Gout Flare Pain
Also called “gouty arthritis,” gout is a painful form of arthritis caused by too much uric acid in the body. The painful flare-ups may be concentrated in the big toe (a symptom known as podagra), as well as swelling and pain in the ankles, knees, feet, wrists or elbows. Flare-ups last days in the beginning, but can become progressively longer. Left untreated, gout can cause permanent damage to joints and kidneys, according to the National Institutes of Health (NIH). Gout is most commonly seen in men, particularly those between the ages of 40 and 50. It is a very common disease. Six million adults age 20 and older have reported being diagnosed with gout according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).
Is a healthy diet important to gout control? ABSOLUTELY! However, focusing solely on purines can lead to trouble. Only 30% of uric acid production stems directly from the purines in foods. The other 70% is manufactured from the dying cells in our body. Cells die at a much higher rate in the presence of unhealthy and unbalanced diets, stress, medications, environmental toxins, weight problems, and our overall lifestyle.
We cannot fully control all of the toxins and acids in our environment that contribute to our cellular degeneration. Perfect diets can be quite challenging, if not impossible. We MUST approach gout healing and continued gout control with a fully comprehensive plan including diet, lifestyle, vitamins, and supplement(s) to provide the best support system possible.
Purines are found in every plant and animal cells. Purines include adenine, guanine, hypoxanthine, and xanthine. Purines constitute one of the major parts of our genetic codes, DNA and RNA, and energy molecules such as ATP, GTP and coenzyme A. Purine molecules are essential to all of life.
Many chronic gout sufferers are almost always bordering a high level where any one meal can push them over the edge and into an attack. The combination of both a high purine AND high acid meal can prove to be too much. This is why many people believe that a specific food is the cause of their gout attack; however, it is usually just what happens to tip that "already full cup" over and into an attack.
You must bring your uric acid down to a manageable level in order to gain some flexibility in your diet. Once again, this is where vitamins and supplements are necessary to provide your body with all of the tools that are crucial to uric acid management. You must enhance the body's ability to fight this disease, and diet alone can make this a daunting task.
Healthy, low purine foods should always remain a part of the balance you are aiming for. The better option would be to focus more on pH balance, as a whole. pH balanced meals and lifestyles can further your quest for healthy cell protection, thereby reducing your overall uric acid load. pH balance also aids to reduce the inflammatory response in the body that sends your organs into a frenzy and allows uric acid to be freely stored to be "dealt with" later.
Acid/ Alkaline base has to be in balance. If not, our organs and bones often end up providing the alkaline buffers. This leads to chronic degenerative diseases. Remember, in order to remain healthy or improve your health, the ph of your body must be slightly alkaline.
We can and must further support our needs and alkaline buffers through vitamins and supplements.
FRUITS Apple
Apricot
Avocado
Banana (high glycemic)
Cantaloupe
Cherries
Currants
Dates/Figs
Grapes
Grapefruit
Lime
Honeydew Melon
Nectarine
Orange
Lemon
Peach
Pear
Pineapple
All Berries
Tangerine
Tomato
Tropical Fruits
Watermelon
PROTEIN
Eggs
Whey Protein Powder (grass fed sources only with no sugar/fake sugars- stevia is fine)
Cottage Cheese
Chicken Breast
Yogurt
Almonds
Chestnuts
Tofu (fermented soy ONLY)
Flax Seeds
Pumpkin Seeds
Tempeh (fermented)
Squash Seeds
Sunflower Seeds
Millet
Sprouted Seeds
Almond Nuts
Pistachio Nuts
Avoid nuts packaged or roasted in oil
OTHER Apple Cider Vinegar
Bee Pollen
Lecithin Granules
Probiotic Cultures
Green Juices
Veggies Juices (homemade)
Organic Milk
(unpasteurized)
Mineral Water
Alkaline Antioxidant Water
Green Tea
Herbal Tea
Dandelion Tea
Ginseng Tea
Banchi Tea
Kombucha
Coconut oil (unrefined, virgin)
SWEETENERS
Stevia
SPICES/SEASONINGS
Cinnamon
Curry
Ginger
Mustard
Chili Pepper
Himalayan Salt
Miso
Tamari
All Herbs
ORIENTAL VEGETABLES
Maitake
Daikon
Dandelion Root
Shitake
Kombu
Reishi
Nori
Umeboshi
Wakame
Sea Veggies
ACIDIFYING FOODS
FATS & OILS Avocado Oil
Canola Oil
Corn Oil
Hemp Seed Oil
Flax Oil
Lard
Olive Oil
Safflower Oil
Sesame Oil
Sunflower Oil
FRUITS
Cranberries
GRAINS
Rice Cakes
Wheat Cakes
Amaranth
Barley
Buckwheat
Corn
Oats (rolled)
Quinoa
Rice (all)
Rye
Spelt
Kamut
Wheat
Hemp Seed Flour
DAIRY
Cheese, Cow
Cheese, Goat
Cheese, Processed
Cheese, Sheep
Milk
Butter
NUTS & BUTTERS Cashews
Brazil Nuts
Peanuts
Peanut Butter
Pecans
Tahini
Walnuts
ANIMAL PROTEIN
Beef
Carp
Clams
Fish
Lamb
Lobster
Mussels
Oyster
Pork
Rabbit
Salmon
Shrimp
Scallops
Tuna
Turkey
Venison
PASTA (WHITE)
Noodles
Macaroni
Spaghetti
OTHER
Distilled Vinegar
Wheat Germ
Potatoes
DRUGS & CHEMICALS Chemicals
Drugs, Medicinal
Drugs, Psychedelic
Pesticides
Herbicides
ALCOHOL
Beer
Spirits
Hard Liquor
Wine
BEANS & LEGUMES
Black Beans
Chick Peas
Green Peas
Kidney Beans
Lentils
Lima Beans
Pinto Beans
Red Beans
Soy Beans
Soy Milk
White Beans
Rice Milk
Almond Milk
ACID PRODUCING ACTIVITIES & EMOTIONS
Overwork
Anger
Fear
Jealous
Stress
We know that overeating promotes the inflammatory response and suppresses the immune system. Obesity can affect the heart, blood flow, friendly bacteria levels and nutrient assimilation appointing excess strain on these organs and their essential functions. As a result, extra uric acid production is common. Moreover, the typical diet involved in obesity cases is rarely conducive to healthy uric acid balance.
Heavy, red-meat-based diets or lots of sugar-laden foods would definitely have a negative impact on immune function and promote inflammation, whereas calories in the form of fruits, vegetables, legumes, nuts and seeds would improve immunity.
It is known that even an extra 20 pounds can create an abundance of inflammation in the human body and lower overall immunity. Weight management is an important aspect of maintaining a balanced immune system and controlling inflammatory conditions such as Gout.
Is the Atkin's diet a problem for Gout sufferers? Are other fast weight loss methods problematic?
The Atkins Diet is a high protein and highly acidic approach to weight loss. This diet holds little to no alkaline balance, a balance essential to maintaining healthy body environment. Acidic body conditions allow for disease growth.
Consequently, diets like these can drastically increase your chances, and even directly contribute to, Gout and other degenerative disease development. Crash diets deplete the body of vital nutrients, creating an acidic body environment, and release stored purines from the body fat in the process. As you know, excess purine release results in even further uric acid production.
A healthy weight is essential to gout and disease control.
Fast and unnatural weight loss methods are dangerous to your health AND increase uric acid levels in the body. Purines are stored in fat cells. When they are released too quickly, overload is inevitable. Your body needs the time to slowly deal with the purine release in order to excrete it from the body and avoid even more uric acid production and storage.
Low fat and fat free foods are rarely recommended by us. In most cases, they aren't any "better", and can raise even more health concerns.
Most of these foods are chemically altered and processed to achieve the fat removal and often replaced with even more undesirable ingredients, like sugar, to enhance their taste. Fat restrictions can go way too far and can be equally as dangerous as a diet too heavy in all the wrong fats.
MedicineNet.com defines fat as follows: "along with proteins and carbohydrates, [fat is] one of the three nutrients used as energy sources by the body. The energy produced by fats is 9 calories per gram."
Fats are essential to our energy, our cell health, our mental health, the regulation of our hormones, our nutrient absorption, and more.
Health Risks Involved with Fat Restrictive Diets
Vitamin Absorption:
Fat soluble vitamins such as A, D, E, and K require healthy dietary fats in order to utilize them properly. These vitamins are responsible for cell growth, immunity, blood clotting, and more. They are stored mainly in the liver and fat tissue and require proper fat intake to perform their bodily functions and avoid dangerous deficiencies.
Nutrient Imbalances:
Diet balance is essential. When you reduce one area too much, such as fats, you will likely increase in other areas such as carbs and proteins. Carbohydrate-rich diets increase your risk of Diabetes II and typically inflates the appetite. High-protein diets place unhealthy strain on the liver and kidneys with its overly acidic qualities. Disease prevention and proper nutrition relies heavily on the balance of all three macronutrients.
Heart Disease:
We need our HDL (the good) cholesterol levels to be high in order to fight heart disease. HDL collects the bad cholesterol, LDL, and carries it to the liver in order to be excreted from the body. When these ratios are imbalanced by way of a diet too low in fat, you face cholesterol problems and increase your risk for heart disease. Fatty acids, such as Omega-3's are essential to this necessary balance.
Mental Disorders:
Essential fatty acids play a large role in our mental health, our moods and behavior. They directly affect the hormones and chemicals in our brain. Fat/diet imbalances have been linked to conditions such as depression, bipolar disorder, eating disorders, schiszophrenia, and ADHD.
Cancer:
Low intake of essential fatty acids have also been linked to cancers such as prostate, breast, and colon. Omega-3 fats have been shown to slow the unhealthy cell and tumor growths.
Eating habits:
Low-fat and fat-free foods can cause us to overeat empty calories. Because these foods are chemically altered and enhanced with sugars you'll often find the full-fat versions are very similar in calories. You are basically trading one overly processed and sugared version for a healthier option similar in caloric value. Make any sense? We don't think so. These empty calorie versions just make you crave even more, and in turn overeat because as a result. Choosing full fat versions can provide you the fullness and satiety needed to get your through to the next meal and avoid the processed low-fat versions that leave you hungry and craving for more.
Not all fats are created equal. There are also some major misconceptions about saturated fats. Hint: They're not all evil! Foods such as avocados, coconut oil, raw nuts, olive oil (unheated), tuna, salmon, and raw seeds can be considered "healthy" fats. We even recommend full-fat sour dairy. Avoid trans-fats such as hydrogenated oils.
By and large, blood pH is the most accurate way of measuring our health and body functioning. However, this cannot be done at home and is rarely done professionally, either. Urine and saliva pH test results can be rather telling about our overall health and the capability of uric acid excretion. This type of testing can be done at home.
Test your urine over a 48 hour period, 4 to 6 times a day -- one upon waking one, 1 hour after breakfast, 1 hour after lunch, 1 hour after dinner and before bed. If you wake at night to urinate, we advise to test that one also. Record your results.
Is sugar a major contributor to uric acid problems?
YES!! Fructose increases uric acid through a complex process that causes cells to burn up their ATP rapidly, leading to "cell shock" and increased cell death (remember 70% of uric acid production comes from the death of your cells!) After eating excessive amounts of fructose, cells become starved of energy and enter a state of shock, just as if they have lost their blood supply. Massive cellular die-off leads to increased uric acid levels.
HCFS, or High Fructose Corn Syrup, is lurking in almost every processed food imaginable. According to Dr. Hyon Choi and colleagues from Boston University, drinking high fructose syrup laden beverages increases uric acid levels in the blood, which eventually deposits into the joints where it causes gout..
How Can We Avoid HFCS (high fructose corn syrup)?
The first food to go has to be the soft drinks; this includes fruit punch, fruit cocktails, and Kool-Aid since they are all laden with HFCS.
Second, eat more meals at home. Restaurant foods are mostly prepackaged foods reheated and served to you. Use of HFCS in these foods is wide spread because of their increased shelf life.
While shopping, read the labels, if HFCS, fructose, or modified corn starch appears within the first five ingredients place it back on the shelf an move on. Sounds easy right? Wrong. As you make your way through the store you will begin to realize just how much of what you have been eating on a daily basis contains HFCS.
Reducing HFCS will not always be easy, but the health benefits are well worth it. You will feel stronger and more vital, it will lift your mood and give you increased concentration. Limiting your intake of HFCS will not only shrink your midsection, but also do wonders for your over all health.
The Dangers of Too Much Sugar
The parallels between fructose and the increase in diseases such as Diabetes, Obesity, Gout and more, are virtually undeniable. Several decades ago the average American only consumed around 15g of fructose each day. Compare that to the average of 55g per day now consumed, with adolescents reaching upwards of 75g, and we may just have a strong link to the rise in inflammation and disease.
Almost every cell in our body uses glucose for energy. When fructose fuses with glucose, sucrose is produced. Our livers are the only source capable of metabolizing fructose. Fructose cannot be used for energy by our body's cells. Therefore, high levels of fructose are seen and treated as a toxin in our body. As the liver breaks this down, an end product of that reduction is created in the form of a fat known as triglycerides. This fat can build up in the cells of the liver and cause damage to the liver. When this fat is released into the bloodstream, plaque on the artery walls begins to build.
Fructose increases uric acid through a complex process that causes cells to burn up their ATP rapidly, leading to "cell shock" and increased cell death (remember 70% of uric acid production comes from the death of your cells!) After eating excessive amounts of fructose, cells become starved of energy and enter a state of shock, just as if they have lost their blood supply. Massive cellular die-off leads to increased uric acid levels. Uric acid can also shut down the production of nitric oxide, a substance needed to protect our artery walls from damage.
Excess sugar can also cause insulin resistance, leptin resistance, addictive cycles of cravings, and binge eating. Some have attributed the "low-fat craze" of the 80's and 90's to the drastic increase in sugar consumption. Unfortunately, during these dietary guideline changes we traded some healthy fats for sugar, a trade that may have cost us our health.
HCFS, or High Fructose Corn Syrup, is lurking in almost every processed food imaginable. According to Dr. Hyon Choi and colleagues from Boston University, drinking high fructose syrup laden beverages increases uric acid levels in the blood, which eventually deposits into the joints where it causes Gout.
READ your food labels and steer clear of processed/boxed foods as much as possible. Often time, high-fructose corn syrup is the top ingredient. AVOID!! Avoid substitute sugars such as aspartame, sucrolose/splenda, saccharin, Acesulfame-K. Each is full of undesirable side effects and cancer-causing agents. Do your homework, they are pure poison!! Should you feel the need to sweeten any of your fresh foods, consider a natural sweetener such as Stevia.
One should aim to stay under 25 grams of total fructose per day. This can add up quickly with processed foods and juices! Avoid your simple carbs as much as possible -- bread, pastry, pasta = sugar. Any sugar you do consume each day should come only/mainly from fruit. See our fructose chart to gain some perspective on how quickly 25g can add up with just fresh fruit alone:
Also called “gouty arthritis,” gout is a painful form of arthritis caused by too much uric acid in the body. The painful flare-ups may be concentrated in the big toe (a symptom known as podagra), as well as swelling and pain in the ankles, knees, feet, wrists or elbows. Flare-ups last days in the beginning, but can become progressively longer. Left untreated, gout can cause permanent damage to joints and kidneys, according to the National Institutes of Health (NIH). Gout is most commonly seen in men, particularly those between the ages of 40 and 50. It is a very common disease. Six million adults age 20 and older have reported being diagnosed with gout according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).
GOUT DIET AND GOUT SAFE FOOD- WHAT IS WRONG AND WHAT IS RIGHT?
Why do low-purine Gout diets alone fail to resolve Gout?
Is a healthy diet important to gout control? ABSOLUTELY! However, focusing solely on purines can lead to trouble. Only 30% of uric acid production stems directly from the purines in foods. The other 70% is manufactured from the dying cells in our body. Cells die at a much higher rate in the presence of unhealthy and unbalanced diets, stress, medications, environmental toxins, weight problems, and our overall lifestyle.
We cannot fully control all of the toxins and acids in our environment that contribute to our cellular degeneration. Perfect diets can be quite challenging, if not impossible. We MUST approach gout healing and continued gout control with a fully comprehensive plan including diet, lifestyle, vitamins, and supplement(s) to provide the best support system possible.
Purines are found in every plant and animal cells. Purines include adenine, guanine, hypoxanthine, and xanthine. Purines constitute one of the major parts of our genetic codes, DNA and RNA, and energy molecules such as ATP, GTP and coenzyme A. Purine molecules are essential to all of life.
Meat (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Mutton Chop | 61 | 146 |
Mutton Saddle |
81
|
195
|
Veal, lean |
63
|
150
|
Sweetbreads |
525
|
1260
|
Veal Chop |
52
|
125
|
Veal Liver |
182
|
460
|
Veal Kidney |
88
|
210
|
Lamb, lean |
76
|
182
|
Horse Meat |
83
|
200
|
Beef Heart |
107
|
256
|
Bovine Liver |
231
|
554
|
Bovine Lung |
166
|
399
|
Bovine Kidney |
112
|
269
|
Beef Tongue |
67
|
160
|
Beef, lean |
58
|
140
|
Pork, lean |
63
|
150
|
Pork Liver |
125
|
300
|
Pork Kidney |
139
|
334
|
Pork Shoulder, raw |
63
|
150
|
Pork Shoulder, roast |
83
|
200
|
Pork Shoulder, skin |
116
|
280
|
Pork Chops |
49
|
118
|
Roast Hare |
71
|
170
|
Venison |
67
|
160
|
Rabbit |
60
|
145
|
Sausage and Ham (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Black Pudding | 38 | 90 |
Bratwurst |
54
|
130
|
Meat Extract |
1459
|
3500
|
Meat Loaf |
58
|
130
|
Frankfurter Sausages |
54
|
130
|
Mortadella |
54
|
130
|
Ham, cooked |
83
|
198
|
Ham, smoked |
84
|
200
|
Fish (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Trout |
83
|
200
|
Pike |
58
|
140
|
Halibut |
123
|
294
|
Herring |
79
|
194
|
Herring Fillet |
88
|
210
|
Herring Roe |
79
|
190
|
Cod |
63
|
150
|
Carp |
63
|
150
|
Salmon |
68
|
163
|
Mackerel |
60
|
145
|
Mackerel, raw, with skin |
167
|
400
|
Mackerel, raw, without skin |
75
|
180
|
Redfish |
100
|
241
|
Sardine |
144
|
345
|
Haddock |
54
|
130
|
Plaice |
58
|
140
|
Plaice, raw, with skin |
71
|
170
|
Plaice, raw, without skin |
54
|
130
|
Sole |
55
|
131
|
Tuna |
107
|
257
|
Pike |
46
|
110
|
Poultry (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Duck |
64
|
153
|
Pheasant |
62
|
150
|
Goose |
69
|
165
|
Chicken Leg, roasted |
98
|
235
|
Chicken with Skin, roasted |
125
|
300
|
Turkey |
50
|
120
|
Chicken Liver |
101
|
243
|
Mushrooms (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Portabella Mushrooms |
25
|
60
|
Chanterelles |
13
|
30
|
Porcini |
34
|
80
|
Fish Products (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Eel, smoked | 48 | 115 |
Anchovies |
108
|
260
|
Herring with skin, fried |
88
|
210
|
Herring without skin, fried |
67
|
160
|
Bow with skin |
100
|
240
|
Bow without skin |
60
|
145
|
Caviar |
60
|
145
|
Salmon, smoked |
100
|
242
|
Mackerel, smoked |
76
|
182
|
Herring |
91
|
219
|
Sardines with skin |
146
|
350
|
Sardines without skin |
88
|
210
|
Sardines in oil |
200
|
480
|
Sprat, smoked |
223
|
535
|
Tuna in oil |
121
|
290
|
Shellfish and Crustaceans (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Oyster | 38 | 90 |
Shrimp |
61
|
147
|
Lobster |
73
|
175
|
Cancer |
25
|
60
|
Mussel |
154
|
370
|
Fruit (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Pineapple | 8 | 20 |
Apple |
6
|
15
|
Apricot |
8
|
20
|
Apricot, dried |
32
|
75
|
Banana |
11
|
25
|
Pear |
6
|
15
|
Blackberries |
5
|
15
|
Date |
21
|
50
|
Strawberries |
11
|
25
|
Banana |
11
|
25
|
Blueberries |
8
|
20
|
Raspberries |
8
|
18
|
Cherry |
6
|
15
|
Orange |
8
|
20
|
Peach |
8
|
18
|
Cranberries |
5
|
13
|
Watermelon |
8
|
20
|
Grape, blue |
8
|
20
|
Grapes, white |
8
|
20
|
Plum |
8
|
20
|
Drinks with and without Alcohol (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Apple Juice | 3 | 8 |
Beer |
27
|
65
|
Beer Yeast |
1248
|
2995
|
Beer without alcohol |
1
|
3
|
Coffee |
0
|
0
|
Orange Juice |
5
|
12
|
Champagne |
0
|
0
|
Spirits |
0
|
0
|
Tea |
0
|
0
|
Wine |
0
|
0
|
Legumes and Soybeans (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Beans, white | 75 | 180 |
Peas |
62
|
150
|
Peek |
84
|
200
|
Soybeans |
92
|
220
|
Soybean Flour |
123
|
296
|
Tofu |
29
|
70
|
Soy Sauce |
25
|
60
|
Cereals, Rice, Noodles (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Buckwheat | 62 | 149 |
Barley |
34
|
82
|
Semolina |
23
|
55
|
Oatmeal |
42
|
100
|
Millet |
35
|
85
|
Rice, unprocessed, cooked) |
15
|
35
|
Rice, white, cooked |
10
|
25
|
Rye, whole grain |
20
|
47
|
Sago |
34
|
82
|
Starch |
0
|
0
|
Tapioca |
37
|
89
|
Whole Grain Bread |
35
|
84
|
Wheat, whole grain |
17
|
40
|
Wheat Flour |
8
|
20
|
Noodles, cooked |
22
|
52
|
Whole Wheat Pasta, cooked |
21
|
50
|
Nuts and Seeds (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Peanuts | 42 | 100 |
Hazelnuts |
13
|
30
|
Almonds |
13
|
30
|
Pecans |
13
|
30
|
Poppy |
70
|
154
|
Sesame Seeds |
37
|
88
|
Sunflower Seeds |
65
|
157
|
Walnuts |
10
|
25
|
Vegetables (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Eggplant | 8 | 20 |
Bamboo Shoots |
6
|
15
|
Cauliflower |
19
|
45
|
Beans, green |
18
|
42
|
Avocado |
13
|
30
|
Broccoli |
21
|
50
|
Chicory |
6
|
15
|
Chinese Cabbage |
10
|
25
|
Endive |
4
|
11
|
Lamb's lettuce |
10
|
24
|
Fennel |
7
|
16
|
Kale |
13
|
30
|
Carrot |
6
|
15
|
Potato |
6
|
15
|
Kohlrabi |
13
|
30
|
Lettuce |
4
|
10
|
Leek |
17
|
40
|
Peppers, green |
4
|
10
|
Peppers, red |
6
|
15
|
Radishes |
4
|
10
|
Radish |
4
|
10
|
Rhubarb |
2
|
5
|
Brussels Sprouts |
25
|
60
|
Beetroot |
8
|
20
|
Red Cabbage |
17
|
40
|
Cucumber |
2
|
6
|
Sorrel |
23
|
55
|
Sauerkraut |
8
|
20
|
Salsify |
29
|
70
|
Celery |
13
|
30
|
Asparagus |
10
|
25
|
Spinach |
21
|
50
|
Tomato |
4
|
10
|
Savoy |
17
|
40
|
Zucchini |
8
|
20
|
Onion |
4
|
9
|
Dairy Products (100 g / 3.5 oz)
|
Purine
|
Uric Acid
|
Milk | 0 | 0 |
Yogurt, plain |
0
|
0
|
Curd Cheese |
0
|
0
|
Camembert Cheese |
13
|
30
|
Emmentaler Cheese |
4
|
10
|
Fresh Cheese |
0
|
0
|
Cream Cheese |
5
|
13
|
Gauda Cheese |
7
|
16
|
Are there foods that specifically cause a Gout attack?
Many chronic gout sufferers are almost always bordering a high level where any one meal can push them over the edge and into an attack. The combination of both a high purine AND high acid meal can prove to be too much. This is why many people believe that a specific food is the cause of their gout attack; however, it is usually just what happens to tip that "already full cup" over and into an attack.
You must bring your uric acid down to a manageable level in order to gain some flexibility in your diet. Once again, this is where vitamins and supplements are necessary to provide your body with all of the tools that are crucial to uric acid management. You must enhance the body's ability to fight this disease, and diet alone can make this a daunting task.
If low purine gout diets aren't the way to go, what is?
Healthy, low purine foods should always remain a part of the balance you are aiming for. The better option would be to focus more on pH balance, as a whole. pH balanced meals and lifestyles can further your quest for healthy cell protection, thereby reducing your overall uric acid load. pH balance also aids to reduce the inflammatory response in the body that sends your organs into a frenzy and allows uric acid to be freely stored to be "dealt with" later.
Acid/ Alkaline base has to be in balance. If not, our organs and bones often end up providing the alkaline buffers. This leads to chronic degenerative diseases. Remember, in order to remain healthy or improve your health, the ph of your body must be slightly alkaline.
We can and must further support our needs and alkaline buffers through vitamins and supplements.
ALKALIZING FOODS
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VEGETABLES Garlic Asparagus Fermented Veggies Watercress Beets Broccoli Brussel sprouts Cabbage Carrot Cauliflower Celery Chard Chlorella Collard Greens Cucumber Eggplant Kale Kohlrabi Lettuce Mushrooms Mustard Greens Dulce Dandelions Edible Flowers Onions Parsnips (high glycemic) Peas Peppers Pumpkin Rutabaga Sea Veggies Spirulina Sprouts Squashes Alfalfa Barley Grass Wheat Grass Wild Greens Nightshade Veggies |
FRUITS Apple
Apricot
Avocado
Banana (high glycemic)
Cantaloupe
Cherries
Currants
Dates/Figs
Grapes
Grapefruit
Lime
Honeydew Melon
Nectarine
Orange
Lemon
Peach
Pear
Pineapple
All Berries
Tangerine
Tomato
Tropical Fruits
Watermelon
PROTEIN
Eggs
Whey Protein Powder (grass fed sources only with no sugar/fake sugars- stevia is fine)
Cottage Cheese
Chicken Breast
Yogurt
Almonds
Chestnuts
Tofu (fermented soy ONLY)
Flax Seeds
Pumpkin Seeds
Tempeh (fermented)
Squash Seeds
Sunflower Seeds
Millet
Sprouted Seeds
Almond Nuts
Pistachio Nuts
Avoid nuts packaged or roasted in oil
OTHER Apple Cider Vinegar
Bee Pollen
Lecithin Granules
Probiotic Cultures
Green Juices
Veggies Juices (homemade)
Organic Milk
(unpasteurized)
Mineral Water
Alkaline Antioxidant Water
Green Tea
Herbal Tea
Dandelion Tea
Ginseng Tea
Banchi Tea
Kombucha
Coconut oil (unrefined, virgin)
SWEETENERS
Stevia
SPICES/SEASONINGS
Cinnamon
Curry
Ginger
Mustard
Chili Pepper
Himalayan Salt
Miso
Tamari
All Herbs
ORIENTAL VEGETABLES
Maitake
Daikon
Dandelion Root
Shitake
Kombu
Reishi
Nori
Umeboshi
Wakame
Sea Veggies
ACIDIFYING FOODS
FATS & OILS Avocado Oil
Canola Oil
Corn Oil
Hemp Seed Oil
Flax Oil
Lard
Olive Oil
Safflower Oil
Sesame Oil
Sunflower Oil
FRUITS
Cranberries
GRAINS
Rice Cakes
Wheat Cakes
Amaranth
Barley
Buckwheat
Corn
Oats (rolled)
Quinoa
Rice (all)
Rye
Spelt
Kamut
Wheat
Hemp Seed Flour
DAIRY
Cheese, Cow
Cheese, Goat
Cheese, Processed
Cheese, Sheep
Milk
Butter
NUTS & BUTTERS Cashews
Brazil Nuts
Peanuts
Peanut Butter
Pecans
Tahini
Walnuts
ANIMAL PROTEIN
Beef
Carp
Clams
Fish
Lamb
Lobster
Mussels
Oyster
Pork
Rabbit
Salmon
Shrimp
Scallops
Tuna
Turkey
Venison
PASTA (WHITE)
Noodles
Macaroni
Spaghetti
OTHER
Distilled Vinegar
Wheat Germ
Potatoes
DRUGS & CHEMICALS Chemicals
Drugs, Medicinal
Drugs, Psychedelic
Pesticides
Herbicides
ALCOHOL
Beer
Spirits
Hard Liquor
Wine
BEANS & LEGUMES
Black Beans
Chick Peas
Green Peas
Kidney Beans
Lentils
Lima Beans
Pinto Beans
Red Beans
Soy Beans
Soy Milk
White Beans
Rice Milk
Almond Milk
ACID PRODUCING ACTIVITIES & EMOTIONS
Overwork
Anger
Fear
Jealous
Stress
How does excess weight/obesity affect Gout Attacks?
We know that overeating promotes the inflammatory response and suppresses the immune system. Obesity can affect the heart, blood flow, friendly bacteria levels and nutrient assimilation appointing excess strain on these organs and their essential functions. As a result, extra uric acid production is common. Moreover, the typical diet involved in obesity cases is rarely conducive to healthy uric acid balance.
Heavy, red-meat-based diets or lots of sugar-laden foods would definitely have a negative impact on immune function and promote inflammation, whereas calories in the form of fruits, vegetables, legumes, nuts and seeds would improve immunity.
It is known that even an extra 20 pounds can create an abundance of inflammation in the human body and lower overall immunity. Weight management is an important aspect of maintaining a balanced immune system and controlling inflammatory conditions such as Gout.
Is the Atkin's diet a problem for Gout sufferers? Are other fast weight loss methods problematic?
The Atkins Diet is a high protein and highly acidic approach to weight loss. This diet holds little to no alkaline balance, a balance essential to maintaining healthy body environment. Acidic body conditions allow for disease growth.
Consequently, diets like these can drastically increase your chances, and even directly contribute to, Gout and other degenerative disease development. Crash diets deplete the body of vital nutrients, creating an acidic body environment, and release stored purines from the body fat in the process. As you know, excess purine release results in even further uric acid production.
A healthy weight is essential to gout and disease control.
Fast and unnatural weight loss methods are dangerous to your health AND increase uric acid levels in the body. Purines are stored in fat cells. When they are released too quickly, overload is inevitable. Your body needs the time to slowly deal with the purine release in order to excrete it from the body and avoid even more uric acid production and storage.
Should I be eating low fat and fat free foods only?
Low fat and fat free foods are rarely recommended by us. In most cases, they aren't any "better", and can raise even more health concerns.
Most of these foods are chemically altered and processed to achieve the fat removal and often replaced with even more undesirable ingredients, like sugar, to enhance their taste. Fat restrictions can go way too far and can be equally as dangerous as a diet too heavy in all the wrong fats.
Low-Fat Diet Dangers
MedicineNet.com defines fat as follows: "along with proteins and carbohydrates, [fat is] one of the three nutrients used as energy sources by the body. The energy produced by fats is 9 calories per gram."
Fats are essential to our energy, our cell health, our mental health, the regulation of our hormones, our nutrient absorption, and more.
Fat soluble vitamins such as A, D, E, and K require healthy dietary fats in order to utilize them properly. These vitamins are responsible for cell growth, immunity, blood clotting, and more. They are stored mainly in the liver and fat tissue and require proper fat intake to perform their bodily functions and avoid dangerous deficiencies.
Diet balance is essential. When you reduce one area too much, such as fats, you will likely increase in other areas such as carbs and proteins. Carbohydrate-rich diets increase your risk of Diabetes II and typically inflates the appetite. High-protein diets place unhealthy strain on the liver and kidneys with its overly acidic qualities. Disease prevention and proper nutrition relies heavily on the balance of all three macronutrients.
We need our HDL (the good) cholesterol levels to be high in order to fight heart disease. HDL collects the bad cholesterol, LDL, and carries it to the liver in order to be excreted from the body. When these ratios are imbalanced by way of a diet too low in fat, you face cholesterol problems and increase your risk for heart disease. Fatty acids, such as Omega-3's are essential to this necessary balance.
Essential fatty acids play a large role in our mental health, our moods and behavior. They directly affect the hormones and chemicals in our brain. Fat/diet imbalances have been linked to conditions such as depression, bipolar disorder, eating disorders, schiszophrenia, and ADHD.
Low intake of essential fatty acids have also been linked to cancers such as prostate, breast, and colon. Omega-3 fats have been shown to slow the unhealthy cell and tumor growths.
Low-fat and fat-free foods can cause us to overeat empty calories. Because these foods are chemically altered and enhanced with sugars you'll often find the full-fat versions are very similar in calories. You are basically trading one overly processed and sugared version for a healthier option similar in caloric value. Make any sense? We don't think so. These empty calorie versions just make you crave even more, and in turn overeat because as a result. Choosing full fat versions can provide you the fullness and satiety needed to get your through to the next meal and avoid the processed low-fat versions that leave you hungry and craving for more.
Not all fats are created equal. There are also some major misconceptions about saturated fats. Hint: They're not all evil! Foods such as avocados, coconut oil, raw nuts, olive oil (unheated), tuna, salmon, and raw seeds can be considered "healthy" fats. We even recommend full-fat sour dairy. Avoid trans-fats such as hydrogenated oils.
What is the best way to test the pH of my body?
By and large, blood pH is the most accurate way of measuring our health and body functioning. However, this cannot be done at home and is rarely done professionally, either. Urine and saliva pH test results can be rather telling about our overall health and the capability of uric acid excretion. This type of testing can be done at home.
Test your urine over a 48 hour period, 4 to 6 times a day -- one upon waking one, 1 hour after breakfast, 1 hour after lunch, 1 hour after dinner and before bed. If you wake at night to urinate, we advise to test that one also. Record your results.
YES!! Fructose increases uric acid through a complex process that causes cells to burn up their ATP rapidly, leading to "cell shock" and increased cell death (remember 70% of uric acid production comes from the death of your cells!) After eating excessive amounts of fructose, cells become starved of energy and enter a state of shock, just as if they have lost their blood supply. Massive cellular die-off leads to increased uric acid levels.
HCFS, or High Fructose Corn Syrup, is lurking in almost every processed food imaginable. According to Dr. Hyon Choi and colleagues from Boston University, drinking high fructose syrup laden beverages increases uric acid levels in the blood, which eventually deposits into the joints where it causes gout..
How Can We Avoid HFCS (high fructose corn syrup)?
The first food to go has to be the soft drinks; this includes fruit punch, fruit cocktails, and Kool-Aid since they are all laden with HFCS.
Second, eat more meals at home. Restaurant foods are mostly prepackaged foods reheated and served to you. Use of HFCS in these foods is wide spread because of their increased shelf life.
While shopping, read the labels, if HFCS, fructose, or modified corn starch appears within the first five ingredients place it back on the shelf an move on. Sounds easy right? Wrong. As you make your way through the store you will begin to realize just how much of what you have been eating on a daily basis contains HFCS.
Reducing HFCS will not always be easy, but the health benefits are well worth it. You will feel stronger and more vital, it will lift your mood and give you increased concentration. Limiting your intake of HFCS will not only shrink your midsection, but also do wonders for your over all health.
The Dangers of Too Much Sugar
Fructose in Gout,
Inflammation, and Disease
The parallels between fructose and the increase in diseases such as Diabetes, Obesity, Gout and more, are virtually undeniable. Several decades ago the average American only consumed around 15g of fructose each day. Compare that to the average of 55g per day now consumed, with adolescents reaching upwards of 75g, and we may just have a strong link to the rise in inflammation and disease.
Almost every cell in our body uses glucose for energy. When fructose fuses with glucose, sucrose is produced. Our livers are the only source capable of metabolizing fructose. Fructose cannot be used for energy by our body's cells. Therefore, high levels of fructose are seen and treated as a toxin in our body. As the liver breaks this down, an end product of that reduction is created in the form of a fat known as triglycerides. This fat can build up in the cells of the liver and cause damage to the liver. When this fat is released into the bloodstream, plaque on the artery walls begins to build.
Fructose increases uric acid through a complex process that causes cells to burn up their ATP rapidly, leading to "cell shock" and increased cell death (remember 70% of uric acid production comes from the death of your cells!) After eating excessive amounts of fructose, cells become starved of energy and enter a state of shock, just as if they have lost their blood supply. Massive cellular die-off leads to increased uric acid levels. Uric acid can also shut down the production of nitric oxide, a substance needed to protect our artery walls from damage.
Excess sugar can also cause insulin resistance, leptin resistance, addictive cycles of cravings, and binge eating. Some have attributed the "low-fat craze" of the 80's and 90's to the drastic increase in sugar consumption. Unfortunately, during these dietary guideline changes we traded some healthy fats for sugar, a trade that may have cost us our health.
HCFS, or High Fructose Corn Syrup, is lurking in almost every processed food imaginable. According to Dr. Hyon Choi and colleagues from Boston University, drinking high fructose syrup laden beverages increases uric acid levels in the blood, which eventually deposits into the joints where it causes Gout.
READ your food labels and steer clear of processed/boxed foods as much as possible. Often time, high-fructose corn syrup is the top ingredient. AVOID!! Avoid substitute sugars such as aspartame, sucrolose/splenda, saccharin, Acesulfame-K. Each is full of undesirable side effects and cancer-causing agents. Do your homework, they are pure poison!! Should you feel the need to sweeten any of your fresh foods, consider a natural sweetener such as Stevia.
One should aim to stay under 25 grams of total fructose per day. This can add up quickly with processed foods and juices! Avoid your simple carbs as much as possible -- bread, pastry, pasta = sugar. Any sugar you do consume each day should come only/mainly from fruit. See our fructose chart to gain some perspective on how quickly 25g can add up with just fresh fruit alone:
Fruit | Serving Size | Grams of Fructose |
Limes | 1 medium | 0 |
Lemons | 1 medium | 0.6 |
Cranberries | 1 cup | 0.7 |
Passion fruit | 1 medium | 0.9 |
Prune | 1 medium | 1.2 |
Apricot | 1 medium | 1.3 |
Guava | 2 medium | 2.2 |
Date (Deglet Noor style) | 1 medium | 2.6 |
Cantaloupe | 1/8 of med. melon | 2.8 |
Raspberries | 1 cup | 3.0 |
Clementine | 1 medium | 3.4 |
Kiwifruit | 1 medium | 3.4 |
Blackberries | 1 cup | 3.5 |
Star fruit | 1 medium | 3.6 |
Cherries, sweet | 10 | 3.8 |
Strawberries | 1 cup | 3.8 |
Cherries, sour | 1 cup | 4.0 |
Pineapple | 1 slice (3.5" x .75") | 4.0 |
Grapefruit, pink or red | 1/2 medium | 4.3 |
Fruit | Serving Size | Grams of Fructose |
Boysenberries | 1 cup | 4.6 |
Tangerine/mandarin orange | 1 medium | 4.8 |
Nectarine | 1 medium | 5.4 |
Peach | 1 medium | 5.9 |
Orange (navel) | 1 medium | 6.1 |
Papaya | 1/2 medium | 6.3 |
Honeydew | 1/8 of med. melon | 6.7 |
Banana | 1 medium | 7.1 |
Blueberries | 1 cup | 7.4 |
Date (Medjool) | 1 medium | 7.7 |
Apple (composite) | 1 medium | 9.5 |
Persimmon | 1 medium | 10.6 |
Watermelon | 1/16 med. melon | 11.3 |
Pear | 1 medium | 11.8 |
Raisins | 1/4 cup | 12.3 |
Grapes, seedless (green or red) | 1 cup | 12.4 |
Mango | 1/2 medium | 16.2 |
Apricots, dried | 1 cup | 16.4 |
Figs, dried | 1 cup | 23.0 |
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