Lactaid Fast Act caplets (for one example brand and type) do not have any mannitol. But are we talking about an amount of mannitol that could cause significant symptoms, or an amount of a FODMAP substance that is well below the FODMAP content many of the items on the low FODMAP list when they are consumed in normal-size meal portions?

Thanks again!

Hi Roberta, small amounts of whipped cream is low enough in lactose –and deemed low FODMAP. Certainly, using lactase enzyme supplements are a good idea when consuming foods with higher amounts of lactose. Generally, during the elimination phase of the low FODMAP diet, I encourage my clients to simply choose low to no lactose containing foods–then we explore the use of lactase enzymes. Unfortunately, many lactase enzymes contain mannitol–so adding too many to the diet might not be a good idea. Read labels.

Terrific hot chocolate recipe! I notice it has ingredients like heavy cream and whipping cream, for which lactose-free versions might be unavailable. Would taking a lactase enzyme supplement along with the large amount of hot chocolate I’m likely to consume be effective in lowering the amount of lactose introduced into the digestive tract by such foods? More generally, are lactase enzyme supplements a viable alternative to lactose-free milk and yogurt products?

Thanks!

Tolerance to lactose is variable. Most people can tolerate up to 4 grams of lactose –even with lactose intolerance. Greek yogurt has variable lactose content but tends to be far less than conventional yogurt. I find that many of my clients tolerate 1/2 cup of most Greek yogurts. If it doesn’t bother you–enjoy it!

Thanks so much for all of the great blog posts! Quick question, I always thought greek yogurt was low, but this updated list suggests it’s high. Would cooking with it change anything (thinking in terms of replacing loads of butter with greek yogurt in baked goods). http://www.everythinglowfodmap.com/low-fodmap-diet-updates/

Thanks!

🙂 I am happy to share, everyone deserves a warm hot cocoa!

Thanks for commenting.

Toni

Thank you Kate, I will look for that Stevia and buy it. I purchased the “Pure VIA” and I read the ingredients which did not show that erythritol was an ingredient. After I started with the intense tummy ache I googled Pure Via and found out that it was not natural at all! I just found out something interesting, I have had Rosacea for years, and just now read that there is a relationship between Rosacea and your gut. I will be starting on the Xifaxan treatment in November to see if this will help me. I have lost 54 pounds so far, but the Low Fodmap diet does seem to help me quite a bit. I just wish I had an actual diagnosis, so I would know exactly what was going on. Thank you again for all your wonderful advice!.

Hi Linda, Stevia products vary –some contain erythritol–which does not appear to be a FODMAP–it is generally well absorbed—BUT it makes other FODMAPs even more difficult to digest–and may increase symptoms. Truvia–contains erythritol–so don’t use that brand. Stevia in the Raw might be worth a trial–it had dextrose (not a FODMAP) and stevia. Kate