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Discussions on the details of treatment programs using either diet, medications, or a combination of the two, can take place here.

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Pat
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Post by Pat »

Thanks, Rosie, for that info. I stopped Singulair awhile back. I was not taking the chewable kind and I am not lactose intolerant (but am intolerant of casein). Can't be too careful of checking ingredients.



Tex,

Do you take sublingual B-12? I haven't found any that doesn't have sweetener in it but haven't checked thoroughly.


Pat
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tex
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Post by tex »

Pat,

I haven't found any without sorbitol, either, but maybe there are some, somewhere, that don't contain any sweeteners. Since my peripheral neuropathy diagnosis, I've been taking a generic version of a product called Metanyx, which contains megadoses of B12, B-6, and folate, (2mg, 25mg, and 2.8mg, respectively). This is a prescription-only supplement, and I take one tablet each day, but it's an oral tablet, (not sublingual). 2mg is 833 times the RDA for B-12, for example.

I used to take a 1,000 mcg, (micrograms), sublingual B-12 that included 400 mcg of folate, back when I was pretty sure that I was having a malabsorption problem, and I just tried to ignore the sorbitol. Sorbitol will give me D, if I ingest a significant quantity, but small amounts are not a problem for me.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by Gloria »

I'm a little confused. I thought that if you're casien-intolerant, then you're also automatically lactose-intolerant, but not vice-versa. IOW if you're lactose-intolerant, you may or may not be casien-intolerant.

Can anyone clarify?

Gloria
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Pat
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Post by Pat »

Gloria,

I think you are correct. One has to avoid dairy either way. I guess if you are lactose intolerant and not casein intolerant you can take lactase pills and be able to eat dairy.

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tex
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Post by tex »

Gloria,

I don't believe that casein intolerance "guarantees" lactose intolerance, (remember, lactose is a sugar, and therefore incapable of triggering an autoimmune reaction), but it might as well, because any form of enteritis will cause the small intestine to greatly reduce the production of the lactase enzyme, which is necessary for proper digestion of lactose. Without it, the lactose passes undigested into the colon, where it ferments, producing gas and diarrhea. Casein, of course, causes inflammation, (enteritis), of the colon, and usually the small intestine, also, so that sets up the necessary condition for lactose intolerance, (provided that the small intestine is involved).

Commercial grade lactose derivatives frequently contain small amounts of casein, which sets up another avenue for a casein reaction. Pharmaceutical grade lactose is supposed to be pure, however, and therefore devoid of casein, (theoretically, at least).

At least, that's the way that I see it, FWIW.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Gloria
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Post by Gloria »

According to Tex's explanation, the lactose in my statin shouldn't have casien in it, but I could still react to it because I have enteritis.

Thank you for clarifying. I think I understand now.

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tex
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Post by tex »

Since it's such a tiny amount, you still might be producing enough lactase to be able to properly digest it. Most doctors insist that the average patient who is lactose-intolerant, can still produce enough lactase, to be able to digest at least an 8-oz glass of milk, without any problems.

You're most welcome,

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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