Have I developed lactose intolerance during keto?

dairyfree

#1

Hey everyone, a newbie here. My doctor wasn’t much of a help so here I’m asking around on the Internet.

So, started keto a year ago, lost 15 kilos in the first 6 months. But then I plateaued and for 3 months my weight wouldn’t budge.

I’ve looked around the internet and saw people claiming cutting out dairy helps. I’d always been a huge dairy fan, enjoyed milk, whipped cream, kefir and various cheeses with abandon so it wasn’t easy to part ways with my favourite food. But it did help and my weight started dropping again.

Now my problem - because I had cut out ALL dairy and I missed it, after 2 months of my dairy-free diet I thought “maybe I can bring something back, just a little bit, maybe some heavy whipping cream”. So I did and boy oh boy, I was so sick the entire day - bloating, gassing, terrible diarrhoea. Two days later I drank some more cream to ensure it was really the cause of my problems and yep, the same thing happened.

Looked around the internet again and found out those seem to be clear symptoms of lactose intolerance. But could I’ve really developed lactose intolerance in just two months of 100% dairy-free diet? After 35 years of not going a single day without at least some milk? Is it even possible to “develop” lactose intolerance? And is my inability to produce lactase permanently gone?

Anyone had with similar experience or heard of anyone like that? Thanks!


(Bunny) #2

I’m lactose intolerant, but I can eat goat cheese. Why?

“…Cheeses made from both cow’s milk and goat’s milk will have a reduction in the amount of lactose due to the fermentation process. For this reason many people who are lactose intolerant are able to eat certain cheeses. Some people do tolerate goat cheese better, however. - Dr. Gourmet …” …More

Goat Cheese Good for Lactose Intolerance:

”…Most lactose intolerant people simply avoid dairy products whenever possible. We can also take the lactase enzyme to help digest milk products on a food-by-food basis, but for me, even though lactase will ease the discomfort of digestion, I don’t believe it does everything it needs to because I notice a direct correlation between when I consume cow’s milk products and weight gain in my own body.

Not so with goat milk products. Go figure.

Although goat’s milk has only slightly less lactose then cow’s milk (4.1% to 4.7%), something is different enough that many lactose-intolerant people don’t have a problem digesting it. Hooray! This discovery has opened up a whole new world for me and my family because we can have cheese again! …” …More


Dairy Lactose intolerance
(Omar) #3

Interresting

try different type of chease or different brand. maybe there is something wrong with the sample you are experementing with.

while I think lactose intolerance is genetic the idea that I can develope lactose intolerance is scary.


#4

As I said, my symptoms was caused by whipping cream, not cheese. I had eggs and cheese today for breakfast and I’m completely fine.

And yeah, I thought lactose intolerance is only genetic too.


#5

We have quite a few food intolerances in the family, and I am ‘developing’ most of them as time passes. Am now in my 50s and my body copes far less well with these things nowadays.

This is how it seems to work - based on personal experience, and seeing other people go through the same thing:

You are young, fit, active, with a bouncingly healthy immune system.
Yeah, your family are all old crocks with all the weird sickly food intolerances that make them such tiresomely fussy eaters, but hey, that doesn’t apply to YOU! You are invincible. And very young.

As time passes, maybe you start to get a few very minor signs, of intolerance (maybe a bit of brain fog after a 4 cheese pizza with icecream to follow) but that is OK, you can still eat the stuff. No worries.

More time passes and maybe the pizza gives you indigestion now. And maybe that affects your sleep. So you cut back. A bit. Still no worries. I mean, everyone gets indigestion occasionally, don’t they? And there are antacids. No big deal. You are NOT going to turn into your mother. That is unacceptable.

Then it gets to the stage where you kind of can’t ignore it anymore. Antacids are pretty vile. The gas is embarrassing. You say goodbye to 4 cheese pizza, but still have a meat feast occasionally. But eventually think ‘It just isn’t worth it’ and switch to another Takeaway choice (with less dairy), to the disgust of your indestructable husband.

Then, eventually, you have to admit there is a problem, and you do a bit of reading, and you discover that Exclusion Diets can help you identify the problem.

So you cut out dairy completely. For weeks. And feel great. But it is a gradual improvement and v hard to assess. So you give dairy a controlled trial (cos you miss it soooooo much!), and OMG! the symptoms are back 10x as bad and this is ABSURD!!!

(I think this is where you are at, @Karlos , yes?)

But you can’t quite believe it, so you push the boundaries and do a bit more testing, and the symptoms ease up. Almost as if your body had lost the capacity to cope with Dairy while on the exclusion diet, but now it is learning all over again… and your tolerance is building up again.

So now you have to decide what to do:

Option 1
Cut all dairy for ever and feel great for ever, unless you accidentally ingest some sneaky hidden dairy, and it wipes you out for a day or more. In many ways, the less you eat of an intolerance food, the more sensitive to it you get. Which sucks. A lot.

Option 2
Decide that these intolerances are nonsense and I WILL NOT BE BEATEN BY A GLUG OF CREAM. In which case you will go back to eating it regularly and never feeling great, but also not feeling awful, and the symptoms will slowly escalate, while your immune system strugges to cope, and in a few years you will find you have to reassess. Or you will become really ill and your immune system will break down in another, equally irritating way. A rash. Psoriasis. Inflamed joints. Whatever. It won’t be fun. I know.

Option 3
Explore to find out exactly what is going on, and then tailor your diet to suit your body. In my case the problem is whey, not lactose. It isn’t always lactose, though that is the assumption everyone seems to make. So I get to eat hard cheese, thick cream and butter, but milk, yoghurt and most soft cheeses have too much whey and make me feel like I have been run over by an angry bus.
I can eat goats milk fine.

Option 4
Give up on dairy. (and then discover that soy is worse than dairy - yup, voice of experience)

As you can see, I have been down this route. With dairy, soy, wheat, then gluten and grains. Each time, the same thing has happened. Textbook little path from denial, through anger, grief, depression and eventually resentful acceptance :wink:

I am only in my 50s. So I know there is more to come - from watching the relatives on one side of my family go through this. I had an aunt with the most terrible indigestion. She was a martyr to it. For decades. But she never admitted or believed that what she was eating could reduce her suffering. So she just carried on eating as normal. Popping the antacids. And guess what, her guts gave out completely, in her 80s. She died of bowel cancer. I have no proof that her cancer, her antacids and her lifelong stomach issues were connected. But it makes me wonder.

Sorry for the long post. But I wanted to show that you aren’t alone in any of it, and that the stages are pretty predictable. Hopefully you can fast track a couple of stages (or shortcut around them) to find a workable long term solution to incorporate foods you love.


(Allie) #6

I have no problems with butter, cream, yogurt, ghee, soured cream, or cream cheese… but hard cheeses trigger intolerance symptoms.


#7

Thanks @Brunneria for the post, seems your advice, based on your experience, would be to bite the bullet and give up dairy for good?

It won’t be easy but I have given up sugar a year ago and that was REALLY hard and now my sweet cravings are almost gone (and the remaining ones are banished by a few drops of stevia in my coffee a few times a week).

My health is paramount after all, it’s the only one I got. All my grandparents died of heart disease, diabetes complications or suffered dementia (type 3 diabetes apparently) and all of them ate mountains of white bread and sugar. I’m determined to do everything it takes to lower my risk of developing these conditions, as much as I can. And if I have to give up sugar and dairy - two things I’ve adored since I was a wee lad - then so be it.

God I hope Taubes, Noakes, Lustig and all the rest of the low-carb eggheads are right :smiley:


(Annalee Haley) #8

The very same thing happened to me and a keto friend of mine. Imwasngoing along just fine. I wasn’t using HWC for an extended period of time just by pure accident. One night I made ketones cheesecake with HWC and thought I was going to die. Tried it again and, yep, same thing.

My friend and I have a theory that once you clean your body up and remove everything it sees as inflammatory it reacts violently when an inflammatory is reintroduced in a clean environment. We both suspect we were intolerant to some forms of dairy all along, but our bodies were dealing with many inflammatories. My immune system was super busy; now probably not so much and it can concentrate on telling me it is stressed now. Also, pre keto, I didn’t have the ability to really listen to my body. Now I know when I am really hungry, full, tired and energized. It is amazing that I can trust how I feel now. I wouldn’t change that even for HWC. :grin:

I can eat hard cheeses without a problem, just not soft cheeses and liquid forms of dairy so I feel I have an intolerance to whey more so than lactose. However, the process of making hard cheeses uses up much of the lactose… so maybe both but whey seems to be my major culprit.


#9

@Karlos

I suggest you do a bit more testing and see if you can work out a way of eating that incorporates food you love, but doesn’t stress your body.

I can eat goatsmilk yog no problems. So I do.
And cows butter.
And hard cheeses.
But I only learned this through experimenting.

I totally agree with you about your health being the only one you have.
Part of me would like to wind back time to my twenties and apply all the things I have learned in the 30 years since then.

I can imagine that my life would be very different if I could!
Slimmer, fitter, less joint damage, the food intolerances would probably still be in the early stages, and my immune system would be 30 yrs of abuse less battered :slight_smile:

However, pipe dreams don’t get us very far, and all I can do now is to try and slow or halt the decline. It is important to me that I don’t have the same miserable old age that some of my family members have experienced - and that is going to take daily effort, for ever. :slight_smile:


#10

No different than carbs, our bodies can hate certain things yet be used to eating them. Take them out for a while and your body becomes very happy about that. THEN add them back in and you’ll notice the difference. In any case, your body is telling you it doesn’t like something. I’m a diagnosed lactose intolerant and I eat dairy near daily. If I’m not keto, I can’t do that but I still can’t get stupid or I get pushback.


#11

Lactoe intolerance can worsen over time or develop later in life. Your body starts out making lactase to break down lactose when you’re an infant. True lactose intolerance in infants is very rare. Then, as you get older, lactase production decreases (because you don’t need to drink milk for nutrition anymore) and lactose doesn’t get properly broken down, resulting in the marvelous symptoms of gas, diarrhea, bloating, etc.

Illness and aging can set off or worsen lactose intolerance, particularly if you’re black, Hispanic, Middle Eastern or Indian descent.


#12

How much HWC did you drink? Do you mean that you drank it straight? I tend to concur with your suspicion that, no, this is not actual lactose intolerance. HWC is pretty low in lactose, around 3%. You have to be really sensitive/intolerant to react to a little HWC in coffee. If you drank straight up a cup of HWC though, well that would make me sick too, even though I may very well consume that amount throughout a day in coffee and tea, 1/4 cup at a time.


(GINA ) #13

Have you tried a lactase supplement, like Lactaid? It will only work if you are lactose intolerant, but not if you are reacting to the protein.

I went gluten free years ago (before low carb or keto) and it is a walk in the park compared to giving up dairy. I get asthma-like symptoms from the protein. According to an allergy panel, I Don’t tolerate goat dairy either, but Inhaben’t tried it.


#14

I used to drink a cup of HWC for breakfast every day and I always felt fantastic. HWC is a superfood. That’s why it shocked me what happened a few days ago.


#15

@lfod14, you say you were diagnosed lactose intolerant but that you consume dairy nearly every day. Are you reacting to and having symptoms from the daily dairy or has your body learned to tolerate and allow the daily amounts? Or are you using Lactaid to consume dairy? I know I react to it but I do like to have small amounts from time to time and wonder if I should always use Lactaid on those occasions or if I’m better off forcing my body to learn to tolerate it.
Sue


#16

Before I came back to keto I needed lactaid to be able to tolerate the dairy. Between the stomach cramps and the bathroom side of it, it was decently bad. After I went back to keto I don’t have those problems anymore. Only thing that seems to still give me some issues are some blue cheeses mainly gorgonzola but overall I can do a pretty good impression of somebody without diary issues as long as I’m keto.


(Karen) #17

Bookmarking your helpful post. Two kids ,as adults, at no dairy now. Makes them so sick. Did a dairy free week and my eczema was almost cleared… But can I do without cheese…arrrrgh.

K


#18

Wow, that’s great for you - how awesome! (I’m jealous). I, too, thought that when I went keto my lactose intolerances disappeared because I was getting away with it just fine! And then I thought that maybe it was the absence of gluten that was allowing me to now eat dairy. It was all fine for about two months, until it wasn’t. My colitis flared again and I can only think it was because I had been adding dairy back in.

Now I’m trying it in much smaller, infrequent doses.
Sue


#19

Here is what I have heard on this topic. The food you consume causes certain bacteria in your gut to eat it and multiply. When that food is removed, the bacteria die off. This means the bacteria are not in great enough numbers to break down the food when you reintroduce it. Incomplete digestion causes bloating, water into the colon (diarrhea).


(You've tried everything else; why not try bacon?) #20

Whether you are likely to develop lactose intolerance depends on your ancestry. There are two mutations that allow people to continue to produce lactase in adulthood: one among the Masai, the other among northern Europeans. Of course, it’s becoming more of a genetic crapshoot these days, as populations mix more.

But I also hear of people who can’t tolerate dairy for reasons other than lactose, and an allergy can develop at any time. In fact, people often develop allergies to their favorite foods, both because of the amount of exposure and also because part of the development of an allergy involves a craving for the allergen. My mother developed an allergy to dairy in her forties, and it took years of desensitising shots before she could even put a small amount of milk or cream in her coffee again.

Allergy symptoms can be quite diverse and un-obvious, too. Mom’s milk allergy made her bones ache, if I recall rightly, and her allergist told her a story of a patient who started crying and telling people her troubles whenever she had caffeine. I also knew a woman with an egg allergy who became very belligerent if she accidentally ate eggs. The good news is that keto helps straighten out the immune system, so allergies are often more moderate or even disappear once one has been ketotic for a while.