[0016]The use of
lactase tablets help
lactose intolerant people digest milk and
milk products. Each
lactase tablet typically hydrolyzes up to 99% of the ingested lactose within 24 hours, and is designed to be ingested with the lactose containing food.
[0035]Additional substances may be given in conjunction with lactose. These substances can enhance the action of the increasing doses of lactose by, e.g., encouraging the growth of
bacteria in the gut that alleviate symptoms of lactose intolerance, increasing adhesion of friendly
bacteria, or allowing doses of friendly
bacteria to more readily pass through the
stomach without being destroyed. These substances may be given prior to treatment with lactose, during treatment with lactose,
after treatment with lactose, or any combination thereof. If administered during lactose treatment, they may be administered with the
dose of lactose being given, or before or after the
dose of lactose, or any combination thereof.
[0037]Live bacteria, e.g., live cultured bacteria, that may be used in the methods and compositions of the invention include any suitable bacteria for assisting in reduction or
elimination of the symptoms of lactose intolerance. Typically such bacteria will be
probiotic.
Probiotic bacteria favorably alter the intestinal microflora balance, inhibit the growth of harmful bacteria, promote good
digestion, boost immune function, and increase resistance to infection. People with flourishing intestinal colonies of
beneficial bacteria are better equipped to fight the growth of
disease-causing bacteria.
Probiotic bacteria such as lactobacilli and bifidobacteria are thought to maintain a healthy balance of intestinal
flora by producing organic compounds, such as
lactic acid,
hydrogen peroxide, and
acetic acid, that increase the acidity of the intestine and inhibit the
reproduction of many harmful bacteria.
Probiotic bacteria also produce substances called bacteriocins, which act as natural
antibiotics to kill undesirable microorganisms. Nonexclusive examples of
probiotic bacteria that may be used in the methods of the invention include L. acidophilus or
lactobacillus acidophilus. Acidophilus, a
probiotic, is one of the most important strains of the Lactobacilli family of microflora which inhabit the
gastrointestinal tract. These “good” bacteria are involved with
immune system function, inhibiting
carcinogenesis,
metabolism of
cholesterol, aging, and
nutritional status. Acidophilus and other
probiotic bacteria help maintain optimum pH, reduce
putrefaction, and reduce endotoxemia. Other
lactobacillus bacteria which may be employed include
Lactobacillus crispatus,
Lactobacillus casei,
Lactobacillus rhamnosus,
Lactobacillus reuteri,
Lactobacillus fermentum, L. plantarum, L. sporogenes, L. bulgaricus and
Lactobacillus rhamnosus. Other
probiotic bacteria include
Bifidobacterium lactis, B. bifidum, B. infantis,
Saccharomyces boulardii. The bacteria may be given as part of a food, e.g., in yoghurt, or in powdered form. Mixtures of one or more species or strains of bacteria may be used.
[0040]Fructooligosacharides (FOS), are a non-digestible, soluble-
fiber that supports the growth of
beneficial bacteria in the intestinal tract, particularly two important strains—1. acidophilus and 1. bifidus. These two strains play an essential role in reducing the number of
pathogenic bacteria. Additional nutritional properties, such as the effect on colonic pH and stool bulking justify their classification as dietary fibers. In experimental models, it has also been reported that they improve the
bioavailability of essential minerals. As a
fiber, it is thought to slow
digestion and allow the painless reintroduction of lactose into the body. FOS are chain polymers of the
sugar fructose that are found in a variety of foods. The
sugar units can be linked in a single
straight chain or can be a chain with side branches. In many cases small amounts of glucose are also contained in the chain. The length of the
fructose chains can vary from source to source.
Inulin is an example of a longer chained compound that is considered a FOS. The shorter (lower molecular weight) compounds tend to have a
sweet taste. The size and complexity of the FOS molecule gives it desirable characteristics. Although the simple sugars
fructose and glucose are quickly absorbed into the body by the intestines, FOS for the most part is indigestible and therefore acts as a non-digestible
fiber in the diet. This is because the human does not have the enzymes to break down the FOS as it travels down the
digestive tract. When the FOS reaches the
large intestine and the colon, the bacteria that are found there start to break down the FOS. These bacteria have the enzymes needed to break down FOS. Bifido bacteria have been reported to use FOS. It is believed that foods that promote bifido bacteria growth are good for the health.
[0043]One or more buffers, optionally with a
calcium counterion, may also be administered in methods of the invention. Any buffer suitable for consumption by the individual being treated, e.g., human, may be used. The buffer neutralizes
stomach acidity which can, e.g., allow live bacteria to reach the gut. Buffers include citrates, phosphates, and the like. Some embodiments of the invention utilize a buffer with a
calcium counterion, such as
Calcium Phosphate Tribasic. The
calcium can serve to restore the calcium that many lactose intolerant individuals are missing in their diet. A recent study demonstrated the ability of calcium
phosphate to protect
lactobacillus acidophilus from bile. It is an excellent
buffering agent and will help neutralize
stomach acidity.
[0063]The invention also provides compositions for the treatment of the symptoms of lactose intolerance. The compositions contain lactose and one or more of: bacteria, FOS, and / or buffer. Additional ingredients include ingredients to improve handling, preservatives, flavorings and the like.