Enzymes have a specific shape that allows them to bind to a specific substrate at the active site. They speed up chemical reactions by lowering the activation energy needed. An enzyme's activity is affected by temperature, pH, and substrate concentration. Temperature and pH can cause an enzyme to denature and lose its shape and function. The reaction rate increases with temperature until the enzyme denatures. Enzymes work most efficiently at an optimal pH and substrate concentration, beyond which there is no additional effect. Lactose in milk is broken down by the enzyme lactase into glucose and galactose, but some people lack this enzyme, causing lactose intolerance.