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Lactase is an enzyme. Like other enzymes, it is needed for a specific biochemical reaction in the body. The biochemical reaction that involves lactase breaks down lactose, a sugar in milk and milk products. Some people’s bodies do not make enough lactase, so they are not able to digest milk well. They can take supplemental lactase to help them break down lactose and tolerate milk. In these people lactase can prevent symptoms of lactose intolerance including cramps, diarrhea, and gas.