howdy,
had my first gout attack last week, horrible pain.
anyways, have been doing lots of research about it.
a few things I keep running into is that gout is common in vegetarians and vegans as well as meat eaters.
so the theory that meat (purines) cause gout seems strange.
First of all, there’s the problem of vegetables. Even though most vegetables are low in purines, a few (like spinach, for example) have a significant amount. But in the NEJM study linked above and in this one (completely different authors and population), purine-rich vegetables weren’t associated with gout at all.
Then there’s the fact that only about 1/3 of uric acid in the body comes from dietary purines; the other 2/3 is produced by the body itself. In other words, no matter how many purines you eat or don’t eat, the majority of uric acid is coming from somewhere else anyway.
from
https://paleoleap.com/gout-forget-purines-skip-sugar/
most of the research I am doing is on paleo/keto relations to gout as thats the diet I feel best on.
I believe for me years of alcohol, sugar spikes and dehydration lead to gout?
just throwing it out there,
any imput?