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aBreath hydrogen increase >20ppm following the consumption of 240 ml of low-fat (1%) milk containing 12g of lactose following an overnight fast.

aBreath hydrogen increase >20ppm following the consumption of 240 ml of low-fat (1%) milk containing 12g of lactose following an overnight fast.

pattern during pregnancy need to be mindful of a high rate of lactose maldigestion. Implications for fetal growth and development remain to be determined by further study. Also, health providers need to be aware that the presence or absence of symptoms may be unevenly reported by pregnant African American women, and symptoms do not represent a reliable guide to lactose digestion. Less than 25% of pregnant lactose maldigesting women reported any symptoms with 240 ml of low-fat (1%) milk. Symptoms may be further reduced when milk is consumed with other foods. Unanswered is the level of digestion and absorption of a range of nutrients in the consumed milk. Health care providers should discuss with the pregnant woman her ability to tolerate milk and, when appropriate, should educate her as to other food options. In this regard, Kingfisher and Millard report that ''Euro-American staff tended to give advise that was biologically appropriate for them but not for many of their patients, a process reflecting biocentrism.''

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