While not a common side effect, it is possible for patients to become lactose intolerant after bariatric surgery. Lactose intolerance is a digestive problem caused by the body’s inability to fully digest the lactose (sugar) found in milk.
If you were not lactose intolerant before bariatric surgery, you might be wondering if it can occur after bariatric surgery. In short, yes.
Eating or drinking lactose-rich dairy products can trigger uncomfortable side effects like bloating, stomach pain, gas, and loose stools. That is why nutrition management, such as removing or limiting milk and other dairy products from your diet, may be necessary.
Milk and Lactose Intolerance After Weight Loss Surgery
Some health benefits can come from drinking milk, such as better bone health, lowered blood pressure, lowered risk of heart disease, and prevention of diabetes; however, it is not recommended for everyone. A dairy allergy, like any food allergy, can induce inflammatory reactions in the body. Milk contains a naturally present sugar called lactose which some may be intolerant to.
In some cases, bariatric procedures such as gastric sleeve and gastric bypass can cause lactose intolerance in patients due to the changes in how the lactose is passed through the digestive system.
How much lactose is in one 8-ounce glass of milk?
- Non-fat milk = 12 grams of lactose
- 1% milk = 13 grams of lactose
- 2% milk = 12 grams of lactose
- Whole milk = 12 grams of lactose
For those who do not have an intolerance to lactose before surgery, we may recommend removing milk and other dairies from your diet. After surgery, you can introduce milk at about phase 3 of the post-op diet in small increments to see whether or not you have developed an intolerance.
What Causes Lactose Intolerance after Bariatric Surgery?
Weight loss patients often experience something called secondary lactose intolerance. That is mostly due to the body adjusting and relearning how to digest foods. This condition could be temporary as the body is healing and inflammation clears.
Secondary lactose intolerance means that it happened because of something else, namely bariatric surgery.
In the case of RNY gastric bypass, dairy passes directly through the gastric pouch into the small bowel. The available enzyme (lactase) cannot digest the lactose in dairy products, and lactose intolerance symptoms occur.
Recommended Milk Substitutes
When reintroducing foods and drinks back into your diet after bariatric surgery, it is helpful to recognize the benefits of each meal and drink. Below are some alternatives to milk that patients can include in their diet:
A great milk product we recommend is Fairlife® because it is lactose-free and has a higher protein level. This is a real milk product, but it has been ultrafiltered to provide 50% more protein, 30% more calcium, and half the sugars of regular milk. One 8-ounce glass of 2% Fairlife® milk contains only 6 grams of sugar and 13 grams of protein as opposed to the 12g of sugar and 8 grams of protein found in regular 2% milk.
Other Milk Substitutes
- Unsweetened Almond Milk
- Coconut Milk
- Cashew Milk
These 3 milk substitutes are great lactose-free dairy products that patients with lactose intolerance can have. These products are very high in protein but are lactose-free and low in carbs and sugar. They are great for mixing in your protein shakes in place of water.
Milk Substitutes to AVOID!
Avoid soymilk or any sweetened flavored milk or milk substitute. These products may be lactose-free but are generally high in added sugar, which is not conducive to a pre-op or post-op diet.
Consult Your Nutritionist and Get Regular Checkups
At Mexico Bariatric Center®, we like to share this information to spread the knowledge further to serve our former and future patients best. We recommend that anyone planning to or has undergone bariatric surgery consult a nutritionist and get regular checkups to help better ensure a healthy recovery.
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