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27 Sep 2007

Lactose & Wheat Intolerant-small changes
Dear Dietdoc

I am lactose & wheat intolerant which fact I've ignored for years. I now have to get going as my allergies have peaked and my joints ache like mad. I have substituted milk with soya milk which I take in wheat free cereal and in the afternoon about 3pm have about 300ml of soya milk with a pure protein drink as a shake which I love and which keeps my nibbles at bay. I switched to 100% rye bread and avoid anything with wheat as far as possible. Eating more fruit and all veg plus only eat fish, chicken and then mince once a week. I am battling in that I have 2 cups of tea and one coffee with dairy milk and 2 slices of edam cheese per day. In the big scheme of things do you think that these 2 sins are totally detrimental in terms of the other changes I have made? I love dairy and giving up yoghurt was hard. I am taking a calcium supplement and general multi-vitamin. The only thing is that our family has a history of arthritis and I do have achy joints and could be more flexible. I am eating lean foods so without adding unnecessary fat (need to lose) how can I get enough oil naturally or alternatively which supplement would you recommend for joint mobility? I am confused with all the products like the omega's and then the things like MSM, Chondroiton and all that.

Also, do you know where I can get soya cheese inexpensively? I only saw one international brand that cost a fortune.

Since I'm almost 42 I heard that soy milk is good for balancing the hormones. Is the milk also good? I am taking in at least 300ml to 400ml of it per day.

Thanks and regards
Answer 409 views

01 Jan 0001

Dear Soy
Have you actually been tested for dairy and wheat allergy? If not, the pain in your joints may be due to arthritis which is caused by a buildup of uric acid in the body. Excessive uric acid buildup is caused by a disorder in the metabolism of so-called "purines", which are compounds that occur in high quantities in red meat, organ meats (brains, liver, kidneys, sweetbreads), anchovies, meat extracts, broth, bouillon, and gravies made from meat drippings, sardines, herrings, mackerel, mussels, partridge, fish roes, baker's and brewer's yeast taken as supplements. Beans, pulses, spinach, asparagus and mushrooms have a moderate purine content and can be eaten in moderate quantities. Other vegetables and fruits have a negligible purine content and can be eaten freely. So you actually need to have a medical checkup to find out if your sore joints are being caused by your allergies or by uric acid? The dr may also prescribe medication to lower uric acid and treat your sore joints. Omega-3 fatty acids are excellent for joints - try using Salmon oil capsules that you can buy at most pharmacies. I don't know where one can buy soya cheese, but you may find that some health shops either sell it or can give you contact details for someone who makes it. Soy milk is a good substitute for cow's milk as most of the products sold commercially are enriched with calcium and are also a good source of plant protein. However, you may find that the purine content of soy products can exacerbate your arthritis. I would suggest that you see the dr to obtain a diagnosis regarding your arthritis and if you are producing too much uric acid, to consult a clinical dietitian (visit the Association for Dietetics in SA Website at: and click on "Find a Dietitian" to find a dietitian in your area). The dietitian will have to help you with a low-purine diet that also takes your allergies (wheat and dairy) into account.
Best regards
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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