What dietary advice should I provide to patients diagnosed with lactose intolerance?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Dietary advice for patients diagnosed with lactose intolerance:

  • Advise patients to avoid or limit intake of lactose-containing foods such as cow's milk and dairy products, as these can trigger symptoms.
  • Encourage the use of lactose-free milk alternatives or lactose-reduced products to maintain adequate calcium and vitamin D intake.
  • Recommend ensuring a balanced diet that includes other sources of calcium and vitamin D, either through diet or supplements if necessary, to prevent nutritional deficiencies.
  • Advise patients to read food labels carefully to identify hidden sources of lactose in processed foods.
  • Suggest gradual reintroduction of small amounts of lactose-containing foods if tolerated, as some patients may tolerate low levels without symptoms.
  • Refer patients to a dietitian for personalized dietary advice and to ensure nutritional adequacy, especially if multiple food restrictions are present.

Educational content only. Always verify information and use clinical judgement.