Health gout low purine food list
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.
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Gout is a painful types of arthritis.
Gout is characterized by sudden, severe bouts of redness, swelling, warmth, pain, and inflammation in one or more joints. Most commonly the big toe is the initial joint involved, but other joints may be involved initially or become involved in recurring attacks of gout.
Gout is the result of deposits of needle-like uric acid crystals in the joints and other tissues. Uric acid is the end-product caused by the breakdown of purines. Purines are naturally found in many foods.
Excess uric acid (hyperuricemia) in the body can be caused by:
- an increase in production of uric acid by the body
- under-elimination of uric acid by the kidneys
- increased intake of foods high in purines
Medications can be prescribed to help control gout and there are lifestyle recommendations. People with gout are advised to:
- avoid alcohol or drink alcohol in moderation
- drink plenty of water and other fluids
- maintain an ideal body weight
- lose weight if overweight but avoid fasting or quick weight loss schemes
- avoid eating foods high in purines
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)
Foods that make up a sensible relatively low purine diet...
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)
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.
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