Gout Forum : Purine/Uric Food List Questions

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Purine/Uric Food List Questions

UserPost

11:54 am
June 11, 2009


Tavery

Swollen Joints

Seattle Region

posts 70

This post is looking for a….for lack of a better term….thumbs up/down regarding specific foods. I am not looking for another rehash of the “everything in moderation” speech.

In all my reading, I have found inconsistant reccomendations regarding the following foods and welcome your input.

Chocolate - I am well aware theobromine is listed high on the list at http://www.goutpal.com/foods-h…..-acid.html. Does this mean that in general I should avoid chocolate whenever possible?

Brewer's Yeast - another bad guy favorite, but I also have seen things like “Beer, Pilsner lager beer, regular beer, German” rated very low on the same page. (I love Pilsner so I am looking for a ray of hope with this one. (i.e. 2-6 beers once a week at most))

These next few are all over the board and I dont know what to think…so what do you think?

Strawberries (repeatedly read these are bad), Poppyseeds (like in a bagel, muffin or bread), Sunflower Seeds (unsalted), soybeans (as tofu or steamed edamame) and Tuna fish (canned with water – a common staple in our American home).

Lastly, what about Spam? I bought a whole case (8 cans of the low sodium style)  and now I am wondering if I should continue to make the pan-fried (no oil) spam sandwiches I enjoy.

Thanks!


2:33 pm
June 11, 2009


zip2play

Member

posts 1278

Some things man was not meant to know…like what's in SPAM.

You have a hard job ahead of you sorting out the bad from the good but here's a decent list:


http://www.britishdalmatianclu…..202003.htm

Beer is not a high purine food but it tends to be dehydrating and therein lies the danger of precipitating gout.


If I had to depend on food choices to avoid gout attacks I'd be dead in the water…with a big red toe. The contradictions are legion. Just try to get two people to agree on the effects of coffee and whether caffeine is a purine (hint, it ISLaugh.)


In my heart of hearts, I do not think that any meat eater is likely to have much success controlling gout with diet.


(Gout or no gout DON'T throw out that Spam!)

http://www.youtube.com/watch?v…..nwy2MPT5RE

11:11 am
June 12, 2009


GoutPal

Admin

Baildon, Yorkshire

posts 1200

Post edited 4:15 pm – June 12, 2009 by GoutPal


I agree with everything that zip2play says except:

  • The dog food list is the same as mine, but without the attribution for the source of their data
  • The first 2 items on the menu are egg and bacon; egg sausage and bacon, so why is Spam compulsory? (sorry, it’s taken me 38 ½ years to get that off my chest)

Specifics:

  1. Chocolate has so little theobromine in it that it’s purine count is irrelevant. Cocoa solids have antioxidant properties, but I know of know specific research regarding gout. Get a taste for 80% or 90% chocolate, and moderation goes out of the window.
  2. The correct way to take brewers yeast is as you suggest. It is supposed to be used for producing drinks, not as a dietary supplement. As with chocolate and theobromine, the amount purines you get from beer pales into insignificance compared to the curry afterwards. 2-6? These are steins, right?
  3. I cannot see anything at all wrong with the other stuff. If I had a dollar for every time someone said that a particular food was bad for gout, then promptly shut up when asked for details, then I would get rid of the adverts. I guess cherry producers love to put strawberries in a bad light – I prefer to put them in my mouth.
  4. I know I’m supposed to avoid everything in moderation, but don’t you think 8 cans is just a little bit excessive? I’ve found that 2 cans is more than enough.

Unless replying to specific points in this topic, please start a new topic. See new topic link above, or gout forum guidelines.
Current gout status in my profile.

11:21 am
June 12, 2009


trev

Tophi Terror

England

posts 809

On the beer question, some research was done a couple of years ago in the US (N.Y.?) which compared the relative effect of alcoholic drinks with each other in causing gout.

The results were (from memory)

Beer:    X 2       effect to the worsening of gout.

Spirits:  X 1.6    to the bad

Wine:                No difference detected   .

This comparison must eleiminate the dehydrating effect of alcohol to a large extent- in any case beer has more fluid bulk- so would help in this direction.

11:56 am
June 12, 2009


Tavery

Swollen Joints

Seattle Region

posts 70

GoutPal said:

Post edited 11:15 am – June 12, 2009 by GoutPal


Specifics:

  1. Chocolate has so little theobromine in it that it’s purine count is irrelevant. Cocoa solids have antioxidant properties, but I know of know specific research regarding gout. Get a taste for 80% or 90% chocolate, and moderation goes out of the window.
  2. The correct way to take brewers yeast is as you suggest. It is supposed to be used for producing drinks, not as a dietary supplement. As with chocolate and theobromine, the amount purines you get from beer pales into insignificance compared to the curry afterwards. 2-6? These are steins, right?
  3. I cannot see anything at all wrong with the other stuff. If I had a dollar for every time someone said that a particular food was bad for gout, then promptly shut up when asked for details, then I would get rid of the adverts. I guess cherry producers love to put strawberries in a bad light – I prefer to put them in my mouth.
  4. I know I’m supposed to avoid everything in moderation, but don’t you think 8 cans is just a little bit excessive? I’ve found that 2 cans is more than enough.

@Goutpal

1. I am a big fan of milk chocolate. I am not a fan of dark chocolate so I am glad to hear I shouldnt completely eliminate it from my diet.

2. 2-6 12 ounce bottles/cans of beer maybe once a week. (Usually Corona or PBR these days)

3. Its hard to translate the technical numbers into something useful. Poppyseeds rated high – but similiar to the theobromide issue, I have no idea how many bagels I would have to consume to hit those levels. That is the downside to all the technical data.

4. I shop at Costco, the price of case there is equal to buying two cans in the grocery store. It will take me a year or more to eat it all since I only eat it about once a week at most.

@Trev

Thanks for the additional response.

5:03 am
July 25, 2009


trev

Tophi Terror

England

posts 809

Post edited 10:31 am – July 25, 2009 by trev


Interesting and helpful  link here from my regular site ' Dr.Mercola'

- He's good, but does sell stuff he believes in, to survive and bear in mind he's a Naturapthic Chiropractor.

http://articles.mercola.com/si…..tones.aspx

This points out that most stones for men are Oxalic Acid and associates this with Gout condition.

He lists foods to avoid and covers water usage.

I 'm a bit puzzled as to whether excreting Oxalates would actually be good for gout and thus a low salt diet bad, in this specific?

This is a US article so would apply even more to US readers here, specifically on Soda Pop/ Sugar intake..

Another pertinent link on his site is a short one -but as dairy is supposed to be good for gout- read this with surprise.

http://articles.mercola.com/si…..heart.aspx


Raw milk is hard to get in the UK but very good if you haven't ever tried it -and safe as there are still rules for producing it without bacteria..

Maybe it won't be available soon as the Health Gestapo move in and regulate everything, everywhere.

[PS: Whilst on his site, search Gout for a few interesting articles.]


* GP -If you feel this needs a new thread for Gout/K.Stones   pse oblige and edit.

7:46 am
July 25, 2009


zip2play

Member

posts 1278

Post edited 12:49 pm – July 25, 2009 by zip2play


Just remember, if you DON'T like SPAM always order the SPAM BACON EGGS and SPAM becasue it has the least amount of SPAM.


(My SPAM source is Shop-Rite. During CAN-CAN sale…3 for $4 and I buy a case…I like the Reduced Salt best.)


Dietary control for gout was what passed for ”treatment” when there were no uric acid controlling drugs. It never worked THEN and it doesn't now. A trip to Lourdes is probably just as effective and a lot more pleasant. It would be nice if it did work…but it really is a complete waste of time and effort. I don't want to throw cold water on anyone trying non-drug methods just calling a spade a spade.


I still giggle when I read the two BIG offenders…sweetbreads and anchovies. Is ANYTHING funnier than that? Gee, a day without sweetbreads is like a day without sunshine…who can eat their breakfast cereal without covering them with sweetbreads?LaughCoolWink

“But doctor, my toe is purple but I don't even know what a sweetbread IS!”


My opinion: Mercola is a VERY rich QUACK.

9:19 am
July 25, 2009


trev

Tophi Terror

England

posts 809

That's not much of a considered argument about fat globules in milk -or the fact  (Yes!-  read the threads) that many, many people post diet issues which are extremely valid for them, me inc.

I don't think I'm saying diet cure [or 'Mercola is God', either]- but don't throw the baby out with the bathwater here!

9:03 am
July 26, 2009


zip2play

Member

posts 1278

Post edited 4:17 pm – July 26, 2009 by zip2play


On theobromine:

Chemically it is dimethy xanthine and xanthine is synonymous with purine. Now to take it one step further, caffeine is TRI-methyl xanthine and IS present in high amounts in coffee.

A xanthine molecule is for all intents an purposes a uric acid molecule with some methyls hung onto it and thus is almost gram for gram convertible to uric acid.

So, a single 6 ounce cup of decent coffee has about 160 mg. caffeine…normal humans can excrete about 750 mg. uric aciid per day. That math is a bit scary, isn't it? And I drink 50 ounces a day.


But chocolate isn't really that innsignificant a source of xanthines…a 1.45 ounce bar of Hersey's Special Dark (my fave) has 184 mg. of theobromine although a milk chocolate bar of the same weight has only 74 mg.


Trev, we will have to agree to disagree…if there were proper consumer  laws against fraudulent medical claims, Mercola would spend his entire life behind bars. He's a charleton.

10:54 am
August 11, 2009


jaicee4

Gouty Twinges

posts 1

Fructose (HFCS, High Fructose Corn Syrup), it turns into uric acid.  Found in Sodas, condiments and a whole host of processed foods.  I found this to be the worst culprit for me, even a small amount of salad dressing (with fructose solids) caused an attack within an hour.  Sodas are even worse, within minutes an attack and pain for the next couple of days.

3:51 pm
August 11, 2009


trev

Tophi Terror

England

posts 809

I've seen plenty of warnings over HFCS and don't need telling twice. They are carbs anyway and even raw fruit- normally OK'd for diet, will work against weight loss and Leptin balance, The possibly overweight, high glycerides, pre diabetic gout sufferer doesn't need any more hobbling by non foods like these.

HFCS was enquired after here earlier , but without direct experience of it , I held off commenting, so I'm glad to chip in on your story!

10:31 pm
August 11, 2009


zip2play

Member

posts 1278

I can thik of no conceivable chemical way of converting Fructose, HFCS, glucose, aka corn syrup,  or ANY sugar into uric acid. They break down to carbon dioxide and water…period, just like any carbohydrate.

Soda can be an offender because carbonic acid is, well, ACIDIC.

10:23 am
April 7, 2010


trev

Tophi Terror

England

posts 809

To clarify my earlier mention of the beer and Gout study- a link to one summary of Chois' work is this:

http://www.thelancet.com/journ…..5/fulltext

I think there must be later articles but essentially the same message.

A good enough source to keep the argument going as many real ale fans just don't want to beleive it!     Sad, but true… I like the stuff, but in fairly small amounts nowadays.

10:16 am
April 25, 2010


Goutgal

Swollen Joints

U.S.A. East Coast

posts 70

As much as I love my non-fat yogurt loaded with frozen/thawed cherries, I'm getting tired of that already, along with other non-gout fruits/veggies and cottage cheese. I'm very gingerly incorporating and 'testing' other foods, and immediately found that refined carbs (white noodles) caused a major blast of an attack. Unless it's my imagination, the steel cut oatmeal may cause some twinges. Don't know for sure, still testing. Yesterday I went shopping in the health food section, and found some Ryvita Light Rye which basically tastes like cardboard, unless topped with Light garlic/herb Laughing Cow cheese. Still haven't tried egg – haven't worked up the nerve. Tofu has been incorporated in to my diet. Wish someone could think up another theory, other than “eat it and see if your foot blows up”.

My doctor is testing my U/A every 3 months, due July  1st.

1:04 am
April 26, 2010


odo

Tophi Terror

London UK

posts 144

Post edited 6:05 am – April 26, 2010 by odo


Goutgal said:

 Unless it's my imagination, the steel cut oatmeal may cause some twinges.


You're probably right GG: Oats are moderately high in purines (94mg per 100 gr) not much less than chicken (110)Surprised It's something I've been considering lately too because my UA levels have crept up for no discernable reason – might give the muesli a miss and see what happens.


5:32 am
April 26, 2010


trev

Tophi Terror

England

posts 809

Oats always pop up on the Not good for Gout lists, and though it is an excellent food in many ways, I think it probably does belong in this category.

By co-incidence, my intake of oats has reduced markedly in the last year due to a friend moving away who absolutely ate nothing else for breakfast every weekend- so I have to say it may have helped my gout [attack] free record since then, to not get this item so much, only about 10% overall  [of previous], in Muesli etc.

Millet flakes can be used instead though it has a soapy taste to me- but is the only alkaline grain.

It can also be added to bread mixes [as flour also], but not as majority component for the same reason , unless you really like it. I've not found it helps bread rise- but as I've not been keen on the bland taste, I've not tried that hard.

Any research on this is always welcome – as I've tired of trying so many combinations of bread mixes and don't eat that much bread (~100gm/day) anyway.

7:35 am
April 26, 2010


odo

Tophi Terror

London UK

posts 144

What about barley Trev? Or do you think there's no advantage over wheat and oats? I haven't been able to find any info re: purines

9:25 am
April 26, 2010


trev

Tophi Terror

England

posts 809

Beer -> Gout, NO!  Made often from …   Barley!

I've tried barley grass [very pricey] but used it in bread by mistake LoL. It's supposed to go into smoothies etc.and be a miracle worker.

Millet is the only pH friendly grain – afaik, Odo.

2:14 am
April 28, 2010


Goutgal

Swollen Joints

U.S.A. East Coast

posts 70

I've never tried millet. In fact, I don't know what it looks like, where to buy it, or how to “fix” it. Is it only available like a bag of flour? Are there millet cereals?

5:55 am
April 28, 2010


trev

Tophi Terror

England

posts 809

Millett ?  I buy both the flour and the flakes from my local health food store [UK]  £1.99 for flakes,  500gm. produced in Holland.

They do taste soapy to me -but if someone knows a good recipe for using this with spelt [or other fliours] for bread this rises and taste good- I'm all ears. There's only so many ways of trialling bread mixes, if the results are poor and a lot isn't taken anyway.

I certainly use the flakes on muesli and yoghurt fruit mixes though. My old buddy who once lived in the US said they used it like porridge there! Maybe with some currants etc. would help?

Impact on gout? – who knows, this being a lifestyle quest rather then a curezone approach, but I will carry on trying to incorporate gout friendly foods into my diet.

This is far from easy, as we know most of the population don't get gout, though the figures are rising steadily.  I can't wait for shopping habits to vary that much!


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