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The enzyme that splits lactose into glucose and galactose is called lactulose assay, and it is located on the surface of the cells lining the small intestine.There are some issues in the current protocol for lactose HBT. Some data suggest that lactulose assay tolerance test may be as good as or more sensitive than lactose HBT. Lactose dose of 50 g, as suggested in the current protocol, may be too high and non-physiological.

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