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Dairy Intolerance Advice and Substitutes

Dairy Intolerance

Dairy products are those, which are produced from or contain milk from animals. Most commonly cow’s milk is used, but goat and sheep’s milk can also be used. Dairy products include milk,
butter, cheese, yogurt, cream, sour cream, custard and ice cream. Milk can also be used as an ingredient in desserts, sauces, soups and processed products.

Depending upon the level and extent of sensitivity depends on whether there is a need to remove all dairy products, just cow’s milk products or just specific items like milk (but not yogurt and
cheese). The large range of dairy-free items now available has facilitated the removal of dairy from the daily diet. Good quality milk drinks, yogurt, cheese, ice cream, custard, crème fraiche
and cream are sold in grocery stores.

Dairy Substitutes

  • Milk Drinks
    Almond, Soya, Coconut, Hazelnut, Cashew, Oat, Brown Rice, Hemp
  • Yogurt
    Soya, Coconut, Almond

Nutrition

The nutrient value of milk and milk products varies depending upon whether the milk or milk product contains skimmed, semi-skimmed or whole milk. It can be a good source of protein as
well as vitamin A, B2, B12, vitamin D (if the product is fortified), calcium, phosphorus, potassium and selenium. The fat content depends upon whether skimmed, semi-skimmed or whole milk has
been used in the product. Certain milk products like good quality plain yogurt can also be an excellent source of probiotics in the diet.

Replacing key nutrients when eliminating dairy

When eliminating items from the diet whether for the short term when implementing an elimination diet or for the long term, it is important to know alternative items that can be introduced into the diet to maintain nutrient balance. Below are the richest sources of each nutrient.

  • B Vitamins
    Oats, buckwheat, brown rice, rye, whole wheat, peanuts, mushrooms, pecans, sunflower seeds, lentils, cashews, chickpeas, broccoli
  • Beta Carotene (Precursor to vitamin A)
    Sweet potato, carrots, kale, spinach, collards, Swiss chard, pak choi, butternut squash, pumpkin, lettuce
  • Vitamin A (Retinol)
    Liver, beef, lamb, cod liver oil, mackerel, salmon, tuna, paté, eggs
  • Calcium
    Watercress, kale, broccoli, low fat mozzarella (buffalo), pak choi, tofu, sugar snap peas, almonds
  • Vitamin D
    Salmon, trout, swordfish, mackerel, tuna, mushrooms, fortified products
  • Vitamin B12
    Oysters, mussels, scallops, liver, mackerel, tuna, salmon, sardines, crab, beef, eggs
  • Phosphorus
    Brown rice, oats, rye, whole wheat, quinoa, chicken, turkey, pork, scallops, salmon, pumpkin seeds, Brazil nuts, pine nuts, almonds
  • Selenium
    Brazil nuts, brown rice, rye, whole wheat, mushrooms, shrimp, sardines, oysters, tuna, sunflower seeds, liver, eggs, beef, turkey
  • Potassium
    Dried apricots, salmon, mackerel, tuna, monkfish, white beans, lentils, kidney beans, avocado, butternut squash, spinach, mushrooms, bananas, potatoes
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Gluten Intolerance – Advice and Guidance

Gluten Intolerance

Gluten is the name given to a protein found in all wheat, rye, barley and oat products. It acts like a binder in food, giving it elasticity and a springy feel. It is found in all produce which uses wheat, rye, barley or oats such as bread and bread products, pasta, biscuits, crackers, cereal, muesli, cakes and pastries. It can also be found in beer, ale, lager, soups and processed products.

The word gluten comes from the Latin for ‘glue’. This is because when combined with yeast the gluten protein in a gluten-containing grain will trap the bubbles of carbon dioxide released from the fermenting yeast. These bubbles give dough elasticity and prevent it from falling to pieces or crumbling.

Gluten is a composite name for the protein; it represents gliadin in wheat, hordein in barley, secalin in rye and avenin in oats.

The removal of gluten from the daily diet has been greatly facilitated by the wide range of gluten-free products now available in grocery stores and online. Most of the popular gluten-containing products like bread, pasta, biscuits, crackers and cereals can be found in gluten-free form. There is also a plethora of gluten-free recipes in specialist cookbooks and on the Internet.

  • Gluten-free grains:
    Amaranth, Buckwheat, Corn (or maize), Millet, Oats (gluten-free), Quinoa, Rice
  • Gluten-free products:
    Almond, Arrowroot, Brown rice, Buckwheat, Coconut, Cornmeal (maize), Garbanzo, Millet, Oat, Potato
  • Bread and bread products:
    Almond, Brown rice, Buckwheat, Millet, White rice, Cornflakes, Oatmeal, Granola, Pasta, Buckwheat, Chickpea, Quinoa, Red lentil, Rice

Nutrition – Gluten

The removal of gluten from the diet means the elimination of a number of grains such as  wheat, barley, rye and oats. Whole wheat, rye and barley are all similarly nutritious, providing B vitamins, vitamin E, calcium, magnesium, manganese, phosphorus, selenium, zinc, copper and iron. Oats are similarly rich in B1, B5, folic acid, iron, magnesium, manganese, phosphorus, zinc and copper.

Whole grains are also an excellent source of dietary fibre, particularly the soluble fibre beta glucan, known for its ability to lower cholesterol and regulate blood sugar.

The nutrient value of all these grains does depend upon the type you eat and the soil it was grown in. The whole grain varieties of wheat and rye offer greater nutrient value than their bleached white counterparts. For example in order to produce bleached white wheat flour as much as 40% of the original grain is removed, including the bran and germ of the wheat, which are the most nutrient-rich parts. This means the loss of over half the vitamin B1, B2, B3, folic acid, vitamin E, calcium, phosphorus, zinc, copper, iron and fibre.

Replacing key nutrients when eliminating gluten

When eliminating items from the diet whether for the short term when implementing an elimination diet or for the long term, it is important to know alternative items that can be introduced into the diet to maintain nutrient balance.

When looking to replace nutrients you may choose to substitute a grain with a grain or look at other food groups. Below are the richest sources of each nutrient.

  • B Vitamins
    Oats (gluten-free), buckwheat, brown rice, quinoa, peanuts, mushrooms, soybean flour and soybeans, split peas, pecans, sunflower seeds, lentils, cashews, chickpeas, broccoli, hazelnuts, peppers
  • Vitamin E
    Spinach, kale, broccoli, Swiss chard, turnip greens, collards, avocado, almonds, hazelnuts, pistachios, sunflowers seeds, prawn/shrimp, crayfish, salmon, smoked salmon, swordfish, herring, trout, olive oil, sunflower oil, sweet potato, squashes, kiwi, mango, peach, nectarines, apricots, guava, raspberries, blackberries
  • Calcium
    Watercress, kale, broccoli, low fat mozzarella, low fat cheddar, yogurt, pak choi, tofu, sugar snap peas, almonds, tinned sardines in oil with bones, tinned pink salmon
  • Magnesium
    Buckwheat, millet, brown rice, quinoa, kelp, almonds, cashews, brazil nuts, peanuts, walnuts, tofu, coconut, soya beans, figs, apricots, dates, prawns, corn, avocado, spinach, kale, broccoli Swiss chard, turnip greens, collards
  • Manganese
    Oats (gluten-free), brown rice, quinoa, mussels, hazelnuts, pine nuts, pecans, lima beans, chickpeas, aduki beans, lentils, pumpkin seeds, sesame seeds, sunflower seeds, pineapple, spinach, kale, tofu, soybeans, sweet potato, blueberries, raspberries, strawberries
  • Zinc
    Oats (gluten-free), spinach, beef, lamb, pumpkin seeds, sesame seeds, sunflower seeds, cashew nuts, cocoa powder, dark chocolate, pork, chicken, chickpeas, mushrooms
  • Iron
    Oats (gluten-free), pumpkin seeds, sunflower seeds, sesame seeds, chicken liver, oysters, mussels, clams, cashews, pine nuts, hazelnuts, peanuts, almonds, beef, lamb, lentils, white beans, soybeans, kidney beans, chickpeas, lima beans, spinach, Swiss chard, kale, dark chocolate
  • Selenium
    Brown rice, brazil nuts, mushrooms, shrimp, sardines, oysters, tuna, sunflower seeds, liver, eggs, beef, turkey, cottage cheese
  • Copper
    Oats (gluten-free), sesame seeds, cashews, soybeans, mushrooms, sunflower seeds, tempeh, garbanzo beans, lentils, walnuts, lima beans, liver, spirulina, dark chocolate, collard greens, Swiss chard, spinach, kale
  • Phosphorus
    Oats (gluten-free), brown rice, quinoa, chicken, turkey, pork, liver, sardines, scallops, salmon, mackerel, crab, milk, yogurt, cottage cheese, sunflower seeds, pumpkin seeds, Brazil nuts, pine nuts, almonds, pistachios, cashews