When Derrick Barreiro dines out, he has to make a quick cost-benefit analysis. Vegan dishes are a safe bet, but sometimes Mr. Barreiro, who is lactose intolerant, takes the risk and eats something that contains milk or cheese. In those cases, he opens his wallet, rips open a packet of Lactaid tablets and pops them into his mouth.

“People know I leave a trail of Lactaid wrappers wherever I go,” said Mr. Barreiro, a creative director in Brooklyn. “They’re like my bread crumbs.”

Even so, the supplements don’t always work. “It can still be a gamble even if I take a few before eating.”

Mr. Barreiro is exactly the type of person being targeted by a new class of supplements containing lactase — the enzyme that helps the body digest lactose, a sugar in dairy products — each promising higher efficacy, more convenient packaging, healthier ingredients or some combination of the three.

Khai Pham, the founder of Milky, created the brand because he could never remember to bring his Lactaid pills and wanted something that could fit in his wallet.Michelle McSwain for The New York Times

In 2023, Khai Pham left his job at an orthodontics start-up to create Milky, a supplement that contains about 20 percent more lactase than a Lactaid Fast Act tablet but is half as thick and can easily fit into a wallet.

We are having trouble retrieving the article content.

Please enable JavaScript in your browser settings.


Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.


Thank you for your patience while we verify access.

Already a subscriber? Log in.

Want all of The Times? Subscribe.