Casein and whey are proteins found in cow, goat and sheep milk products. They should not, however, be confused with lactose “milk sugar.” These proteins are quite different. Most people who have difficulty digesting milk are lactose intolerant, meaning that they produce too little of the enzyme lactase that breaks down milk sugar so bacteria flourish in their gut to finish the job. This is a different problem than reacting to the proteins casein and whey. The Alcat Test may show a non-reactive result to milk and/or casein/whey in lactose intolerant patients. This disorder is due to a deficiency in the enzyme lactase, rather than specifically sensitivity to dairy products.
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A twelve month study (Gaining Optimal Asthma ControL, GOAL), in 3416 adult and adolescent patients with persistent asthma, compared the safety and efficacy of Seretide versus inhaled corticosteroid (Fluticasone Propionate) alone to determine whether the goals of asthma management were achievable. Treatment was stepped up every 12 weeks until ** total control was achieved or the highest dose of study drug was reached. GOAL showed more patients treated with Seretide achieved asthma control than patients treated with ICS alone and this control was attained at a lower corticosteroid dose.