Gout and diet

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Has anybody successfully treated gout with diet? My O/H has recently been diagnosed and the medication is making him ill, he has just changed meds but would rather not take any at all.


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  • Posted

    Yes, I guess I've been "successful" with just diet. Of course there's two kinds of success, first treating an acute attack, and second preventing it from coming back.

    Make sure you have a good list of high purine foods to avoid and AVOID THEM!

    You can eat mostly vegetables but not all - no legumes (peas, beans), no mushrooms, nuts but not peanuts, I think all roots are OK, grains are OK - but check the lists. Avoid beer, red meat, fresh fish, pickled herring. A little chicken is OK, and a little canned salmon is OK. Sugar must be limited too - too much fructose raises uric acid, too.

    Celery is specifically good, and celery seed is a great condiment and also available in capsules, and I think is far more tolerable than allopurinol. Read up on it. And of course drink lots of water.

    And OK, a few aspirin for the pain, but the less the better, it's supposed to slow the clearing, too.

    Should start getting better within a few days, if it doesn't, then maybe go with the meds.

    But even if it starts getting better quickly it can take several weeks before you're more or less back to normal.


    Then, watch the diet, get your blood tested, and maybe take the celery seed regularly to prevent future attacks.

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    • Posted

      You may have stopped the gout symptoms, but have you stopped the disease? If you havent bought the blood urate level down to say under 3, you are setting yourself up for a host of illnesses - including but not limited to heart problems, a decade or so down the line.

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    • Posted

      @rustygecko, isn't "under 3" awfully low? How many people who are prone to gout get urate levels under 3 even with medication?

      I get the following from the Internet: "Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male)". My own levels have been higher in the past, but have been dancing around the top end of that range the last few years - with no attacks.

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    • Posted

      You are correct - and if you were a healthy person then you would have no health implications at those levels. However, a person who has had gout and levels of uric acid above those levels - we are not healthy and there are long term implications. If you read the BMJ it advises levels of below 300 and so does NICE....The European League Against Rheumatism stipulates a serum urate level treatment target of ❤️60micromol/L. The British Society for Rheumatology target is ❤️00micromol/L. Arthritis Research UK recommends a 'sensible compromise between these two recommendations' and states that 'lower levels are desirable whenever possible'.

      Not having gout attacks does not = optimal health. Its like someone who is HIV+ claiming that because they have no symptoms they are healthy.

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  • Posted

    Hello Mrs Bx

    I have not posted here for a while, mainly because my severe gout attacks have all but gone. I had my first attack when I was 29 and it was horrendous and then subsequently kept getting them every 3-6 months.

    The doctor did advise medication but this would mean having to take them for the rest of my life. I did not want to go down this route so tried to tackle it with diet alone.

    I was not a heavy drinker by any stretch and ate meat 2-3 times a week. So I cut out the booze for 3 months and only ate meat once a week. But personally what I think made the real difference was taking cherry capsules (2x) and cellery seed in the morning and increasing my water intake to about 5 litres a day. I have not had a gout attack for 5 years now and I have even managed to start eating a bit more meat again.

    I would say ask your O/H to try it and see how they get along, of course before stopping any kind of medication speak to the doctor first.

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