going dairy free INCLUDES: l A 2-week dairy free challenge l Recipes l Meal plans Why go dairy or lactose free? There are many reasons why more and more people are choosing to go dairy free. Everyday healthy living or just simply curious! More and more people are choosing to go dairy free as part of their exploration of plant based healthy eating. Adding some of the delicious dairy free alternatives to your diet along with more fruit and vegetables, grains, nuts and pulses is all part of the journey. Plant based foods are a source of fibre which, as part of a balanced diet and healthy lifestyle, helps maintain good gut health. Welcome to dairy free and delicious living! You are about to join the growing number of people who have already chosen to go dairy free, either as a lifestyle choice or for health reasons such as lactose intolerance. Whatever your reason, this booklet will provide you with helpful tips, meal plans and recipes – to ensure that your dairy free challenge is exciting, delicious and most importantly nutritionally balanced. Contents: Why go dairy or lactose free? 3 Dairy & lactose free living made easy 4 The Alpro 2-week dairy free challenge 6 Dairy and lactose free eating plan 8 Recipes10 2 Suitable milk alternatives and dairy swaps 12 Understanding the ingredients list 14 Food, drink and tummy feel diary 15 Allergy to Dairy Lactose Intolerance True dairy allergy, known as cow‘s milk protein allergy, occurs when the body’s immune system reacts abnormally to the harmless proteins found in milk and dairy products. Lactose is a naturally occurring sugar found in all animal milks (e.g. cows’ milk, goats’ milk, sheep’s milk, buffalo milk) and the dairy products made from them – cheese, cream, yogurt etc. Cow’s milk protein allergy is different to lactose intolerance, which does not involve the immune system. It requires a completely dairy free diet, which should be undertaken with advice from a medical professional such as a specialist doctor or dietitian. Who? Cow’s milk protein allergy occurs in up to 5% of infants and toddlers and usually disappears by around 5 years of age. It is unusual for milk allergy to last into adulthood. Tummy Discomfort - Dairy and Lactose Sensitivity Some people find they are sensitive to lactose and/or dairy products, which can result in tummy discomfort e.g. bloating, diarrhoea or stomach cramps. Reducing the amount of lactose we eat as part of a balanced diet and healthy lifestyle may be one way towards a happy tummy. In the gut, lactose needs to be broken down by the enzyme lactase. People suffering from lactose intolerance lack or do not produce enough lactase, and undigested lactose remains in the gut causing tummy discomfort, bloating and/or diarrhoea. Who? About 5% of the adult UK population suffer from lactose intolerance. Some races, particularly those whose diet has been traditionally non-dairy based, are more susceptible e.g. South-East Asia and parts of Africa. Lactose intolerance is rare in children. If you are feeling curious or think your tummy discomfort could be related to lactose or dairy, why not take our 2-week dairy free challenge and see how you feel – page 6. The information in this booklet is a guide and not intended to replace health professional advice. If you are thinking about going dairy free for the long-term, it’s always a good idea to seek advice from a registered dietitian to make sure your diet remains balanced. l 3 Dairy and lactose free living made easy. What is a dairy free diet? Going dairy free simply means following a healthy balanced diet that applies to us all, but with one exception – all milk and dairy products are replaced with calcium fortified plant based alternatives such as Alpro milk and yogurt alternatives. As lactose is only found in milk and dairy products, going dairy free means that your diet will also be lactose free. Dairy & lactose sources to be avoided on a dairy free diet 2 5 Sugars and fats tend to be high in calories and low in nutrients. Keep a check on carbonated soft drinks and cordials, spreads, dressings, biscuits, cakes, sweets and chocolate. ake starchy foods a major M part of all your meals. Choosing from a variety of starchy foods such as bread, cereals, rice, pasta and potatoes is the basis of a good eating plan. Try to choose wholegrain varieties wherever possible e.g. wholemeal breads, wholewheat pasta and whole grain breakfast cereals. 4 Butter/margarine All dairy creams Cheese Dairy custard and desserts Cakes and biscuits containing dairy products See page 12 for great tasting dairy free alternatives Making your dairy free diet as healthy as possible. To ensure you stay healthy on your dairy free diet, follow these five simple steps to a healthy well balanced eating plan. 1 Supersize your fruit and vegetables – aim for 5 a day. Try and include these with every meal. All kinds count: fresh, frozen, canned, dried, pure fruit and vegetable juices and pure fruit smoothies. 4 3 l Great tasting calcium foods – 3 servings a day. Milk and dairy products are our main source of calcium, an essential mineral for building and maintaining strong bones. Therefore, when choosing plant based dairy alternatives, always go for the calcium fortified varieties. A serving: 200ml Alpro almond milk or soya milk alternative l 125g pot Alpro soya yogurt alternative or desserts l 25g tofu Meat, fish and other proteins – 2-3 portions a day. Protein, as part of your healthy balanced diet and lifestyle, helps maintain healthy tissue growth and repair. Opt for lower fat options: Cow’s, goat’s, sheep’s and other animal milks Dairy yogurts Fatty & sugary foods – eat less often. l l ave red meat less often, remove skin from H chicken and visible fat from meat, avoid processed meats e.g. sausages, salamis, pies and use healthier cooking methods e.g. grilling, boiling. ave meat-free days - replace H with beans, pulses, nuts or meat replacements such as soya mince. Include fish (from sustainable sources) twice a week, one of which should be oil-rich e.g. trout, mackerel, salmon. l l ther calcium enriched plant based milks O such as hazelnut, coconut and rice. Other non-dairy calcium foods include: almonds, white and brown bread, a few calcium fortified breakfast cereals, dried figs, fortified fruit juice, sesame seeds and tahini paste. 5 Your 2-week dairy free challenge. STEP 1: Keep a food, drink and tummy diary. l eep recording what you eat, drink and how K your tummy feels throughout the 2-week dairy free challenge. STEP 2: S tart recording what you eat and drink and how your tummy feels. It’s helpful to start the diary before you start your dairy free challenge. That way you can compare before and after and spot any differences in your digestive health. Copy our food, drink and tummy diary on page 15, or to download it visit www.alpro.com/uk/lactose-dairy-free. If your tummy has not settled after the 2-week dairy free challenge: A) P inpoint the foods and drinks in your daily diet that contain dairy and lactose. l B) C hoose great tasting lactose and dairy free alternatives to put in their place. Follow our 3-step guide to ensure your 14-day dairy free challenge is freewheeling, delicious and balanced. l the foods and dishes you love. Use our dairy swaps list on page 12 to help you: Cutting out dairy made easy. Choosing your dairy swaps. Going dairy free and cutting out lactose doesn’t mean you have to sacrifice taste or give up all C) T o make sure of a dairy and lactose free diet, always check the ingredients list on pre-packed and ready made foods. See our ingredients list on page 14. Beyond your 2-week dairy free challenge. For those who were curious. Having discovered how easy and enjoyable a dairy free diet can be, why not simply carry on? For those sensitive to lactose. If you feel good, and your tummy has settled after our 2-week dairy free challenge: There is no reason not to carry on enjoying your dairy free diet for longer. l ☞ Dairy yogurts ☞ ☞ ☞ ☞ ☞ Butter/Margarine Dairy single cream Dairy sour cream Cheese Alpro soya milk alternatives l Alpro almond milk or hazelnut drink l l Alpro soya yogurt alternatives l Pure vegetable margarines or oils l Alpro alternative to single cream l Alpro simply plain yogurt alternative l Tofu or some soya cheeses – but check the ingredients list Dairy custard and desserts Cakes and biscuits containing dairy products 6 ☞ ☞ l Dairy free varieties - many sweet biscuits especially plain value varieties - always check the ingredients list For most people, going dairy free for just two weeks won’t be any problem at all. The following groups of individuals should seek professional advice from a medical doctor and/or their dietitian before considering a dairy free diet: All children (under 18 years of age). Anyone with an ongoing diagnosed medical illness. l Those with any medically diagnosed food allergies e.g. nut, soya, shellfish, wheat. l If you have been experiencing chronic and/or severe discomfort, abdominal pain or digestive symptoms. l l onitor how you feel after you’ve eaten M lactose. If you know you have lactose intolerance, then it is advisable to speak to a health professional such as a dietitian or your GP. Useful websites l l l Alpro vanilla custard l Alpro desserts – caramel, chocolate or vanilla l Is it OK for me? ou may wish to try out a little lactose at a Y time – with a small helping of some of the hard cheeses such as parmesan. l l If you have kept to a dairy free diet, it is advisable to see your GP or dietitian to identify what else may be causing your discomfort. STEP 3: l Cow’s, goat’s, sheep’s and other animal milks l heck that your 2-week dairy free challenge C has been completely free from dairy – you might be very sensitive to extremely small quantities of lactose. Review your diary and check the ingredients list of all your foods, drinks and medicines to see if you could have accidentally consumed lactose. l l www.alprodairyfree.co.uk www.ibsnetwork.org www.allergyuk.org www.coeliac.org.uk www.patient.co.uk/health/Irritablebowel-syndrome www.nhs.uk/livewell/goodfood/pages/ food-labelling-terms.aspx 7 Breakfast IDEAS Porridge oats made with Alpro soya milk alternative or Alpro almond milk. Your dairy free and delicious eating plan. Bagel with peanut butter and banana. Whole grain breakfast cereal served with Alpro soya milk alternative or Alpro almond milk topped with chopped banana and a sprinkling of nuts. Muesli topped with Alpro pouring yogurt alternative and fresh fruits of your choice. Want to try dairy free eating? The 7-day eating plan on the following page will help to get you started. Just choose one breakfast, one lunch and one dinner, with drinks. 8 If you have a bit more time on your hands, why not try dairy free scrambled eggs using Alpro soya alternative to milk. Serve with some slices of smoked salmon for a weekend brunch. Choose from the wide variety of Alpro soya fruit yogurt alternatives served over fruit salad. Sprinkle some muesli on the top for that extra fibre and crunch. Cranberry and raspberry smoothie See recipe on page 11. Lunch IDEAS Dinner IDEAS Butternut squash and sweet potato soup, served up with crusty wholemeal bread and dairy free spread. See recipe on page 10. Dessert: Fresh fruit. Filled wholemeal pitta bread - with tandoori chicken pieces, shredded lettuce and cucumber. Dessert: Alpro soya fruit yogurt alternative. Smoked mackerel with green salad and avocado. Served with a wholemeal roll. Dessert: Alpro soya dessert – choose from chocolate, caramel or vanilla. Wholemeal wrap filled with houmous, grated carrot and chopped pepper. Dessert: Alpro Fruity & Creamy yogurt alternative. Tuna and sweetcorn pasta salad with a dairy free dressing, served with a green salad. Dessert: Fruit and a couple of dairy-free biscuits. Cod and leek pie with Alpro mash – see recipe page 11. Dessert: Fruit salad topped with Alpro soya custard. Jacket potato filled with baked beans or tuna and sweetcorn. Dessert: Fresh fruit salad with Alpro soya alternative to cream. Grilled chicken breast served with new potatoes and salad with dairy free dressing. Dessert: Fruit sorbet. Wholemeal sandwich with dairy free spread, filled with salmon or houmous and watercress, spinach and rocket salad. Dessert: Lemon poppy seed muffins. See recipe on page 10. Roast beef with roast potatoes, vegetables and dairy free Yorkshire puddings made with Alpro soya milk alternative and vegetable oil. Dessert: Apple crumble (dairy free) served with Alpro soya alternative to cream. Vegetable chilli served with brown rice and side salad. Dessert: Alpro soya chocolate dessert. Create your own pizza with toppings of your own choice – just leave out the cheese! Serve with a side salad. Dessert: Fruit Jelly. Prawn and vegetable stir fry with noodles. Dessert: Stewed fruit with Alpro soya custard. Cottage pie (using Alpro mash see recipe page 11) served with peas. Dessert: Alpro soya fruit yogurt alternative. For more great dairy and lactose free recipe ideas visit www.alpro.com/uk/lactose-dairy-free. 9 Lemon poppy seed yogurt muffins. (Serves 8) Cranberry and raspberry smoothie. (Serves 1) Ingredients: 225g plain flour 140g caster sugar 1/4 tsp salt 1 tbsp grated lemon zest 1 tbsp lemon juice 2 tbsp baking powder 1 egg 245g Alpro soya pouring yogurt 2 tbsp poppy seeds 100g dairy free margarine Ingredients: 200ml Alpro Almond milk 50g frozen raspberries 30g frozen cranberries 2 tbsp ground almonds 1/2 banana Method: 1.Preheat the oven to 200oC /400oF /Gas Mark 6. 2.In a large bowl sift the flour along with the baking powder. Next add in the sugar, zest, poppy seeds and salt, stir to combine. 3.In another bowl whisk together all the remaining wet ingredients. 4. Line an 8 hole muffin tray with muffin cases. 5.Fold the wet ingredients into the dry, being careful not to over mix. Spoon into the muffin cases. Bake in the oven for 20-25 mins until risen and cooked through. Butternut squash and sweet potato soup. (Serves 4) This soup is really delicious either hot or cold, the hit of curry powder enhances the flavours of the sweet potato and the butternut squash. Ingredients: 1 tbsp olive oil 1 medium onion – peeled and diced 2 cloves garlic – peeled and crushed 1 tsp hot curry powder 300g sweet potato – peeled weight and diced 250g butternut squash – peeled weight and diced 1/2 tsp salt 2 tbsp basil leaves – torn 750ml vegetable stock (2 stock cubes) 250ml Alpro soya alternative to milk Method 1.Heat oil in large saucepan, add onion, and garlic, cook until soft, add curry powder and cook a further minute. 2. Add sweet potato and butternut squash, stir and cook for 2 minutes. 3.Add salt, basil leaves, stock and Alpro soya alternative to milk, bring to the boil and reduce to a simmer for 20 minutes or until the sweet potato is cooked. 4. Blend or process vegetable mixture until smooth. 5.Serve soup hot or cold with chopped basil or chives and or a swirl of Alpro cream or yogurt alternative. 10 Method: Place all ingredients into a blender and blend until smooth. Cod and leek pie with Alpro soya mash. (Serves 4) Ingredients: 500g approx skinless/boneless chunky Cod fillet, cut into large chunks 2 medium leeks, finely shredded 1 tbsp light and mild olive oil 225g baby spinach leaves Ground black pepper 250g Alpro soya cream alternative Alpro mash: 4-5 large floury potatoes (King Edwards/Maris Piper are great) peeled 4 tbsp Alpro soya cream alternative 2 tsp dairy free margarine Ground black pepper Generous pinch of fresh grated nutmeg Method: 1. Preheat the oven to 200oC /400oF /Gas Mark 6. 2. Place prepared cod into a medium size ovenproof dish. 3.Gently sweat the shredded leek with the olive oil for 10 minutes over a very gentle heat to soften without browning. Add spinach to the pan and cook for 1-2 minutes until spinach just wilts. Season well. 4.Put half the mixture around the fish. Liquidise remainder with the Alpro soya cream alternative to make a creamy sauce. Pour around the fish. 5. Prepare the mash. Cut potato into even sized pieces and boil until tender. Drain and add remaining ingredients. Mash until smooth. Spoon onto prepared fish and spread potato out with a flat edged knife. Rest dish on a baking sheet and cook for 25 minutes, until the potato is golden and the sauce is 6. bubbling around the edge of the dish. 11 Suitable milk alternatives and dairy swaps. Avoiding dairy – milk and all milk products – will automatically guarantee that your diet is also free from lactose. To ensure a product is dairy free, it is important to always check the full ingredients list - see page 14. DAIRY & LACTOSE SOURCES DAIRY & LACTOSE FREE ALTERNATIVES ALWAYS CHECK THE INGREDIENTS LIST MILK Animal milks including: cow’s, sheep’s, goat’s, buffalo All varieties: fresh, long-life, condensed, buttermilk etc DAIRY & LACTOSE SOURCES DAIRY & LACTOSE FREE ALTERNATIVES ALWAYS CHECK THE INGREDIENTS LIST BISCUITS – sweet & savoury Alpro soya milk alternatives, hazelnut drink and almond milk Other plant based calcium enriched milk alternatives: hemp, oat, pea, potato, chufa Some crackers/crispbreads Most sweet biscuits ☞ ☞ Alpro soya yogurt alternatives Most ready-made cakes and desserts, dairy ice-cream and ready made custard ☞ Soya or pea cheese DRINKS & JUICES Pure vegetable margarines and oils Milk and malt-based drinks e.g. Horlicks, drinking chocolate, milkshakes Instant milk based coffees e.g. Cappuccinos/ lattes Creamy liqueurs Dairy based pro- and pre-biotic drinks ☞ ☞ CAKES, DESSERTS, ICE-CREAMS & CUSTARDS OTHER DAIRY PRODUCTS Dairy yogurts – all Cream – single, double, soured, whipping crème fraiche / fromage frais Cheese – made from any animal milk e.g. cows’, buffalo (mozzarella), and goats’ All varieties: vegetarian, low fat, rice cheese Alpro soya alternative to single cream FATS & OILS Butter / margarines / ghee ☞ BREADS, CEREALS, POTATOES & OTHER STARCHY FOODS Breads – most sweetened/ flavoured breads e.g. croissants, brioche ☞ Most plain breads / rolls – white and wholemeal, wraps, bagels, pitta, chapatti ☞ Most plain breakfast cereals without coating or additional flavours served with Alpro plant based milk alternatives Flavoured rice and other grains and fresh flavoured filled pasta ☞ All types of plain rice and grains – couscous, barley, buckwheat, cracked wheat, bulgur wheat, cornmeal/ polenta, quinoa, millet, most plain dried pasta Prepared potato dishes and some dried instant potatoes ☞ Potatoes, yams, plantains, sweet potatoes – cooked in water, oil, goose fat and/or dairy free milk alternatives Breakfast cereals – some mueslis, chocolate / yogurt covered varieties All milk and fancy chocolates and most plain chocolates Toffee, fudge, caramel Toffee/flavoured popcorn Guacamole Chocolate based Pre-prepared with milk/cheese sauces Breaded/battered varieties Meat pastes/patés Processed meats e.g. bacon Pies and pasties Most frankfurters and some sausages Quorn Sugar substitutes/sweeteners containing lactose 12 ☞ Pure fruit and vegetable juices/drinks, pure fruit smoothies Carbonated drinks, cordials, flavoured waters Alpro soya shakes and chocolate milk alternative Coffee/tea made with Alpro milk alternatives Dairy free pro- and pre-biotic drinks ☞ Most plain boiled sweets, pastilles, jellies Marshmallows, plain or salted popcorn Most plain crisps and some flavoured crisps and most pretzels and breadsticks Houmous and salsas SPREADS SUGARS & SWEETENERS Fresh, frozen, canned plain meats, poultry and fish Some sausages Most fish fingers Tofu ☞ Alpro desserts and custard Home-made desserts and custard using Alpro plant based milk alternatives Jellies and plain meringues, sorbets, ice-lollies, dairy free ice-creams, cakes and icings made with pure vegetable oil or dairy free margarines SWEETS & CHOCOLATES & OTHER SNACKS MEAT, POULTRY, FISH & VEGETARIAN ALTERNATIVES ☞ Ryvitas, water biscuits, plain crackers and crispbreads, rice cakes and oatcakes ☞ Peanut and other nut butters, jam, marmalade, honey, Bovril, Marmite ☞ All sugar, glucose syrup, honey, syrups, treacle ☞ Flours, baking powder, bicarbonate of soda, cream of tartar, yeast – fresh, dried and sourdough, salt and pepper, herbs and spices, sweet flavourings / essence and colourings e.g. vanilla, almond COOKING INGREDIENTS Cake mixes, some pastries, cooking chocolate 13 Understanding the ingredients list. l s milk is a known allergen along with soya, fish and wheat, food labelling laws set out by the A European Union (EU) require that all dairy food or foods containing dairy or derived from dairy must be labelled as ‘contains milk’ within the ingredients list, no matter how tiny the quantities. Food, drink & tummy feel diary. Our diary will help you see if there’s any link between what you eat and how you (and your tummy) are feeling. You’ll need to make several copies - one for each day. *How did you feel SCORE: your level of discomfort (e.g. bloating, tummy pain, diarrhoea) 1 = mild no problem, 2 = moderate but keeping calm and carrying on 3 = uncomfortable normally easy things are hard to do 4 = very uncomfortable and completely stops you getting on with your day. There is no substitute for reading the ingredients list carefully! All great tasting Alpro products – hazelnut drink and almond milk, soya milk, yogurt, custards desserts and cream alternatives – are guaranteed lactose and dairy free. Date: When THE OBVIOUS DAIRY INGREDIENTS that CONTAIN LACTOSE ll cheese – cream cheese, hard cheese, A cottage cheese, blue cheese etc. l All other animal milks l Butter / Ghee l Butter oil l Buttermilk l Cheese flavour/powder l Condensed milk l Cow’s milk – fresh or UHT Whole – Semi-skimmed – Skimmed – 1% fat l Cream – all types except coconut cream l Evaporated milk l Fromage Frais l Goat’s milk l Ice-cream l Milk powder – skimmed and full cream l Milk protein l Milk solids – dry milk solids l Sheep’s/Ewe’s milk l Yogurt l THE NOT SO OBVIOUS INGREDIENTS that CONTAIN LACTOSE Artificial creams Casein l Caseinate - ammonium, calcium, magnesium, potassium, sodium l Curds l Hydrolysed casein l Hydrolysed milk proteins l Hydrolysed whey / whey protein l Lactoalbumin / lactoalbumin phosphate l Lactoferrin l Lactose l Margarine – UNLESS ‘dairy free’ stated l Milk derivatives l Milk sugar l Modified milk l Non-dairy ice-cream l Non-fat milk solids l Opta – fat replacer l Rennet l Whey l Whey powder l Whey protein / concentrate l Whey solids l Whey syrup sweetener l l IMPORTANT NOTE: don’t forget to check and ask your pharmacists for dairy free versions of: MEDICINES and VITAMIN & MINERAL SUPPLEMENTS 14 Breakfast Mid morning Lunch Afternoon Evening meal Evening munchies much of it? What did I eat and/or drink and how drink anything. or eat you Complete immediately after How did I feel? SCORE 1- 4* Why not discover more about the Alpro range of products at www.alpro.com/uk Customer careline UK 0800 0 188 180 ROI 1800 992 878 www.alpro.com/uk/lactose-dairy-free Published July 2012
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