Low purine diet
Low purine diets may be helpful in lowering levels of uric acid in the body, and may involve reducing or eliminating foods with high concentrat...

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Diet Outline

The adoption of a low purine diet may help treat gout and avoid complications. For this reason, experts often suggest a low purine diet along with medications to reduce the uric acid concentrations. Some people may be able to lower their uric acid levels through diet alone. Most experts recommend consuming at least 50% of calories from carbohydrates, by eating six to ten servings of bread or starchy foods, and five fruits and vegetables each day.

Gout is often treated with medicines that help the body get rid of extra uric acid. But, eating the right foods may help limit the amount of purines in the body, thus decreasing the amount of uric acid in the body.

There is no cure for NLS. Treatment focuses on reducing the prevalence of symptoms. For this reason, a low purine diet may be attractive to the caretakers of individuals with NLS.

Low purine food and drink
Breads and cereals: low fiber, white flour, or refined grain types
Coffee and tea
Cream-style soups made with low-fat milk
Eggs (limit to 3 to 4 per week)
Fruits and juices
Fats and oils in small amounts
Low-fat and fat-free cheeses
Milk: skim or 1% (limit to 24 ounces per day)
Nuts and peanut butter: limit if trying to lose weight
Pasta and macaroni
Soda pop
Soups made without meat extract or broth
Sugar, syrup, and other sweets in small amounts
Vegetables not on the following lists
Medium purine food and drink
Beef, lamb, pork, and other red meats not on the high purine list
Dried beans, peas, lentils
Fish and shellfish not on the high purine list
Fresh beans and peas
Meat soups, broths, gravies
Oats and oatmeal
Poultry foods not on the high purine list
Wheat germ and bran
Whole grain foods
Yeast: all types
High purine food and drink
Broths, bouillons, and consommés
Caviar or roe
Game meats, like goose, duck, and partridge
Some fishes, like herring and mackerel
Meat extracts
Organ meats: brains, heart, kidney, liver, sweetbreads
Scallops and mussels

According to the American Dietician Association (ADA), foods that contain 150mg or more purines per 100g serving should be avoided. In addition to limiting purine-containing foods, the diet also includes modification of these dietary factors:

Protein intake limited to 10-15% of total calories or 0.8g per kg body weight for well-nourished individuals. Persons who are poorly nourished or in the inflammatory phase of the disease should consume 1.5-2.0g per kg body weight per day.

Carbohydrate intake should be 50-55% of total calories.

Limit fat intake to 30% of total calories.

Cholesterol intake should be less than 300mg per day.

Maintain or achieve a healthy body weight. If weight loss is indicated, it should be gradual. Rapid weight loss through fasting or use of low-carbohydrate diets can cause the body to produce ketones, which may increase hyperuricemia.

Alcohol, especially beer, should be avoided because it increases purine production, leading to higher uric acid levels in the blood and urine.

Adequate fluid intake helps dilute urinary uric acid, which helps prevent formation of renal calculi. It is advised to drink 2 to 3L or 8 to 12 cups of fluid daily.

Other aspects of nutrition therapy, such as controlling diabetes mellitus, hypertension, and atherosclerosis, are also recommended.

Lifestyle changes along with medication are often needed to control hyperuricemia. Diet is generally considered an adjunct therapy to medication, but may be used as an alternative treatment if medications are not tolerated.

Do not follow a high-protein diet as it can worsen gout conditions.

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