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Dairy & Alternatives — FODMAP Guide

Dairy products and alternatives rated by lactose content

8 Safe 7 Moderate 1 High

Low FODMAP (Safe)

Butter A — Low FODMAP

No. Butter is low-FODMAP and safe for IBS because it is almost entirely fat with only trace amounts of lactose. Standard cooking and spreading amounts are well-tolerated. Even people with lactose intolerance can usually eat butter without issues. Ghee (clarified butter) has virtually zero lactose.

Cheddar Cheese A — Low FODMAP

No. Cheddar and other hard aged cheeses are considered low-FODMAP because the aging process breaks down most of the lactose. They are generally safe for people with IBS in standard serving sizes (about 40g or two slices). Most people tolerate aged cheeses well without experiencing digestive symptoms.

Coconut Milk A — Low FODMAP

No. Coconut milk is low FODMAP at up to half a cup (125ml) and is a well-tolerated dairy alternative for people with IBS and lactose intolerance. Canned coconut milk and coconut cream are both safe at this serving size. Larger portions may contain moderate sorbitol levels.

Coconut Yogurt A — Low FODMAP

No. Plain coconut yogurt is low-FODMAP and lactose-free, making it a safe dairy alternative for people with IBS. A serving of 125g (about half a cup) is well tolerated. Avoid varieties with added high-FODMAP sweeteners like honey, agave, or high-fructose corn syrup.

Feta Cheese A — Low FODMAP

No. Feta cheese is low-FODMAP and safe for IBS at up to 125g per serving. The brining and aging process significantly reduces lactose content compared to fresh cheeses like ricotta or cottage cheese. Feta adds excellent flavor to salads and Mediterranean dishes on a low-FODMAP diet.

Goat Cheese A — Low FODMAP

No. Aged goat cheese (chèvre) is low FODMAP at typical serving sizes of about 40g. The aging process reduces lactose content significantly. Goat cheese is often better tolerated than cow milk cheeses by people with dairy sensitivities, making it a popular choice on low-FODMAP diets.

Lactose-Free Milk A — Low FODMAP

No. Lactose-free milk has the lactose pre-digested using the enzyme lactase, making it safe for people with IBS who are lactose-sensitive. It provides the same nutrition and taste as regular milk without the FODMAP content. Most people tolerate it well in standard serving sizes (up to about 250ml).

Parmesan A — Low FODMAP

No. Parmesan is low FODMAP because the extended aging process (12-36 months) breaks down virtually all lactose. It is one of the safest cheeses for people with IBS and can be enjoyed freely on pasta, salads, and in cooking without FODMAP concerns.

Moderate FODMAP (Portion-Dependent)

Coconut Cream B — Moderate FODMAP

Moderate. Coconut cream is low-FODMAP at small servings (60ml) but becomes moderate to high-FODMAP at larger portions due to its sorbitol content. It is thicker and more concentrated than coconut milk, so the FODMAP load per serving is higher. Stick to small amounts and consider using coconut milk as a lighter alternative.

Cottage Cheese B — Moderate FODMAP

It depends on the portion. Two tablespoons of cottage cheese (about 36g) are low FODMAP, but larger servings contain enough lactose to trigger symptoms. Lactose-free cottage cheese is a safe alternative at any portion size. Regular cottage cheese retains more lactose than aged cheeses.

Cream Cheese B — Moderate FODMAP

It depends. Regular cream cheese contains moderate lactose and is considered moderate-FODMAP at standard servings (2 tablespoons / 30g). Smaller portions are usually tolerated. Lactose-free cream cheese is a safe alternative. The high fat content may also worsen symptoms in some IBS patients independently of lactose.

Greek Yogurt B — Moderate FODMAP

It depends. Greek yogurt is moderate-FODMAP due to its reduced lactose content from the straining process. A small serving of 2 tablespoons (23g) is considered low-FODMAP by Monash University, but larger portions can trigger symptoms in lactose-sensitive individuals.

Oat Milk B — Moderate FODMAP

It depends on the amount. Small portions of oat milk (up to about 30ml) are low-FODMAP and tolerated by most people with IBS. However, larger servings become moderate to high in GOS and fructans, which can trigger bloating and discomfort. Almond milk is a safer daily alternative.

Soy Milk B — Moderate FODMAP

It depends. Soy milk made from soy protein extract is low FODMAP and safe for IBS. However, soy milk made from whole soybeans is high FODMAP due to GOS (galacto-oligosaccharides) content. This crucial distinction makes reading labels essential — check whether the ingredients list soy protein isolate/extract (safe) or whole soybeans (avoid).

Yogurt B — Moderate FODMAP

It depends on the type. Regular yogurt is moderate in lactose and may trigger IBS symptoms in sensitive individuals. Greek yogurt and lactose-free yogurt are better options, as they contain significantly less lactose. Small servings (about 3/4 cup or 200g of lactose-free) are generally well tolerated.

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