Lactose issues are fascinating. Some peop’e are triggered by pasturized milk, others can't handle milk at all. Some people can only handle cooked milk, others cheese until limits. For some lactose works, and for others not - to the point of upsetting stomachs. There's even compelling annecdotes (to my knowledge, no research) indicating that adding a couple of drops of any citrus to milk helps some people.
For some reason this all blows my mind.
I can drink milk with no digestive distress, but within a week will have a full face of acne.
Spent many years and many thousands of $$ on skincare products trying to figure that out. I now avoid dairy and have excellent skin.