0

votes

3 weeks into the Paleo diet and seem to be developing gout in right ankle/foot

Answered on August 19, 2014
Created September 24, 2012 at 6:06 AM

Before paleo I was low fat high carb that spiked my TC and LDL cholesterol sky high. So thought I would give Paleo a try. Here is a review of what I have been eating, breakfast on most mornings is an egg(s) then 2 or so mornings a week will be coconut milk (unsweetend) smoothie with bananas and blueberries/strawberries or raspberries. snack was usually some nuts or dark chocolate lunch would be a salad with veggies and avocados afternoon snack a piece of fruit or dried fruit (homemade) and dinners where either - chicken, grass fed beef, salmon, pork loin, with one meal being shrimp and one scallops over the past 3 weeks. All meals were accompanied with veggies, steamed, baked or grilled, carrots, asparagus, spaghetti squash etc. the good news is even in just 3 weeks on the diet my TC and LDL (rest was normal or better) dropped from 266 to 200 and 191 to 127 on the LDL. Bad news is no question I am getting gout. Never had it before. Was not overweight at all and exercise regularly. Haven't had my uric acid tested, is there a ph test or uric acid home test you can buy at the pharmacy? Anybody else have this issue?

7fc82eebafd44badc73c520f44660150

(3275)

on July 21, 2013
at 02:38 PM

What's the histamine connection?

7fc82eebafd44badc73c520f44660150

(3275)

on July 21, 2013
at 02:35 PM

What test confirmed your gout?

77877f762c40637911396daa19b53094

(78467)

on September 27, 2012
at 06:03 AM

Maybe try that as a complete thought? I see no evidence either way that the original poster had a perfect metabolism. In fact developing gout is pretty much evidence to the contrary.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on September 26, 2012
at 01:11 PM

Gout presents in the absence of metabolic disorder?

77877f762c40637911396daa19b53094

(78467)

on September 24, 2012
at 07:43 PM

Yes but he is developing gout which is not a good sign. Addressing the gout by dropping fruit etc... isn't exactly crazy.

5e92edc5a180787a60a252a8232006e9

(345)

on September 24, 2012
at 06:55 PM

That's not gout. I'm certain what you have isn't gout. Gout will hurt like hell.

6a093fa444dc1e9e26470b87fdd3f6cd

(0)

on September 24, 2012
at 06:43 PM

got something and its not pleasant.. early stage gout? something else altogether? dunno

5e92edc5a180787a60a252a8232006e9

(345)

on September 24, 2012
at 04:45 PM

Dairy isn't gonna skew those #s. Look, you're doing heavy fat dairy - where r the carbs gonna come from? It is possible though that if you're apoe4 you can increase your LDL. But what's more important, relief from gout or high LDL? I would choose to relieve my gout --- gout is unbearable and disabling. If you don't feel that way, maybe you don't have gout.

6a093fa444dc1e9e26470b87fdd3f6cd

(0)

on September 24, 2012
at 04:07 PM

Jamie - yes definitely was low carbing, but realized that I was bonking out while jogging way earlier than I used to on the low fat high carb diet

6a093fa444dc1e9e26470b87fdd3f6cd

(0)

on September 24, 2012
at 04:04 PM

Mambo - I have been toying with the idea of adding dairy into my diet. For the past year prior to Paleo I was low fat I mean low in less than 20 grams of total fat per day on average. So back then it was non fat greek yogurt,fruit, breads, beans, rice, pastas, and some chicken and salmon and soy milk. I am thrilled with the Paleo diet, feel much better, skin issues cleared up and most importantly cholesterol numbers are down. Question is what will dairy do to those numbers - stay tuned.

6a093fa444dc1e9e26470b87fdd3f6cd

(0)

on September 24, 2012
at 03:55 PM

Uber - in 3 weeks I have had 2 beers and that was on 1 friday night during the first week of going Paleo - no alcohol since.

5e92edc5a180787a60a252a8232006e9

(345)

on September 24, 2012
at 03:42 PM

I'm dubmfounded by the retarded comments saying it's not Paleo. If you're genetically vulnerable, then low-carb Paleo can definitely instigate gout. Some of these people will argue black is white until they themselves get gout.

5e92edc5a180787a60a252a8232006e9

(345)

on September 24, 2012
at 03:41 PM

The UA test is not gonna confirm anything. It's just what doctors do confirm their preconception. Look, gout is caused by genetic vulnerability, high uric acid levels and body acidity. YOu can have high UA but not have gout. You can have low UA and still have gout. UA is kind of related to gout but it's more like 60%. Purines are definitely related to gout, despite what these ardent Paleo hardheads say. If you have gout, and that's a big if, since it didn't start in your big toe ... your refuge is dairy, heavy dairy ... cream, Greek yogurt, cheese, etc.

5e92edc5a180787a60a252a8232006e9

(345)

on September 24, 2012
at 03:36 PM

The 1st question is, ru sure it's gout? Did you have one before? If you did,w as it your big toe? Gout normally doesn't start from an ankle.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on September 24, 2012
at 11:22 AM

His numbers are improving, he's not overweight. I don't think there's any need to do LC paleo.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on September 24, 2012
at 11:21 AM

"No question I am getting gout" seems unlikely actually. What makes you think you can self-diagnose gout?

  • 6a093fa444dc1e9e26470b87fdd3f6cd

    asked by

    (0)
  • Views
    6.3K
  • Last Activity
    1403D AGO
Frontpage book

Get FREE instant access to our Paleo For Beginners Guide & 15 FREE Recipes!

11 Answers

3
77877f762c40637911396daa19b53094

(78467)

on September 24, 2012
at 06:20 AM

Too much fruit. Eat more eggs, meat, fowl etc...

Gout correlates with hyperinsulinism and fruit isn't going to help with that. Drop your carbs for a month and do a low-carb version of Paleo. After that add back in some starch. After maybe 2-3 months start messing with fruit.

Removing protein as the substrate for Uric acid build up won't address what is causing the uric acid build up, and that is the hyper-insulinism.

77877f762c40637911396daa19b53094

(78467)

on September 24, 2012
at 07:43 PM

Yes but he is developing gout which is not a good sign. Addressing the gout by dropping fruit etc... isn't exactly crazy.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on September 24, 2012
at 11:22 AM

His numbers are improving, he's not overweight. I don't think there's any need to do LC paleo.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on September 26, 2012
at 01:11 PM

Gout presents in the absence of metabolic disorder?

77877f762c40637911396daa19b53094

(78467)

on September 27, 2012
at 06:03 AM

Maybe try that as a complete thought? I see no evidence either way that the original poster had a perfect metabolism. In fact developing gout is pretty much evidence to the contrary.

2
Af3e3615beba642bcafd0f21d64d74f7

on September 24, 2012
at 08:59 AM

Gout doesn't just show up in 3 weeks. It is probably just now showing signs do to the body not fighting everything on all fronts. It's not the Paleo.

1
76ee5fe3b5500c9b0ea4e17125058014

(10)

on September 26, 2012
at 01:48 PM

I had gout a few months ago that started in my right ankle and it was extremely painful. This was confirmed by a doctor's testing.

I don't know what is causing it but wanted others to know that gout doesn't always start in the toe.

I had never had gout before but I, too, self-diagnosed it, and though my doctor was skeptical she tested me and it was confirmed.

Any pain in the feet that is almost akin to childbirth is probably gout. Also, I was taking aspirin for the pain, which actually makes gout worse -- do NOT take aspirin if you ever suspect gout.

A natural food that helps with gout is cherries.

7fc82eebafd44badc73c520f44660150

(3275)

on July 21, 2013
at 02:35 PM

What test confirmed your gout?

1
0df0b1c6ae16bbb75b4a5efa3d876765

(2240)

on September 26, 2012
at 09:13 AM

Vitamin C, adequate hydration, and starchy carbs.

In my own research, I've come across gout being connected to a lack of vitamin C, which your list of foods might indicate. Here is Mark Sisson's take on gout in which he suggests supplementing a gram or two of vitamin C per day, being careful with intermittent fasting, staying well hydrated, and even trying a quarter teaspoon of baking soda dissolved in water to increase alkalinity which may help stave off gout attacks.

Paul Jaminet also discusses excess uric acid production in his Dangers Of Zero Carb Diets series, arguing that low carb dieters have trouble recycling vitamin C as well.

Finally, Kurt Harris talks about low-carb and the importance of eating enough safe starches versus non-starchy vegetables and fruits.

If this were happening to me personally, I'd consider adding a gram or two of vitamin C (taken at intervals is better than all at once, say 500mg 2-4 times throughout the day) and perhaps the baking soda in water trick, as well as making sure I was getting enough starchy carbs. It won't hurt to add moderate amounts of sweet potatoes, white potatoes or more bananas, and white rice in reasonable quantities is suggested by Jaminet and Harris as well.

1
Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on September 24, 2012
at 10:09 AM

Are you low carbing? Theres an adjustment period where your uric acid output is lowered by ketones in the urine. Then again, you dont get gout in three weeks. Is it painful? If not it might be fluid, not gout.

Gout is most highly associated with fructose and alcohol. If youve got it, I suggest you drop those two like a hotcake.

Get a uric acid test at your doctor. But if its not painful, it might be fluid. If it is gout, its not the paleo, its what you were doing before the paleo.

6a093fa444dc1e9e26470b87fdd3f6cd

(0)

on September 24, 2012
at 04:07 PM

Jamie - yes definitely was low carbing, but realized that I was bonking out while jogging way earlier than I used to on the low fat high carb diet

0
3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on September 26, 2012
at 01:00 PM

The diet is not to blame. Lack of exercise, and lack of vitamin C are typically the primary causes of gout. You seem to be getting plenty of vitamin C.

This does not sound like gout. Dietary akes up a very minor rise in serum urate (http://www.jrheum.org/content/29/7/1350.full.pdf).

There are @home tests for gout -- but again, this does not sound like gout.
http://www.amazon.com/Stanbio-Uric-Acid-LiquiColor-Enzymatic/dp/B002C2U44G/ref=sr_1_2?ie=UTF8&qid=1348664322&sr=8-2&keywords=uric+acid+test+kit

0
Fee335d9155036b49f700d818eb894e6

on September 26, 2012
at 08:31 AM

I can relate to this problem-- I'm a 44 year old woman and have been very happily paleo for two years now. Countless health improvements. Recently though I've been experiencing mild gout symptoms too. Pain in my big toe woke me up just a bit ago, out of the blue. This has happened a few times in the past 6 months. No major swelling, just slight, but it does seem to be gout..? At this moment the worst pain has past but it hurts to press the joint. My right middle finger last joint has also been hurting, and there is some swelling there-- In this joint maybe I'm just experiencing the beginning of osteoarthritis though they both seemed to initially flare at the same time. I've really never been overweight but have had high blood pressure which has improved to almost normal on paleo. I've had two pregnancies (pre-paleo) and had preeclampsia in both which makes me wonder if I may perhaps have kidney damage which would contribute to gout. I worry a little about going heavy on dairy. I've been dairy- free since before going paleo and have seen major digestive improvements off dairy as well as a much better resistance to infection...

0
Medium avatar

on September 24, 2012
at 02:40 PM

The most common cause is related to alcohol consumption. Do you partake?

6a093fa444dc1e9e26470b87fdd3f6cd

(0)

on September 24, 2012
at 03:55 PM

Uber - in 3 weeks I have had 2 beers and that was on 1 friday night during the first week of going Paleo - no alcohol since.

0
61ea4896b1ef898345051dcfadd70073

(193)

on September 24, 2012
at 02:33 PM

The strangest thing happened to my husband and it took us about 8 years to figure out what it was. Long before we ate Paleo he would have intensely painful gout like foot issues 3 - 4 times a year. For a week he wouldn't be able to walk... the weight of a sheet on his foot would cause him to cry out in pain. He had a ton of tests for everything and no doctor could ever diagnose.

We went to naturopathic doctor who told us it was farmed fish. He was right, when we went back in our minds of when this would show up it was always around a time he would eat shrimp. ( he's not a big fish eater but loved shrimp rings). To this day....6 years later... nothing. He can eat wild caught fish but we avoid anything farmed.

0
0e4e5882872d6a7c472ea51aec457e66

(1994)

on September 24, 2012
at 02:24 PM

Those problems may also come from too much histamine in your food.

Try eating foods very low in histamine - all fresh meat, eggs and fish - no reheating of leftovers. No smoked or slow cooked foods.

7fc82eebafd44badc73c520f44660150

(3275)

on July 21, 2013
at 02:38 PM

What's the histamine connection?

0
6a093fa444dc1e9e26470b87fdd3f6cd

on September 24, 2012
at 02:19 PM

Thanks folks, yes very painful, searing hot pain around the ankle and progression on top of foot and mildly into big toe. Gloucouse blood sugar levels have always been normal. I will get a uric acid test and see what that says.

6a093fa444dc1e9e26470b87fdd3f6cd

(0)

on September 24, 2012
at 06:43 PM

got something and its not pleasant.. early stage gout? something else altogether? dunno

5e92edc5a180787a60a252a8232006e9

(345)

on September 24, 2012
at 03:42 PM

I'm dubmfounded by the retarded comments saying it's not Paleo. If you're genetically vulnerable, then low-carb Paleo can definitely instigate gout. Some of these people will argue black is white until they themselves get gout.

5e92edc5a180787a60a252a8232006e9

(345)

on September 24, 2012
at 03:41 PM

The UA test is not gonna confirm anything. It's just what doctors do confirm their preconception. Look, gout is caused by genetic vulnerability, high uric acid levels and body acidity. YOu can have high UA but not have gout. You can have low UA and still have gout. UA is kind of related to gout but it's more like 60%. Purines are definitely related to gout, despite what these ardent Paleo hardheads say. If you have gout, and that's a big if, since it didn't start in your big toe ... your refuge is dairy, heavy dairy ... cream, Greek yogurt, cheese, etc.

6a093fa444dc1e9e26470b87fdd3f6cd

(0)

on September 24, 2012
at 04:04 PM

Mambo - I have been toying with the idea of adding dairy into my diet. For the past year prior to Paleo I was low fat I mean low in less than 20 grams of total fat per day on average. So back then it was non fat greek yogurt,fruit, breads, beans, rice, pastas, and some chicken and salmon and soy milk. I am thrilled with the Paleo diet, feel much better, skin issues cleared up and most importantly cholesterol numbers are down. Question is what will dairy do to those numbers - stay tuned.

5e92edc5a180787a60a252a8232006e9

(345)

on September 24, 2012
at 04:45 PM

Dairy isn't gonna skew those #s. Look, you're doing heavy fat dairy - where r the carbs gonna come from? It is possible though that if you're apoe4 you can increase your LDL. But what's more important, relief from gout or high LDL? I would choose to relieve my gout --- gout is unbearable and disabling. If you don't feel that way, maybe you don't have gout.

5e92edc5a180787a60a252a8232006e9

(345)

on September 24, 2012
at 06:55 PM

That's not gout. I'm certain what you have isn't gout. Gout will hurt like hell.

Answer Question


Get FREE instant access to our
Paleo For Beginners Guide & 15 FREE Recipes!