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Old 12-27-2015, 06:11 AM
 
26,937 posts, read 43,449,157 times
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I have been recently diagnosed with Gout and after a couple of flares have settled down thanks primarily to switching over to Allopurinol. However in my research into the best diet and what to eat/not eat I have run into some serious contradictions regarding purines (the element in food that causes gout inflammation for those susceptible). The premise it seems is the higher the fat count the higher the occurrence of purines, yet low fat options from the "avoid" list such as Pork for example are still considered bad options. If one is having a lean cut of Pork such as tenderloin or loin chop which roughly equals the fat content of Chicken (on the "good" list), how is that still "bad"? It seems there isn't a whole lot of good information (i.e. lacking in research) for the public to check out and was hoping someone who suffers with Gout has found a study or article that better explains variances within certain foods, or is a bit more thorough overall than what I've found so far. Thanks!
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Old 12-27-2015, 11:20 AM
 
Location: OH>IL>CO>CT
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In 1994 I was diagnosed with gout after 2 major attacks. Have been on 300mg allopurinol since then. I too found that listings of foods to avoid were contradictory. Early on, beef or wine would still cause twinges, but pork and chicken were good. Years later now, still on RX, but can have beef or wine occasionally. It seems as along as the allopurinol keeps my uric acid levels below 6, I don't have to watch food intake too religiously.

So maybe for you a bit of experimentation may find what foods work for you, and have blood tests for uric acid levels done to see how effective the drug is.

Good luck.........
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Old 12-27-2015, 07:22 PM
 
Location: Fredericksburg, Va
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The Allopurinal should keep you stable....hubby had gout, and has been on Allopurinal for YEARS...no more flares....no major dietary restrictions, either.
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Old 12-30-2015, 11:14 AM
 
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Quote:
Originally Posted by kyle19125 View Post
However in my research into the best diet and what to eat/not eat I have run into some serious contradictions regarding purines (the element in food that causes gout inflammation for those susceptible).
That is correct.

Relatively little research has been conducted into the causes and treatments of gout. For something so common, its causes and treatments are poorly understood in the medical community.

Quote:
The premise it seems is the higher the fat count the higher the occurrence of purines
The premise about 'purines' is based on proteins causing gout. I don't consider the theory to be accurate, but I also cannot disprove it definitively. There is LONG list of foods that have purines, but I personally recommend ignoring any list based on the purine theory.

The best study I've seen, i'll see if I can dig up for you, but it was conducted several years ago. It tells you which foods are correlated positively and negatively with gout attacks.

summary:
http://www.health.harvard.edu/family...cting-gout-the

full study:
http://www.nejm.org/doi/pdf/10.1056/NEJMoa035700

Last edited by le roi; 12-30-2015 at 11:25 AM..
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Old 12-30-2015, 11:20 AM
 
22,768 posts, read 30,635,191 times
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Based on my accumulated knowledge of reading academic studies, I can give you a list of things I'm fairly certain of :

a. Foods that will probably cause gout:

Shrimp/shellfish
sausages/animal organs
red meat / beef / lamb
high-sugar drinks, like juice
alcohol
yeast

b. Foods that are likely to prevent a gout attack:
skim milk
(sorry, that's it.)


c. Foods that will reduce the swelling of your gout attacks:
blueberries (in small amounts, since the sugars can be problematic.)
black rice / "emperor's rice"
purple potatoes (south american.)

^ these all contain a natural anti-inflammatory compound.

Also : Colchicine / Colcris will stop a gout attack before it begins, if you time it properly. Some of the other newer, more sophisticated uric acid medications are powerful with negative side-effects, and probably something you only want to take if you're unable to manage your gout with diet.

Last edited by le roi; 12-30-2015 at 11:28 AM..
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