Gout? What Do I Eat?
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- Опубликовано: 8 сен 2024
- Gout? What Do I Eat?
In this video Dr. Pete outlines in detail the optimum gout remission food plan. He also outlines other lifestyle factors that contribute to gout remission. You will not find gout content like this anywhere else on the internet.
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If you suffer from gout and want to be done with the pain consider joining his gout intensive which is coming up soon on April 22, 2023. Go to www.drpetesgoutintensive.com. The intensive is an intervention, not a class.
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Contact Dr. Pete directly with questions at: peterdelannoy@drpeteandt.com
All great advice doctor! I went Ketogenic 7 years ago and lost 65 lbs of fat! I am at 155 lbs, 11% body fat, and doing a lot of strengthening exercises with dumbbells and kettlebells. I also discovered through other scientists (Dr Don Layman) how much protein we should be consuming, so I go at 150 grams of animal protein, organic and grass fed. I also discovered that our cells produce about 70% of the pyruvates in our body, and the rest from animal proteins, so it’s not necessarily the foods but the fact that we are not hydrated enough to allow our kidneys to excrete the Uric acid from our body! I used to suffer from gout and would take medications, which eventually lead to other internal illnesses that doctors don’t tell you! I no longer suffer from gout, high blood pressure and have gained more muscle mass the last year or so. I am 75 years of age, and my only regret is that I didn’t learn this 60 years ago! We have been deliberately lied to for over a century by the medical, food, and pharmaceutical industries! Thanks for your message. Stay hydrated, at least 64 ounces of clean water everyday! Best of health to you! Oh, one more thing: I also started taking Glycine and N-Acetylsysteine, one teaspoon each in my protein drink daily, which is about three grams each. Eventually I will increase to six grams per day, in order to restore my glutathione levels back to my 30’s! Plenty of research on this. Quality sleep is extremely important as it’s when your body recuperates and I get anywhere from 7-9 hours of sleep every night in a darkened room with no light whatsoever. So eating after 7 PM with a window of six hours having my two meals! I never feel hungry and don’t miss the carbohydrates one bit.
Thanks so much for this info. Henceforth, I'll drink more water.
Very good information so good to here and see very inspire ring thank you
It's so good to find your channel as you've already processed tons of sources re gout while I've just started and already can see those sources are totally controversial.
I was diagnosed with gout two months ago. Immediately stopped alcohol (used to drink a lot) and high-purine food, especially meat and fish. About three weeks later got back to alcohol and got another flare right away - so stopped again and did not get back to it. Been eating mostly grain/veg/fruit until recently switching to low carb / keto / intermediate fasting. Did a test and it showed UA level higher than I had when having the first flare! What gives? Dunno, maybe because of keto/fasting. Besides the high UA in the test, I feel pretty good. Will continue with keto and will actually try adding fish and meat back to my diet. My hypothesis that if keto helps me to fix the body overall, high UA itself might be irrelevant. btw I've never been eating a lot of sugar, just hate the sweet taste, so I'm unlikely to be pre-diabetic or something.
When you go low carb UA rises because of the fat burning which produces ketones. The ketones compete with UA at the kidneys for excretion.
@@DrPetesKetoKlub thank you for replying. Update from my side, I've been keeping low carb and naturally got to mostly one-meal-a-day, having tons of benefits - e.g. lost 10kg, got better quality of sleep, less steess, etc. Also, got back to drinking alcohol, all that without any gout symptoms:)
Why drink alcohol?
11:52 sample eating plan
So I have severe rheumatoid arthritis and have been on/off carnivore for one year. I developed gout 5 months ago and have endured painful flares lasting weeks! I’ve been strict carnivore the last 3 weeks and developed a flare during the night last night and all I ate yesterday was fresh chicken wings baked in the oven.
You are most at risk of a flare when UA is fluctuating up or down. The best defense is to eliminate the drivers which carnivore does really well. However, its equally important to stabilize your lifestyle and going on and off carnivore will cause wild fluctuations in UA. This is a situation where once you start you need to stay on it for life or if you make changes that you transition very slowly. I'm talking months. Also, managing other contributing lifestyle factors like sleep and exercise and stress are also important.
@@DrPetesKetoKlub thank you for your reply. I do agree it was the yo-yo-ing that probably caused it. I know it’s a lifetime commitment to carnivore and it’s just going to take time for my body to heal. When I first went on carnivore, I dropped 60 pounds in 4 months. The weight just fell off and now I’m down about 100 pounds. Totally off my blood pressure pills and other than my RA, no other co-morbidities. My goal is to get off the daily Rinvoq pills I take to control my RA. These biologic meds come with huge side effects and while the meds have given me my life back, my goal is to completely heal my body that I’ve abused for my entire adult life through the carnivore way of eating.
Once again. Thank you Doc🙏
Dr Pete- great video. I’m on 300 mg Allopurinol and gout is mostly in remission compared to the horrors prior to their meds - is it possible to stop taking meds if stick to this diet?
Its possible to stop allopurinol but it must be titrated down very slowly or you risk a flare. Also, UA should be monitored in order to see if you become hyperuricemic once more.
Thank you 🙏
Ok...the first time I had gout was in 2005 while i was doing Atkins low carb... so this is hard for me to wrap my mind around..
Thanks for sharing Dr. Pete. Quick question regarding minute 23:51. Those listed vegetables are high in purine? Or low? Good for us or bad for us? Appreciate your response in advance 🙏🏼
The vegetables I suggest are pretty low by comparison to meat.
i didnt see eggs or dairy (non sugar added dairy, whole dairy) mentioned. was unsure if you were trying to avoid suggesting obese folks to eat them or you avoid for some other reason, ie cholesterol.. thanks so much. I;ve just watched about 6 of your videos.
In the context of a well formulated ketogenic diet dairy like eggs and heavy cream is fine. However, some people can have issues with liquid dairy so this is an individual choice. In general eggs are super good on a low carb diet.
@@peterdelannoycan I drink kefir/ yoghurt if I have gout/high Uric acid and do low carbs ?
What are your thoughts of combining IT fasting with keto?
Morning. I did this. My approach was, I am over weight (238lb) and I need to get that down as fast as possible but oveloading my system with uric acid maybe the result of doing so. Given that IF appeared to increase growth hormone slightly, I ate fatty fish (pilchards in water) after a mid day gym session and drank lots of spring water from glass bottles and dropped my carbs. I introduced Vit C, D3, Magnesium, NaC and K2. After 1 year my big toe has restored fully, never had any other attacks and dropped weight to 190. Just after last Christmas I relaxed my routine and started eating more carbs, I had some tendon issues in my ebow so stopped going to the gym, consequently I gained 15lbs. Last month I started more gentle exercises and dropped the carbs again and and have lost 5lb.......SO the takeaway is yes you can but cutting the carbs, alchohol is key !!
How to reduce chronic high uric acid including tophi without big pharma?
Will keto reduce the uric acid on it's own or will suplement like quercetin still be necessary?
Thanks and many thanks for all you do.
Most gout sufferers, once keto adapted, remain hyperuricemic. They were probably hyperuricemic before they had their first flare. Once keto adapted and if you remain hyperuricemic then you may want to supplement with quercetin to bring the UA down. Titrate up slowly and watch for side effects.
Don't forget the gout intensive is coming up April 22, 2023: www.drpetesgoutintensive.com
@@DrPetesKetoKlub thank you for your reply!
What about corn on the cob? Or black rice? These are grains... according to your approach, they should be excluded. Right?
First of all love your videos! I have a question. What do you think was causing gout in the Middle Ages? We read that it was a so called "Kings disease". Maybe weight, alcohol, excess meat consumption? Possibly all 3? There was no processed food 👍
The rich had the money to buy sugar and alcohol in large quantity. Many of them mixed sugar with their alcohol. So you have your drivers: hyperglycemia, alcohol, and fructose.
Of course there was processed foods. Bread was a big one and don't forget fruits
1Oz=~28gr not 6.5. unless you meant the amount of protein per oz? In which case it would vary by the type of protein. On avg, it would be like 5.3gr of protein per ounce
Thanks for the correction.
Noted.
We don't eat MSG or nitrates. Makes my autoimmune worse and my husband arthritis worse. We eat uncured meats which we tolerate. Nightshades can make it worse such as chili's. We use healthy fats avacado oil or olive oil. We use tallow.
How about Dr Sally Nortons anti. Oxalate diet
Oxalate crystals can mimic the gout condition. Often, gout can be confused with other crystalline conditions. So an oxalate diet could be helpful.
But I also lowered my high uric acid with a completely different diet. It is also about whole, unprocessed food, but based on plants - WFPB. So, I would say, it's not about fruit, it's about processed foods and exaggeration in the amount of food per meal per day. I don't belong to any food denomination, I'm not vegan, now I eat everything, but exclusively unprocessed and in quantities sufficient to keep my abdominal muscles cut.
Awesome that this works for you! The main drivers all activate this biochemistry, however, the sensitivity by any individual will be nuanced for sure. The potential issue with fruit is in overeating it by some people which will elevate glucose and fructose which both drive polyol-fructose-uric acid and can drive a flare. And I agree with you. The first thing a gout sufferer should do is eat whole real food and eliminate processed food and meat and go from there.
It's safe to assume spinach is ok right?
WASTE OF TIME. Diet has a very minimal effect on gout, as it is genetics that determine who gets gout. Many type 2 diabetics who drink a lot of alcohol do not get gout, while others who are fit, non-diabetic, and do not drink alcohol (me) get gout. The only long-term soluton is medication, such as Allopurinol or Febuxostat.
There is both truth and misunderstanding here. 1) Fructose/uric acid biochemistry is involved in gout. 2) It is true that there are genetic factors both at the level of excretion and the unique inflammatory condition that precedes the flare. 3) Allopurinol does not treat gout. Allopurinol lowers UA, but UA is not sufficient to cause a gout flare. For cause we need more science directed at the unique inflammatory environment that precedes the flare. 4) The long term solution at the moment is to eliminate the drivers of UA production AND the use of a UA lowering drug to target ~4-5mg/dL or lower which reduces probability but does not eliminate gout risk. UA can also be enhanced with glycine at the level of the kidney.
If exogenous UA has enough of a compounding effect on endogenous UA to trigger a gout flare then it's worthwhile info. Fasting & Ketosis causes the kidneys to inhibit the pathway of UA into urine. So, in that case, it's as much about what you're NOT eating, as it is about what u ARE eating.
@@tommyharris5817 well, I don't really give a shit because I never had gout until I started experimenting with Keto Carnivore diets & thats a strong enough correlation to tell me diet is the cause. Gout is a common topic for discussion particularly in t carnivore community & that's not some random coincidence. Obviously a whole lot of other people correlated their gout to carnivore diet too.
@@tommyharris5817
You're saying, "The treatment for gout is a pill (something u incorporate into ur "diet" that reduces UA) but it couldn't possibly be caused by something u incorporate into ur diet that increases UA." How does that make sense when it's the same pathway?
Diet is key. He's just mostly wrong about the cause. It's about iron over load which causes UA rise because its protective against too much iron. Got to chelate the iron out. I use turmeric with black pepper.