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I don't think the lettuce is the problem. The problem is getting good tomatoes that taste like tomatoes instead of the hard tasteless tomatoes from the supermarket.
Iceberg lettuce is a fairly common food sensitivity problem for those of us with leaky gut. Y'all are welcome to any I am served. I can be fun to watch eating Taco Bell tacos from the bottom and leaving the top.
For many sandwiches, spinach and muenster (or swiss) cheese can be a good addition.
When dining in a strange restaurant or cafe, I often order a BLT. I also make them in the summer with fresh beefsteak type tomatoes. We like a slice of provolone or Swiss sandwich cheese on ours.
The best sandwiches are made with good bacon and fresh, in season tomatoes. But often I order them when eating in strange restaurants, because they are hard to mess up.
Since I can no longer have bread, I shred lettuce into a bowl, crumble bacon on it, dice a good Roma tomato, toss some shredded cheese and chunks of avocado, and make a mustard vinaigrette for a dressing. It's a fine substitute.
I never, ever used mayo on my BLT. Yuck! Always mustard for me.
If lettuce is in the fridge I use it. If not then no big deal. I just use more bacon. I'm not a purist for the sandwich as I add a thin slice of onion and some special pickles that are a little spicy and jalapeno pepper rings. I've been known to dump the mayo and use ketchup and mustard even... I can use straight mayo too. One of my musts is a good multi grain bread. For an added touch toasting the bread when mayo is used just seams right.
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