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by eddiedunn 4094 days ago
I don't like the term "lactose intolerant". It implies that having difficulty digesting lactose is differentiating you from some loosely defined norm.

In fact, the opposite is true[1]. As the article states, being able to digest lactose is a recent genetic adaption. What it doesn't state is that still, even in the West, a lot of people experience lower tolerance to lactose as a natural process of aging.

I would therefore say that the correct way of labeling it is that adults in general have different levels of _lactose tolerance_.

Anecdotally, I can add that my level of lactose tolerance was very low for two years after drinking half a liter of milk that was two weeks old (don't ask). I assume that it severely messed up my small intestine. After I cut carbs and gluten from my diet for a month and a half, I could suddenly digest lactose again. As with lactose intolerance, I believe gluten intolerance is a misnomer, as all people are sensitive to excessive amounts of gluten, though here the case is not nearly as clear cut. My intestine finally being able to repair itself might instead be due to the fact that I didn't eat many carbs at all during this period, and so avoided the gastro-intestinal allergens known as FODMAPs[2]. Wheat contains the FODMAP fructan, which might be the reason many people say they feel better on a gluten free diet[3].

[1]: http://www.collective-evolution.com/2013/04/03/over-75-of-ea...

[2]: http://en.wikipedia.org/wiki/FODMAP

[3]: http://www.npr.org/blogs/thesalt/2014/05/22/314287321/sensit...

4 comments

Cheese, milk, and other dairy products in general are very common in American and European cuisine. In the English-speaking world, not being able to consume these foods is kind of deviating from the norm. Language reflects the culture it develops in, not the world outside of it.
> I don't like the term "lactose intolerant". It implies that having difficulty digesting lactose is differentiating you from some loosely defined norm.

Nonsense. It's a simple statement of fact, and any value judgement you derive from it is pure projection.

I'm lactose intolerant and am fine with that term.
> I don't like the term "lactose intolerant". It implies that having difficulty digesting lactose is differentiating you from some loosely defined norm

It's a scientific term created purely for succinctness and description, it carries no connotations.

Fair enough, I'm surely being overly sensitive here. It's just that, here in Sweden at least, being 'lactose intolerant' suggests there is something wrong with you, when the truth in fact is just that your lactase persistence[1] is more akin to that of the rest of the world.

It carries connotations here. I'd say it does in the US as well, given the jokes about it I've seen on shows like the Big Bang Theory.

[1]: http://en.wikipedia.org/wiki/Lactase_persistence