<human>:  If someone is lactose intolerant, do they have to avoid cream?
<bot>: Yes, if someone is lactose intolerant, they should avoid cream. People with lactose intolerance are unable to fully digest the sugar (lactose) in milk and cream is a dairy product composed of the higher-fat layer skimmed from the top of milk before homogenization, so cream contains milk and people with lactose intolerance should avoid cream.