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Production of lactase is typically highest in humans during infancy, since milk ( breast milk or formula) is normally the only food that infants consume. High production of lactase helps infants and babies absorb the sugars and other nutrients available in milk. One of the most popular lactase enzyme supplements on the market is Lactaid, which is available over-the-counter (without a prescription). You can take lactase in pill/table form or as drops that are added directly to milk. However, if you depend on them too much and overuse them, they may cause some side effects — plus they aren’t a “cure” for lactose intolerance. Keep a log of the times when your baby’s colic is at its worst – you may be able to find a pattern associated with any triggers, allowing you to understand better how to ease the symptoms. Savaiano DA, Ritter AJ, Klaenhammer TR, et al. Improving lactose digestion and symptoms of lactose intolerance with a novel galacto-oligosaccharide (Rp-g28): a randomized, double-blind clinical trial. Nutr J. 2013;12:160.
Forsgard R. Lactose digestion in humans: intestinal lactase appears to be constitutive whereas the colonic microbiome is adaptable. Am J Clin Nutr. 2019;110(2):273-279. doi:10.1093/ajcn/nqz104 Lactase is an enzyme produced by humans (and many other mammals and organisms) in the small intestine. Ianiro G, Pecere S, Giorgio V, Gasbarrini A, Cammarota G. Digestive enzyme supplementation in gastrointestinal diseases. Curr Drug Metab. 2016;17(2):187-193. doi:10.2174/138920021702160114150137Children <4 years of age to be administered only under supervision of healthcare professional Administration There is currently no permanent cure for lactose intolerance, which is considered a lifelong/chronic condition that can only be managed. Permanent treatment isn’t possible (at least not yet) because no medication works to increase the amount of lactase your small intestine makes. Unfortunately , there’s evidence that many adults have difficulty digesting lactose properly, due to low levels of lactase. Sanders SW, Tolman KG, Reitberg DP. Effect of a single dose of lactase on symptoms and expired hydrogen after lactose challenge in lactose-intolerant subjects. Clin Pharm 1992;11:533-8.. View abstract.
Ibba I, Gilli A, Boi MF, Usai P. Effects of exogenous lactase administration on hydrogen breath excretion and intestinal symptoms in patients presenting lactose malabsorption and intolerance. Biomed Res Int. 2014;2014:e680196. doi:10.1155/2014/680196. Add 4 drops of Care Co-Lactase® to the formula when at feeding temperature. Please note: do not add Care Co-Lactase® to the formula if it is hot. The most important job that the lactase enzyme has is catalyzing the breakdown of lactose (a disaccharide milk sugar), turning it into the simple sugars called glucose and galactose. National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & causes of lactose intolerance.Add 4 drops of Care Co-Lactase® to the formula when warm. Please note: do not add Care Co-Lactase® to the formula if it is hot. Lactase pills and drops do not have any known severe interactions with other drugs. However, if you do take medications and are experiencing signs of lactose intolerance, it’s best to talk to your doctor about supplementing before beginning to do so on your own. If you’ve been diagnosed with lactose intolerance or you suspect you’re dealing with this condition due to symptoms like bloating and gas after consuming dairy products, you may consider taking lactase pills.
Ahmed M, Billoo AG, Iqbal K, Memon A. Clinical efficacy of lactase enzyme supplement in infant colic: a randomised controlled trial. J Pak Med Assoc. 2018;68(12):1744-7. View abstract. Lactase products are tablets or drops that contain lactase, the enzyme that breaks down lactose. You can take lactase tablets before you eat or drink milk products. You can also add lactase drops to milk before you drink it. The lactase breaks down the lactose in foods and drinks, lowering your chances of having lactose intolerance symptoms. Ramirez FC, Lee K, Graham DY. All lactase preparations are not the same: results of a prospective, randomized, placebo-controlled trial. Am J Gastroenterol 1994;89:566-70. View abstract.Di Costanzo M, Berni Canani R. Lactose intolerance: common misunderstandings. Ann Nutr Metab. 2018;73(Suppl 4):30-37. doi:10.1159/000493669 Voisin MR, Borici-Mazi R. Anaphylaxis to supplemental oral lactase enzyme. Allergy Asthma Clin Immunol. 2016;12:66. doi:10.1186/s13223-016-0171-8 Lactase enzyme preparation from Kluyveromyces lactis. Electronic Code of Federal Regulations. Title 21, part 184 - Direct food substances affirmed as Generally Recognized As Safe. 21CFR184.1388. Available at: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=184.1388 (accessed 10/24/2020). Read directions carefully, and choose the dose that’s recommended based on your age and symptoms. Risks and Side Effects
It’s important to include calcium-rich foods in your diet if you avoid dairy products, as well as to get enough vitamin D (from the sun and/or supplements). Eat plenty of foods high in calcium, such as broccoli, leafy greens, beans, salmon, sardines and almonds. Studies indicate that these steps can help protect your bones and support cardiovascular health.Wait 30 minutes, shaking the formula occasionally, then feed your infant as normal, making sure that the formula is at the correct temperature
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