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Why Are So Many People Lactose Intolerant?

 2 years ago
source link: https://lindaddahl.medium.com/why-are-so-many-people-lactose-intolerant-b5843b1b0b9e
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Why Are So Many People Lactose Intolerant?

Humans are the only mammals who eat dairy into adulthood.

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Photo by Mae Mu on Unsplash

When I was a junior in college, I thought I’d developed an ulcer. I would get gnawing gut pains, sometimes accompanied by burping or bloating. I looked up the symptoms in a textbook (there was no internet in those days), and all signs pointed to acid reflux. It made sense, what with all the stress I was dealing with in my pre-med classes and work-study. I could almost feel the acid burning a hole through my stomach.

The remedy, I had read, was to eat a lot of dairy. It was thought to “neutralize” acid. That sounded great to me. My favorite meal was ice cream. On really bad nights, I would scarf down an oversized chocolate peanut butter cone in place of dinner and try to convince myself I felt better. To my surprise, my symptoms got worse. I even started getting diarrhea. And the gas–so noxious it would have knocked out Arnold Schwarzenegger. (Terminator 2 was super popular back then.)

One day, I asked the medical student in my research lab what she thought.

“Lactose intolerance,” she diagnosed, confidently.

“What’s the treatment?” I asked.

In the days before Lactaid, her answer was funereal. “Stop eating dairy.”

She may as well have told me to stop eating everything. As a midwestern girl, my entire diet was coated in cream. How would I survive?

I’m sure you’ve heard of lactose intolerance. It’s a condition where you lack the enzyme lactase, which breaks down lactose, the sugar found in dairy products, like milk, yogurt, cream, or cheese. Without this enzyme, undigested lactose passes into your colon where gas-producing bacteria devour it, letting off gas that causes the associated symptoms of bloating, flatulence, nausea, abdominal pain, and diarrhea. Not everyone with lactose intolerance has terrible symptoms, but some (like yours truly) really suffer.

Interestingly, nearly all newborn babies make loads of lactase when they are born. They need it to digest breast milk (or animal milk if breastfeeding doesn’t work out). But once they wean off the udder, lactase production goes way down. Quelle horreur, you may think. How are we supposed to eat frozen yogurt? The answer is we aren’t.

Humans are the only mammals that continue to drink milk after weaning. And we aren’t even drinking milk from our own species.

Before you bristle at the idea of cheeseless pizza, consider this. It has been estimated that 68%of the world’s population can’t digest lactose. That’s two-thirds of all the people in the world. There are regional variations, of course.

If you break down lactose intolerance by country, it looks like this:

The top ten countries with the highest prevalence of lactose intolerance are:

The top ten countries with the lowest prevalence of lactose intolerance are:

  1. Denmark — 4%
  2. Ireland — 4%
  3. Sweden — 7%
  4. United Kingdom — 8%
  5. New Zealand — 10%
  6. Netherlands — 12%
  7. Norway — 12%
  8. Niger — 13% (This African country was under French rule for 50 years)
  9. Belgium — 15%
  10. Cyprus — 16%

The top 10 countries that consume the most milk:

  1. Finland
  2. Sweden
  3. Netherlands
  4. Switzerland
  5. Greece
  6. Montenegro
  7. Lithuania
  8. Denmark
  9. Albania
  10. Romania

At first glance, it may seem that people in countries that don’t consume a lot of dairy lost the ability to digest it. But the converse is actually true. A relatively recent mutation in the LCT gene gave humans the ability to digest lactose into adulthood. The New York Times recently published an article showing that even early European farmers didn’t have lactase. They just tolerated the pain and stench of undigested dairy until they went through periods of drought and famine. Only people with persistent lactase were able to get nourishment from animal milk during those times. The ones that lived went on to make more people with the same uber-human ability. Those people moved to other lands and mixed with other people who also moved around and now a third of all people on the planet can enjoy a grilled cheese without any drama. Still, it’s only one-third of all people. Lactase persistence is the exception, not the rule.

It makes sense that I can’t digest lactose. My parents are from the Middle East. Maybe there’s nothing wrong with my bowels after all.

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Photo by Azzedine Rouichi on Unsplash

So why are we so obsessed with dairy?

In the U.S, where 36% of people are lactose intolerant, we are taught from an early age that dairy is one of the four basic food groups. (To be clear, dairy is anything that comes out of an udder and does not include eggs, which come from chickens, who don’t even have udders.) We are also told that dairy is a good source of calcium and Vitamin D. But most of those vitamins are added, just as they are to orange juice and nut milks. There is actually nearly as much calcium in a cup of spinach or figs as there is in a cup of milk. 1 oz of turkey has 8 grams of protein, the same as a cup of milk. And most forms of dairy are high in saturated fats and increase our cholesterol levels. They are also loaded with calories.

Have we been brainwashed into believing dairy is good for us even though it isn’t?

We sure have.

It all started in the early 1900s, along with industrialization and the temperance movement. Before then, only babies and children drank milk. Men drank beer and whiskey. It would have been bizarre to see a grown man down a glass of icy cold milk, especially if he lived in a city. Back then, milk was dangerous to consume far away from its source because pasteurization and refrigeration hadn’t been invented yet. But as doctors and health movements pushed toward the notion of food as medicine, milk made it to the top of the heap. This pleased dairy farmers, who were producing so much that they didn’t know what to do with it. (At one point it was used to make plastic in WWI airplanes).

Around 1920, in a perfect storm, the government, scientists, and farmers all came together to pronounce milk as the perfect food. That message has persisted despite evidence to the contrary. Female cows continue to be fed hormones and antibiotics so they can continue to lactate for our pleasure.

The next time you slice into a bubble of burrata, spoon the milky gelatin onto toasted bread and slide it into your impatient mouth, remember this: That milk is stolen. It’s not for you. It’s for baby cows.


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