Katrina is diagnosed with lactose intolerance. To avoid complications with lack of calcium in the diet, which food should be included in the diet?
A. Fruit
B. Whole grains
C. Milk and cheese products
D. Dark green, leafy vegetables
Correct Answer: D. Dark green, leafy vegetables
Dark green, leafy vegetables are rich in calcium. Vegetables high in calcium include rhubarb, spinach, broccoli, and certain greens like kale. For example, one cup of cooked spinach has about 250 mg of calcium. Other foods for a lactose intolerance diet include pinto beans and calcium-fortified orange juice.
Option A: Keep in mind that lactose-free products made from milk should be avoided by those with a dairy allergy, as they may contain milk proteins like casein or whey. Many healthy foods can easily fit into a lactose-free diet, including fruits, vegetables, whole grains, nuts, seeds, and legumes.
Option B: Most fruits, vegetables, grains, and meats are lactose-free. These foods may contain lactose if prepared with milk-based ingredients (e.g. cream sauces, cheese sauces, bread made with milk, breaded and battered meats, etc).
Option C: Fermented cheeses have less lactose than other dairy products, and the patient may be able to tolerate them in small amounts. They are worth including in a lactose intolerance diet because they are good sources of calcium and protein.
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