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  • Q&A with Australian Health Practitioners

    Can diet help minimise my gout attacks?

    Related Topics
    Gout Rheumatology
    Is there anything that I should be eating more or less of in order to manage my gout attack and symptoms?
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    Thanks

    Chris Fonda

    Dietitian, Nutritionist, Sports Dietitian

    As an Accredited Sports Dietitian, APD and athlete (springboard diver), Chris has both professional and personal experience in sport at the sub-elite and elite level.Chris … View Profile

    Great question. In case you may not know what Gout is, its a disorder of purine metabolism. This results in high levels of uric acid that accumulate in the blood which form deposits (monosodium urate) or tophi in the joints, cartilage, and bone. People who  are overweight or obese and go on a low carbohydrate diet are at an increased risk of developing gout as ketones compete with uric acid for excretion by the kidneys.

    In recent times, drugs have largely replaced the need for a low purine diet, however, if you are suffering from severe gout, you may like to consult an Accredited Practising Dietitian (APD) who can assist you with a low purine diet (often between 100-150mg of purines per day). In the meantime, here are some tips to help you:

    • Lose weight correctly (without restricting carbohydrates or other food groups)
    • Eat your 2-3 serves of dairy each day
    • Consume meat and seafood in moderation
    • Avoid drinking beer
    • Get plenty of fruit and vegetables, nuts and seeds in your diet
    • Drink at least 3 L of fluid per day to help excrete the uric acid

    To find an APD near you, head to the Dietitians Association of Australia's website (www.daa.asn.au), and good luck

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