September 02, 2003

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If Yogurt's Okay, How About Lactaid Milk?

I get the most interesting questions!

For a while now, I've been trying to get the word out, both here and in my books, that plain yogurt is not as high in carbohydrate as the label and the food books lead us to believe. Why? Because -- as explained by Drs. Goldberg and O'Mara in The GO-Diet -- the labels and the food books list the 12 grams of carbohydrate -- all in the form of lactose -- that were in the milk the yogurt was made from, but don't take into account the fact that the yogurt bacteria break down most of the lactose, turning it into the lactic acid that gives yogurt its characteristic sour taste, and leaving only about 4 grams of carbohydrate per cup.

(Please, remember, this 4 grams per cup figure applies only to plain yogurt. Sweetened and flavored yogurts have sugar added, and are far higher carb. If you like sweetened, flavored yogurt, add the extract of your choice plus a little sweetener.)

Well, now I have a new question -- indeed, two readers have written me in the past few weeks, wanting an answer: Does this mean that milk that has been treated with Lactaid, the enzyme that breaks down lactose, and is marketed to folks who are lactose intolerant, is also okay for low carbers? I'm sorry to have to tell you that the answer is no.

Why not? Because Lactaid doesn't convert the lactose in milk to a non-sugary substance. Instead, it converts the lactose to simpler sugars. You see, lactose is what is called a "disaccharide" -- a sugar that is made up of two simpler sugars. Some people lose the ability to break down the bond between those two sugars as they age, and this is what causes lactose intolerance. Lactaid breaks down the bond, leaving the two simpler sugars behind.

Not only does this mean that Lactaid treated milk has as much carbohydrate as untreated milk, but the treatment causes the sugar in the milk to be absorbed more rapidly, increasing the glycemic index of the milk. Indeed, I have read of nutritional experiments regarding the effects of low glycemic foods versus high glycemic foods where Lactaid treated milk was used for precisely this reason.

So, no Lactaid treated milk for you. If you simply must have milk -- and there are certainly far worse things you could be drinking , drink it untreated. At least that way it's a low impact carb.

Posted by HoldTheToast at September 2, 2003 04:32 PM