Gout
(12 posts) (9 voices)-
There have been a few round-about discussions regarding Gout on here but I have a specific question. A friend of mine is obese and has gout in his right toe. He keeps saying he needs to reduce protein in general but mainly the red meat. He has cereal or oatmeal for breakfast and lots of rice with smallish portions of meat. Very little veggies or fruit. Is this really how a person with gout should be eating? I tell him to reduce the carbs and increase the protein and fat but if it makes the uric acid situation worse, I certainly don't want to give him bad advice. His doctor's advice does not seem to be working though and we all know how that goes. Sometimes we just have to experiment on ourselves. Thoughts?
Posted 5 months ago # -
hfox
MemberYour friend might want to look around on Dr. Mike Eades' blog. Probably running a simple search would yield some decent information. I remember in the past coming across Eades' suggestion for gout sufferers to go low carb; he has allegedly had great success with it in his own practice (with his patients).
Posted 5 months ago # -
OnTheBayou
MemberGout is on the big upswing in America in the last few years. Historically thought of a "disease" of living the good life, lots of fats.
The solution by CW, of course, is to cut fats and.......you knew it.........medications.
No chance of it being a result of carbs, eh?
Posted 5 months ago # -
An unpublished chapter from GOOD CALORIES, BAD CALORIES on gout:
http://blog.zeroinginonhealth.com/?p=948
Summary: Stay away from sugars.
Money quote:
"But Willett, who by this time was arguably the nation’s most influential nutritional epidemiologist, later explained that they had never considered sugar consumption in their analysis because neither he nor his collaborators had been aware of the hyperuricemic effect of fructose. Willett’s co-author, Gary Curhan, a nephrologist and gout specialist with a doctorate in epidemiology, said he might have once known that fructose raised uric acid levels, but it had slipped his mind. 'My memory is not what it used to be,' he said. He also acknowledged, in any case, that he never knew sucrose was half fructose."
Posted 5 months ago # -
hannahc
MemberOTB "the good life" correlation actually could make sense, because especially in earlier times that meant a lot of rich foods in general. So yes a lot more fat, but a lot more decadent treats as well. The poor can't afford dessert at every meal, can they? It's interesting that researchers only looked at the fat, and didn't even think to look at sugar.
Posted 5 months ago # -
OnTheBayou
MemberDo people of proper weight get gout? Other than reading a bit recently because I wondered if it would explain a toe condition of mine - it didn't - I'm not terribly familiar with it. (Thank God!)
What my thinking is, if gout is a disease of overweight people, and thanks to Taubes, we know its the carbs that pack it on, and sugars are carbs, well, there's the etiology.
Posted 5 months ago # -
frogfarm, I appreciate that link on the lost chapter. Reinforces what I'm thinking.
John F- hope you let us know if primal eating helps your toe so I can pass that along as well.
Thanks to everyone for your thoughtful responses.
Posted 5 months ago # -
Yea, from my understanding fructose does raise uric acid levels.
Just cutting out fructose could make a huge impact.
-SeanPosted 5 months ago # -
Dr. Lustig explains the fructose/uric acid connection nicely in his popular Sugar: The Bitter Truth presentation (available full length on YouTube).
Posted 5 months ago # -
I watched The Bitter Truth but don't remember a uric acid section. I'll go back and take a look. Thanks for pointing that out to me.
Interesting tidbit about the cherries...
Posted 5 months ago #
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