Low purine foods

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

Gout is a disorder where there is an excessive amount of uric acid present.

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

Foods high in purines should be avoided.

Those foods that are very high in purines


Foods that are moderately high in purines


What is the proper dietary treatment of gout? Medications can be prescribed to control gout and there are lifestyle recommendations. People with gout are advised to:

• Avoid alcohol or drink alcohol in moderation
• Drink plenty of water
• Maintain ideal body weight
• Lose weight if heavy but avoid fasting or quick weight loss schemes
• Avoid eating foods high in purines

Dietary restrictions suggest what people should not eat, but what should people eat? 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 including skim milk
Complex carbohydrates (breads, cereals, pasta, rice
Chocolate, cocoa
Coffee, tea
Omega acid rich foods (tuna and salmon, flaxseed, nuts, seeds)

Avoid beverages (eg, soft drinks) and foods that contain corn syrup!

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. One caveat: all sources of purines should not be eliminated.

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