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4. Colonic compensation by production of Short Chain Fatty Acids (SCFA)
  • Up to 75 % of lactose passes unabsorbed through the small intestine toward the cecum and colon in individuals with lactase deficiency
  • Colonic microflora convert lactose to SCFA and hydrogen gas
  • SCFA are absorbed by the colonic mucosa, thereby salvaging the malabsorbed lactose for energy utilization

Reduced levels of, which can occur following antibiotic use, will also be associated with increased symptoms following lactose ingestion, especially in a lactase-deficient individual.