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Lactose Restricted Diet 

FOOD EXCHANGE MENU 

Bread & Cereal Exchange List: 

4 or more servings per day

• Whole wheat bread

• White bread (enr.)

• Cereals

• Pastas

• Potatoes

• Popcorn

• Brown rice

• Beans (dried)

• Green peas

• Lentils

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Avoid: Breads or cereals prepared with milk or milk products 

Fat Exchange List 

• Fortified margarine prepared without milk

• Vegetable oils

• Cream (non-dairy, powdered)

• Salad dressing without milk products

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Avoid: All others 

Fruit Exchange List: 

2 or more servings per day 

Meat and Meat Substitute Exchange List: 

6 or more servings per day

• Meat

• Fish

• Peanut butter

• Eggs

• Soybeans

• Shellfish

• Poultry

• Tofu

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Avoid: Any meats prepared or processed with milk products such as:

• Luncheon meats

• Cheese 

Milk Exchange List: 

2 or more servings per day

• Soybean milk and other lactose-free supplements

• Yogurt and buttermilk may be tolerated by some

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Avoid: All milks and milk products that are not recommended 

Vegetable Exchange List:

2 or more servings per day of fresh, frozen, or canned vegetables, both whole and juice

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Avoid: Vegetables that are prepared or processed with milk or milk products 

Miscellaneous Exchange List 

All beverages and soups prepared or processed without milk

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Avoid: All beverages and soups containing milk or milk products 

Note: Include six to eight cups of fluids, such as water, per day. 

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