Lactose malabsorption and intolerance: What should be the best clinical management?

Table 1 Treatment of lactose intolerance

Non pharmacological options

Milk with prehydrolized lactose

Consumption of fermented and maturated dairy products

Ingestion of milk together with other foods

Distribution in little meals of daily milk amount in snacks

Colonic adaptation by increasing lactose load

Pharmacological options

Enzyme replacement with lactase supplements

Probiotics

Antibiotics

Note: Calcium and vitamins support if daily intake is inadequate.