Lactase (digestive enzyme): benefits, dosage, contraindications

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Lactase is an enzyme in the intestine that breaks down lactose into glucose and galactose. Some people are "lactose intolerant" and are unable to break down lactose on their own. This can cause cramps, diarrhea and gas, and may lead them to avoid milk and dairy products. Lactase is actively produced during childhood when milk is the main source of nutrition. The enzyme then becomes less active after the weaning period, decreasing markedly in adulthood. Production is, however, variable: 70% to 80% of people of Caucasian origin produce this enzyme in adulthood, but this is the case for only about 10% of people of Asian origin. Commercially available lactase is derived from Candida pseudotropicalis or Kluyveromyces lactis. Orally administered lactase is used for lactose intolerance and colic.
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Enzymes


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Properties


Safe dosage

Adult: 2000 IU - 9000 IU

Lactase is generally recognized as safe when prepared from Candida pseudotropicalis or Kluyveromyces lactis. Lactase has been used safely at doses up to 9900 International Units (IU).

Child :

Adjust the dose according to the manufacturer's instructions and the child's age.

Pregnant woman : 2000 IU - 9000 IU

Likely safe for pregnant women. To be taken with foods containing lactose.

Breastfeeding woman : 2000 IU - 9000 IU

Likely safe for breastfeeding women. To be taken with foods containing lactose.