gout management
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© 2011 Barton Publishing, Inc. All Rights Reserved. – The Gout Solution Kit
Manage Your Gout
2
Disclaimer This guide is copyrighted with all rights reserved. The author does not assume any liability
for the misuse of information contained herein. The information contained within this
guide is offered to provide you with beneficial concepts regarding your health and
wellbeing. The author is not a doctor, nor does he claim to be. Please consult your primary
care physician before beginning any program of nutrition, exercise, or remedy. By
consulting your primary care physician, you will have a better opportunity to understand
and address your particular symptoms and situation in the most effective ways possible.
While every attempt has been made to provide information that is both accurate and proven
effective, the author and, by extension, the guide, makes no guarantees that the remedies
presented herein will help everyone in every situation. As the symptoms and conditions for
each person are unique to individual histories, physical conditioning and body type and the
specifics of the actual gout presentation, successes will vary.
The use of supplements or natural remedies may alter the intended effects of prescription
medications you have been provided by your doctor, so do not make any changes in your
normal course of health care without first consulting your doctor or health care professional.
Be sure to visit www.BartonPublishing.com for more home remedy reports and links to
other resources dedicated to your good health!
© 2011 Barton Publishing, Inc. All Rights Reserved. – The Gout Solution Kit
Manage Your Gout
3
What Are Purines?
Introduction
Purines are natural substances found in all of the body’s cells and in virtually all
foods. The reason for their widespread occurrence is simple: purines provide part
of the chemical structure of our genes and the genes of plants and animals. A
relatively small number of foods, however, contain concentrated amounts of
purines. For the most part, these high-purine foods are also high-protein foods,
and they include organ meats such as kidney; fish such as mackerel, herring,
sardines and mussels; and also yeast.
Purines are metabolized into uric acid
When cells die and get recycled, the purines in their genetic material also get broken
down. Uric acid is the chemical formed when purines have been broken down
completely.
It’s normal and healthy for uric acid to be formed in the body from the breakdown of
purines. In our blood, for example, uric acid serves as an antioxidant and helps prevent
damage to our blood vessel linings, so a continual supply of uric acid is important for
protecting our blood vessels.
Uric acid levels in the blood and other parts of the body can become too high, however,
under a variety of circumstances. Since our kidneys are responsible for helping keep
blood levels of uric acid balanced, kidney problems can lead to excessive accumulation
of uric acid in various parts of the body.
Excessive breakdown of cells can also cause uric acid build-up. When uric acid
accumulates, uric acid crystals (called monosodium urate crystals) can become
© 2011 Barton Publishing, Inc. All Rights Reserved. – The Gout Solution Kit
Manage Your Gout
4
deposited in our tendons, joints, kidneys, and other organs. This accumulation of uric
acid crystals is called gouty arthritis, or simply “gout.” These crystals look like needles
and are very painful when deposited in
the various joints in the body.
Foods that contain purines Because uric acid is formed from the
breakdown of purines, low-purine diets
are often used to help treat conditions like
gout in which excessive uric acid is
deposited in the tissues of the body. The
average daily diet for an adult in the U.S.
contains approximately 600 to 1,000
milligrams of purines.
In a case of severe or advanced gout, dieticians will often ask individuals to decrease
their total daily purine intake to 100 to 150 milligrams. A 3.5-ounce serving of some
foods, all by itself, can contain up to 1,000 milligrams of purines.
Figure 1: Spiked uric acid crystals associated with gout
© 2011 Barton Publishing, Inc. All Rights Reserved. – The Gout Solution Kit
Manage Your Gout
5
Foods & Beverages to Avoid
To reduce purines, ask about ingredients when eating out, whether at a friend’s house or
a restaurant, and read food labels. The following list is not complete. And, as always,
consult with a healthcare professional before making any significant changes to your
diet.
The following foods have very high purine levels, and should be avoided
completely:
• Anchovies
• Bouillon
• Brains
• Broth
• Consommé
• Dried legumes
• Goose
• Gravy
• Heart
• Herring
• Kidneys
• Liver
• Mackerel
• Meat extracts
• Mincemeat
• Mussels
• Partridge
• Roe
• Sardines
• Scallops
• Shrimp
• Sweetbreads
• Yeast (both baker’s and brewer’s)
• Yeast extracts
© 2011 Barton Publishing, Inc. All Rights Reserved. – The Gout Solution Kit
Manage Your Gout
6
These foods have high purine levels:
• Fish
• Shellfish
• Poultry (especially turkey)
• Most meat (except those with very high purine content, as noted above, or those with
moderately high purine levels, as noted below)
These foods have moderately high purine levels:
• Asparagus
• Cauliflower
• Legumes
• Lentils
• Mushrooms
• Oatmeal
• Peas (dried)
• Soy
• Spinach
© 2011 Barton Publishing, Inc. All Rights Reserved. – The Gout Solution Kit
Manage Your Gout
7
Here are some foods that make up a sensible, relatively low purine diet.
• Almonds
• Artichokes
• Avocados
• Bananas
• Blueberries
• Celery (the more the better)
• Cherries (the more the better)
• Complex carbohydrates (such as whole-wheat breads, cereals, pasta, and rice, as well
as the aforementioned vegetables and fruits) Avoid white flour products.
• Essential fatty acids (tuna and salmon, flaxseed, nuts, and seeds)
• Foods high in bromelain (such as pineapple)
• Foods high in vitamin C (such as red cabbage, red bell peppers, tangerines,
mandarins, oranges, and potatoes)
• Fruit juices and purified water (drink 80 ounces of water per day)
• Grapes and other red-blue berries
• Low-fat dairy products
• Strawberries
• Tomatoes
• Vegetables, including kale, cabbage, parsley, and other green leafy vegetables
• Whey protein powder in moderation (one serving per day)
© 2011 Barton Publishing, Inc. All Rights Reserved. – The Gout Solution Kit
Manage Your Gout
8
Without any treatment of any kind, a gout attack will usually subside within one
week’s time. Of course, no one wants to endure gout pain if there are remedies at
hand, such as The Eight Best Alternative Treatments we wrote about in Natural
Gout Treatments & Remedies. Again, those treatments are:
The Two-Hour Baking Soda Remedy
Consume lots of cherries
Our list of herbs
Drink lots of water
Our list of supplements
Our list of natural medicines
Apple cider vinegar
Kidney cleanse
After your gout attack has been treated, however, unless you take action to
manage your gout, there is a 60% chance that you will have a recurrence within a
year. In addition to the risk of another attack, gout sufferers also have an elevated
risk for hypertension, diabetes, renal disease and heart disease. With no
treatment, acute gout may progress into chronic gout, which can destroy joints
and cause the development of kidney stones. In fact, kidney stones are a
complication of gout in 10% to 40% of gout patients.
Needless to say, you want to protect yourself from these potential health
disasters. The best way to do that is to commit to a low-purine diet, regular
exercise, and the other best practices for staying healthy that we outline for you in
Preventing Gout from Coming Back.
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