So That’s Why You Get More Lactose Intolerant As You Get Older

Young woman using reusable bamboo straw when drinking cup of milk

Cheese, ice cream, milk, butter — they’re absolutely delightful, aren’t they? Yet, as we age, these tasty treats sometimes seem to fight back. If your body suddenly rebels against that creamy goodness in your coffee or the cheesy delight on your plate, you’re not alone. Lactose intolerance can creep up unexpectedly as we age, leaving many puzzled and yearning for their favorite dairy treats without the uncomfortable aftermath.

Lactose, a natural sugar found in dairy, requires the enzyme lactase for digestion. For those developing lactose intolerance, their bodies produce less lactase over time. This enzymatic shift causes lactose to ferment in the colon, resulting in discomfort like cramps or diarrhea. But why does this happen to so many as they age? Let’s explore the reasons behind this increasingly common phenomenon. Don’t worry, we’ve also got tips on how to handle it!

The Natural Decline of Lactase

Lactase is the enzyme that aids in the digestion of lactose, the sugar in dairy products. As infants, humans are typically equipped with a robust supply of lactase to help digest breast milk. However, as we grow and transition to solid foods, our bodies naturally start producing less lactase over time. This phenomenon is known as lactase non-persistence or acquired lactase deficiency.

This gradual decline in lactase production affects a significant portion of the global population. According to experts, around 75% of people lose some ability to digest lactose as they age. Though it sounds concerning, this decrease in lactase is a normal part of human physiology. It’s like the body is taking a step back from something it no longer needs in abundance.

Why, you might ask, do our bodies scale back on lactase production as we age? Historically, humans didn’t consume much dairy after weaning. With fewer occasions needing to digest lactose, it’s as if our bodies decided they didn’t need to keep producing loads of lactase. It’s a fascinating glimpse into our evolutionary past!

Genetic Factors

Your genes can give you a sneak peek into your lactose digestion future. The ability to continue digesting lactose into adulthood is closely linked to genetic inheritance. If your parents became more lactose intolerant with age, there’s a chance you might too. Genetics play a significant role in how much lactase your body continues to produce.

Some people may find certain dairy products more tolerable than others due to the variations in lactose content. For instance, cheese or yogurt might be easier on the stomach because the fermentation process involved in making these foods breaks down much of the lactose. Hence, even within families, tolerance levels can vary based on these factors.

Additional Causes for Lactose Intolerance

While genetics and age-related enzyme decline are major factors, other conditions can amplify lactose intolerance. For instance, gastrointestinal illnesses or surgeries impacting the small intestine can affect lactase levels. In some situations, conditions such as Crohn’s disease or specific infections cause temporary lactase depletion.

Injuries or diseases affecting the gut lining can lead to something known as ‘leaky gut,’ exacerbating lactose intolerance symptoms. Various factors like chemotherapy, antibiotics, and autoimmune diseases may also play a role. Keeping these potential triggers in mind can help individuals navigate their lactose intolerance more effectively.

Managing Lactose Intolerance

Managing lactose intolerance might seem daunting, but there are strategies to ease symptoms. One key step is identifying which dairy products trigger the worst reactions and limiting or avoiding them. Some, like hard cheeses and butter, may contain less lactose and thus be easier to digest.

Incorporating fermented dairy options, such as yogurt or kefir, into your diet can also help. These foods are not only easier on the stomach but may also support gut health. Additionally, you can reduce lactose load by consuming smaller amounts per meal, mitigating those pesky symptoms.

Dietary Alternatives and Supplements

Switching to plant-based alternatives, like almond or oat milk, is a practical solution for many. These non-dairy options provide variety without the lactose content, ideal for those avoiding dairy. It’s all about finding what works best for your body’s needs and preferences.

Probiotics are another helpful tool. Specific strains, like Bifidobacterium and Lactobacillus, may assist in breaking down lactose more efficiently. Additionally, taking a lactase supplement before consuming dairy can help manage symptoms, offering the chance to enjoy your favorite dairy dishes without worry.

While these strategies can reduce discomfort, it’s essential to consult a healthcare professional before making significant dietary changes. They can help pinpoint the cause of your lactose intolerance and suggest appropriate actions, whether through diet alterations or enhancing gut health.

Debunking Myths of a Cure

It’s crucial to remember that while dietary changes and supplements can help, they won’t cure lactose non-persistence. The body’s lactase production doesn’t generally return to childhood levels. Accepting this can empower you to manage the condition effectively, rather than seeking a nonexistent cure.

Some may notice improvement in tolerance levels over time, thanks to better gut health or dietary adjustments. Yet experts caution against expecting a full return to previous lactase activity. Embracing these changes as a part of your lifestyle can bring about the best quality of life.

Consulting Healthcare Professionals

Consulting healthcare professionals can provide guidance for managing lactose intolerance. They can recommend tests to determine the severity and cause of the condition, fostering a tailored approach to managing it.

Understanding your body’s unique makeup is crucial for devising a successful strategy. A professional’s advice will steer you towards safe, effective management techniques.


Although lactose intolerance can present challenges, understanding its causes and management options can make it more manageable. Embrace dietary changes and seek professional advice to enjoy your meals without discomfort.

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