon as dehydration is corrected. Breast milk, lactose-free soy formula, and cow s... 

Cow s milk-based Enfamil LIPIL, Enfamil Lactofree LIPIL, Enfamil A.R. LIPIL (MJ) Similac Advance, Similac Lactose Free Advance (R) Nestle Good Start Supreme (N) Normal, healthy infant... 

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