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15 Jul 2005

Diet plan for Gout
Hi Dietdoc. My husband suffer from severe acute gout and we need to change his diet plan. We are unsure as how to go about it and I was wondering if you could give me any advise.
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Expert
DietDoc
DietDoc

01 Jan 0001

Dear Mari
I trust that your husband is receiving anti-gout medication? If not, please discuss this iwth the treating dr. People who do have gout have an inability to metabolise components called 'purines' which occur in foods such as organ meats (liver, kidneys), meat (beef, mutton in particular), fish, anchovies, meat extracts and legumes. So the advice would be to cut out or decrease your intake of these foods. Foods that have an acid taste like lemon juice, citrus fruits and strawberries do not actually produce an acid reaction in the body once they are metabolised, in contrast the final product of the metabolism of such foods is alkaline. Acid residues are formed by meat, fish, poultry, eggs, cheese, peanut butter, peanuts, bacon, Brazil and walnuts, all types of bread, cereals, pasta, corn on the cob, cranberries, plums, prunes and plain cakes and cookies. Alkaline residues are formed in the body when we eat all milk and dairy products, almonds, chestnuts, coconut, all types of fruit (except corn on the cob, lentils), all types of fruit except the ones listed under acid ash. Fats and oils, sugar, honey, maizena, tapioca and coffee and tea are classed as neutral. I would strongly urge him to consult a clinical dietitian (check the List of Dietitians on this Website or phone 082-593-0276 or send an e-mail to sscharf@nhcltd.com or look in your local telephone directory or Yellow Pages, to find a dietitian in your area), who will assist him with a diet that reduces purines, and improves his gout. If he has gout it is also advisable to avoid all alcohol.
Best regards
DietDoc
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