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I have the same level as lactose and also wheat intolerance. I load and carry loperamide every time I leave a safe “toilet haven”. Lactase/lactrase pills don’t suffice. I also have some inconvenient and inconsistent allergies. So I am always at maximum 30 minutes from my home or hotel. In almost all European countries I have been to however, restaurants tended to know their shit. Literally. (Save Serbia and Bulgaria, could you not at least learn from your neighbours?)
I feel your pain!
The amount of lactase needed is a function of how much lactose you consume. I don’t think I make any lactase at all and it’s not exactly possible to overdose on lactase so I down multiple 20,000 unit pills every time there could be lactose in something and that seems to work quite well. If I’m eating a dairy-based meal like pizza or something with a lot of cream then I take a few pills with every few bites.
Thank you for this tip. I didn’t think of it that way, I just kept going with the assumption that lactase pills just didn’t have any effect at all since I followed my doctor’s recommendations for specific amounts. I’ll try your tip (safely at home).