Diet relief with gout

by Nathan Wei, MD, FACP, FACR

Nathan Wei is a nationally known board-certified rheumatologist and author of the Second Opinion Arthritis Treatment Kit. It's available exclusively at this website... not available in stores.

Click here: Second Opinion Arthritis Treatment Kit

Information from the American Medical Association and the Arthritis Foundation

For people who would like to manage their gout without medicines, it may be possible to use diet first. Gout is a metabolic disorder where there is an excessive amount of uric acid.

This may be due to over production or underexcretion of uric acid. Uric acid is a byproduct of purine metabolism. Purines are substances that are found in certain foods.

Foods high in purines should be avoided.

Very high in purines

Heart and other "organ" meats

Moderately high in purines


What is the proper dietary treatment of gout? People with gout should:

• Avoid alcohol or drink alcohol in moderation
• Drink plenty of water and other fluids
• Maintain ideal body weight
• Lose weight if overweight but avoid fasting or quick weight loss diets since these can trigger a gout attack
• Avoid eating foods high in purines

What foods will help control gout attacks? The American Medical Association recommends the following dietary guidelines for people with gout, advising them to eat a diet:

• high in complex carbohydrates (fiber-rich whole grains, fruits, and vegetables)
• low in protein (15% of calories and sources should be soy, lean meats, or poultry)
• no more than 30% of calories in fat (with only 10% animal fats)

Recommended Foods To Eat

Fresh cherries, strawberries, blueberries, and other red-blue berries
Vegetables including kale, cabbage, parsley, green-leafy vegetables
Foods high in bromelain (pineapple)
Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes)
Drink fruit juices and purified water (8 glasses of water per day)
Low-fat dairy products
Complex carbohydrates (breads, cereals, pasta, rice, as well as aforementioned vegetables and fruits)
Chocolate, cocoa
Coffee, tea
Carbonated beverages
Essential fatty acids (tuna and salmon, flaxseed, nuts, seeds)
Tofu, although a legume and made from soybeans, may be a better choice than meat

Foods considered moderately high in purines but which may not raise the risk of gout include: asparagus, cauliflower, mushrooms, peas, spinach, whole grain breads and cereals, chicken, duck, ham, turkey, kidney and lima beans. It is important to remember that purines are found in all protein foods; however, all sources of purines should not be eliminated.

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