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Foods that you eat, and don't eat, can impact your gout by increasing or decreasing your blood uric acid levels. You will also want to make adjustments to your diet if you have any of the conditions that are commonly found in people with gout, including, hyperlipidemia, hypertension, diabetes, obesity and impaired glucose tolerance.
The primary dietary goal for gout is to limit your intake of foods with high amounts of purine in them. Ideally, you will have little or no foods that are high in purine and only small amounts of those with moderate amounts of purine.
Foods considered high in purine content include:
- Some fish, seafood and shellfish, including anchovies, sardines, mackerel, scallops, herring, mussels, codfish, trout, and haddock
- Some meats such as bacon, turkey, veal, venison, liver, beef kidney, brain, and sweetbreads
- Alcoholic beverages
Foods considered moderate in purine content include:
- Meats such as beef, veal, poultry, pork, and lamb
- Crab, lobster, oysters, and shrimp
- Vegetables such as asparagus, spinach, green peas, mushrooms, and cauliflower
- Kidney beans, lentils, and lima beans
Your other goals will be to:
- Lose weight if you are overweight: Make sure that you do this slowly because fast weight loss will actually increase the uric acid levels in your blood.
- Drink plenty of fluids: This can help with removing uric acid from your blood. Be sure to limit fluids with caffeine and/or calories; water and seltzer are the best choices.
- Increase your lowfat dairy intake: There has been some research that has shown that those who drink lowfat milk or consume lowfat yogurt have lower uric acid levels than those who do not.
- Keep your fruit and vegetable intake up: You may get a reduction in your uric acid levels by having fruit, such as cherries, and vegetables (those that are not sources of purine), as part of your diet.
It's still important to have a well-balanced diet. If you have any trouble doing so with these recommendations, I would recommend working with a dietitian to design a plan that fits your preferences and lifestyle. You can find one in your area by speaking with your physician.
Medically reviewed by John A. Daller, MD; American Board of Surgery with subspecialty certification in surgical critical care
"Prevention of recurrent gout: Lifestyle modification and other strategies for risk reduction"