1

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Gout flair-up - any suggestions?

Answered on September 12, 2014
Created October 05, 2012 at 1:38 PM

My husband,now into 6 months paleo w/dairy no grains,and probably too much fruit, seems to be having a gout flair-up. He has had it before we went paleo. Docs confirmed previous flairs with blood test. He had it in his ankle first time, knee second time, now in toe joint. I had been concerned that paleo diet might bring this on in someone susceptible but had hopped that wouldn't be the case. His brother also has gout and I believe there is a genetic component? Also, we drink a glass of red wine a day...yeah probably not a good idea, but we love it so. I am going to be getting after him to hydrate more as I suspect he isn't getting enough water.

Any thoughts on how we should proceed diet/supplement wise? I have been looking at other posts on this topic and would appreciate some more info --Thanks!

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on July 21, 2013
at 04:57 PM

Thanks, Mike! :)

7fc82eebafd44badc73c520f44660150

(3275)

on July 21, 2013
at 03:05 PM

@dragonfly: you offer good advice on a variety of topics

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on October 05, 2012
at 03:18 PM

Alkalinizing the body is a myth: http://www.niam.com/~niam/index.php?option=com_content&view=article&id=124&Itemid=1

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6 Answers

5
Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on October 05, 2012
at 03:14 PM

Excessive fructose is likely the culprit. Have him lay off the fruit & wine for a week and see how he feels.

http://www.marksdailyapple.com/gout-primal-paleo-diet/#axzz28RDeBuT8

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on July 21, 2013
at 04:57 PM

Thanks, Mike! :)

7fc82eebafd44badc73c520f44660150

(3275)

on July 21, 2013
at 03:05 PM

@dragonfly: you offer good advice on a variety of topics

1
3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on October 05, 2012
at 06:02 PM

Fructose, Lack of exercise, and lack of vitamin C are typically the primary causes.

Now that he has gout the issue is more how to heal. From what I have read, the obvious first step is to eliminate as much sugar (including fruit) from his diet as possible. The second step is to go into ketosis -- it appears that ketones may help reduce the levels. Good Luck!

0
Medium avatar

on November 30, 2012
at 07:28 PM

eliminate alcohol consumption

0
07a0e800b72945c56c500845d3dcb005

on November 30, 2012
at 05:52 PM

I'm not a Dr, and I don't play one on TV, but... Gout runs in my family and I have been dealing with it for 20 years. The attacks are not driven by you uric acid level as much as it is by a sudded shift (up or down) in the level. I've been eating Primal for 3 mos, lost 30 lbs, lowered colesterol by 45pts and have not had an attack during that time. With that said, I do feel a little twinge when slightly dehydrated. My theory is that my uric acid level has become more stable, but my body may be more sensitive to smaller shifts than before the change in diet.

0
31ed38f46ad8aa909fcb8f7d07fd9eac

on October 05, 2012
at 03:37 PM

Diet makes only a small difference in blood uric acid. Has he been losing weight? The breakdown of tissue, particularly muscle tissue, that accompanies weight loss can dramatically increase uric acid in the blood.

0
91119f53c3827f5c7fc90b98cab85b04

(799)

on October 05, 2012
at 02:04 PM

what else is in the diet and the volume and frequency of what is being eaten?

Fish oil supplements? Butter? what are the main protein sources?

concentrate on more raw salads and alkaline-forming additions to your proteins and keep any carb sources clean and free of added fats, minimize supplements - basically an elimination diet while still staying paleo should assist in figuring out what is producing the flare-ups

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on October 05, 2012
at 03:18 PM

Alkalinizing the body is a myth: http://www.niam.com/~niam/index.php?option=com_content&view=article&id=124&Itemid=1

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