What Foods Can I Eat If I Have Gout

What Foods Should You Eat

Although a gout-friendly diet eliminates many foods, there are still plenty of low-purine foods you can enjoy.

Foods are considered low-purine when they have less than 100 mg of purines per 3.5 ounces .

Here are some low-purine foods that are generally safe for people with gout (20,

• Fruits: All fruits are generally fine for gout. Cherries may even help prevent attacks by lowering uric acid levels and reducing inflammation (
• Vegetables: All vegetables are fine, including potatoes, peas, mushrooms, eggplants and dark green leafy vegetables.
• Legumes: All legumes are fine, including lentils, beans, soybeans and tofu.
• Nuts: All nuts and seeds.
• Whole grains: These include oats, brown rice and barley.
• Dairy products: All dairy is safe, but low-fat dairy appears to be especially beneficial (
• Beverages:Coffee, tea and green tea.
• Herbs and spices: All herbs and spices.
• Plant-based oils: Including canola, coconut, olive and flax oils.

Eating To Prevent Gout

Gout is a painful form of arthritis caused by an excess of uric acid. This is a waste product made by the body. It builds up in the body and forms crystals that collect in the joints, causing a gout attack. Alcohol and certain foods can trigger a gout attack. Below are some guidelines for changing your diet to help you manage gout. Your healthcare provider can work with you to determine the best eating plan for you. You can learn which foods affect your gout more than others. Reactions to different foods can vary from person to person. Know that diet is only one part of managing gout. Take your medicines as prescribed and follow the other guidelines your healthcare provider has given you.

How Does Food Affect Gout

If you have gout, certain foods may trigger an attack by raising your uric acid levels.

Trigger foods are commonly high in purines, a substance found naturally in foods. When you digest purines, your body makes uric acid as a waste product .

This is not a concern for healthy people, as they efficiently remove excess uric acid from the body.

However, people with gout cant efficiently remove excess uric acid. Thus, a high-purine diet may let uric acid accumulate and cause a gout attack (

10 ).

Foods that commonly trigger gout attacks include organ meats, red meats, seafood,alcohol and beer. They contain a moderate-to-high amount of purines .

However, there is one exception to this rule. Research shows that high-purine vegetables do not trigger gout attacks .

And interestingly, fructose and sugar-sweetened beverages can increase the risk of gout and gout attacks, even though theyre not purine-rich (

16 ).

For instance, a study including over 125,000 participants found that people who consumed the most fructose had a 62% higher risk of developing gout .

On the other hand, research shows that low-fat dairy products, soy products and vitamin C supplements may help prevent gout attacks by reducing blood uric acid levels (

Summary: Foods can either raise or lower your uric acid levels, depending on their purine content. However, fructose can raise your uric acid levels even though it is not purine-rich.

Read Also: How Does Allopurinol Treat Gout

Is High Fructose Corn Syrup A Problem

Yes, absolutely. High-fructose corn syrup is a known factor for gout flare-ups because it raises uric acid levels in your body. Its also used in far more pre-packaged and processed foods than you might think. When youre grocery shopping, always check nutrition labels. If corn syrup is an ingredient in a product, dont buy it.

Weight Management And Exercise

The Arthritis Foundation emphasizes how important it is for people with gout to manage their weight.

Obesity is a risk factor for developing gout. If a person with gout has excess weight, losing a few pounds can help them:

• reduce pressure on painful joints
• lower the risk of heart disease
• build strength and flexibility

To achieve this, the person should ask a doctor about a suitable diet to help them manage their weight and an exercise plan.

Anyone who smokes should also ask a doctor to help them with a plan to quit.

The Mediterranean diet contains plants, grains, and healthy fats. It may help people manage their weight while encouraging them to eat healthily.

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Which Foods Should You Avoid When You Have Gout

Purines are compounds that are found in specific food and drink and they change to uric acid in the body. Most meat and seafood are high in purine and can increase uric acid levels in the body. These therefore should be limited during episodes of a gout attack and portion size should be reduced. Common examples of foods high in purine include anchovies, sardines, offal foods such as liver, kidney, sweetbreads, game, goose, minced meat, mussels, partridge, roe, scallops, herring, gravies, stock cubes and meat and yeast extracts.

The End Of Gout Your Fast Track Approach

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Eat more of these

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After the first 7 days I used Shellys advice to adapt the plan according to my own tastes.

Which was pretty easy the plan is full of options so you can try different foods and see what you like best.

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Best Diet For Gout: What To Eat What To Avoid

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Gout is a type of arthritis, an inflammatory condition of the joints. It affects an estimated 8.3 million people in the US alone (

Fortunately, gout can be controlled with medications, a gout-friendly diet and lifestyle changes.

This article reviews the best diet for gout and what foods to avoid, backed by research.

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Cereals Flour And Nuts

• Nuts are rich in fibre and very favorable for the body but in no way should you abuse these because, remember, they also have an important fat content.
• Whole grains, rice, wheat and oats are important sources of fibre that offer good contributions to people with gout and so you can add them to your diet.
• Avoid processed flours and sugars, as well as products that contribute nothing to your body like candy and pastries.

Ten Tips For Beating Gout

If you have gout, use these nutrition tips to lower your risk:

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Can Losing Weight Help Gout

If you are overweight, gradual weight loss can help lower uric acid levels and reduce the risk of gout attacks. However, it is important to avoid fasting or crash dieting, where you go without adequate food for long periods and lose weight rapidly. This type of dieting can actually increase uric acid levels and trigger a gout attack. A combination of balanced healthy eating and regular physical activity is the best way to lose weight safely. Talk to your doctor or see a dietitian for advice.

Tip #: Limit Meat Intake

While adopting a vegetarian diet may not be feasible for everyone, eating a diet rich in vegetables, grains and less meat can be very beneficial, especially for those who experience severe gout attacks. However, avoid vegetables like asparagus, cauliflower, spinach and mushrooms, because they are higher in purine than other types.

White meat, like chicken, is generally better to eat than red meats and turkey. But, any kind of meat should be consumed in moderation. Dr. Hiltz warns.

Also Check: Are Almonds High In Purines

What Fast Food Can I Eat With Gout

Im incredibly sorry for the delay.

The full detailed video on What Fast Food Can I Eat With Gout is now out:

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Do Certain Foods Cause Gout

There are many misconceptions about diet and gout. For example it is commonly thought that foods such as citrus foods cause gout. There is no evidence that this is true. However several studies have shown that people with gout are more likely to eat certain foods. These foods tend to contain high levels of purines, a substance that can be made into uric acid in the body. Purine-rich foods include:

• meat particularly red meat and offal, such as liver, kidneys and heart
• seafood particularly shellfish, scallops, mussels, herring, mackerel, sardines and anchovies
• foods containing yeast such as Vegemite and beer.

Also Check: Are Almonds Bad For Gout

You Can’t Avoid All Purines

There are too many sources of purines to eliminate them all from your diet. You will stay healthier overall if you eat some foods with purines. Remember that vegetable purines have never been shown to promote gout attacks, and that low-fat dairy products are protein sources that lower your risk of gout pain. People with gout can still enjoy meat in moderation, but should limit meat, fish, and poultry to 4 to 6 ounces a day.

Frequent Consumption Of Certain Fruits May Trigger Recurrent Gout Attacks

High sugar drinks may not be the only stimulant of gout flare ups.

Certain fruits which are a natural source of fructose have also been linked with gout.

This is a highly contentious area, because several studies have linked higher fruit intake with less incidence of gout. This is probably due to their high fibre content .

And unlike fruit juice and other sugar-sweetened drinks, whole fruits are nutritious and generally good for health. There is no disputing this.

However, if you continually have gout attacks despite cutting out alcohol and sugar-sweetened drinks then Im not convinced a large amount of fruits are safe for you. Especially if you are overweight and eat a Western diet.

So cutting back on certain very high-fructose fruits is like a Plan D, if you will.

The link comes back to fructose, which stimulates uric acid production in a similar manner to alcohol. Fructose is naturally found in fruit and honey.

One study found that the consumption of apples or oranges the most popular fruits in this study was linked with an increased risk of gout compared to those who consume less than one serving of fruit per month. No link was found with other fruits however .

While most fruits are very low in fructose, a few are very high. Frequent consumption of these could theoretically causes problems for gout sufferers.

Foods Highest in Fructose per 200 Calories :

Note this list is ranked on a per calorie basis, not per serving.

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What Fast Food Can I Eat With Gout: What You Must Know

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What Is The Recommended Diet For Gout Sufferers

There are no foods that can completely prevent the symptoms of gout, but a diet low in purines may help to reduce the frequency of attacks. Following a nutritionally balanced, healthy diet that is low in saturated and trans fats and rich in unprocessed foods can help to reduce the risk of gout attacks. Care needs to be taken with certain vegetables such as asparagus, beans, cauliflower, lentils, mushrooms and spinach as these contain medium levels of purines.

While these dont need to be avoided completely, portion size is important a moderate intake should not increase the risks of gout. All other vegetables should be eaten freely. There is also evidence to suggest that a high consumption of low-fat dairy products , limiting sugary drinks and having a daily vitamin C supplement of 500mg may reduce the risk of gout. Speak to your GP before starting new supplements or altering your diet to manage gout.

It is important to note that it is the quantity of purine-rich food consumed that is more important than the purine content in each food. However, if a patient is keen to measure quantities of food, a maximum total daily purine intake of around 200mg is recommended.

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Foods And Drinks To Avoid When You Have Gout

Alcohol is a trigger for gout attacks. When you drink, your kidneys work to filter out alcohol instead of uric acid, leaving uric acid to build up in your body. Beer is especially bad for gout because it has purines.Sugary drinks , sugary foods, and foods with high fructose corn syrup should be limited because of their connection to gout. There is less evidence about why these foods and drinks increase the risk of gout, but some connection has been found. Foods that are high in purines should be completely avoided since they contribute to creating uric acid in your body. These include:

• Anchovies
• Animal organs
• Dried beans and peas

Content courtesy of the National Institutes of Health :

Organ Meats Are Extremely High In Purines And Should Also Be Avoided

Organ meats, known as Offal, contain by far the most purines of any food in the human diet.

The most common forms of offal in the Western diet include liver , brain, heart, kidneys, and a mixture called Pâté.

Below is the purine content of a handful of foods. Note this is just an example Ive selected, and you can find much more extensive lists on Goutpal or here.

Purine Content of Food :

Consider that values listed are per 100 grams, so portion sizes must be taken into account Meat portions we eat tend to be heaviest.

Previous studies have not differentiated between intake of conventional meat and offal, so recommendations have to be the same. Given the strong link between meat intake and gout which is based on purine content alone offal should definitely be avoided too.

Somewhat contradictory to the purine-gout theory, consumption of purine-rich vegetables is not associated with an increased risk of gout .

Researchers speculate this could be due to a lower bioavailability of purines in vegetabes, as well as other nutrients which may offset the harmful effects of their purines.

Summary: Organ meats are some of the highest purine foods and should be completely avoided if you suffer gout attacks.

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