Julie Bove > wrote:

>"Steve Pope" > wrote in message

>> Given with this information, you can go in several directions planning
>> a diet but the likely outcome is as follows:

>> 1) The diet must contain the daily value of protein, but not much more.
>> The DV of protein is 50 to 60 grams.

>This could be the problem. He is a HUGE protein eater. I have been making
>sandwiches. Must put less meat and cheese in there.

>> 2) A significant fraction of the protein should come from dairy.
>> (In my case, I try to get half my protein from dairy.)
>
>Okay... Less meat. More cheese. Heh.

Yes, a typical gout sufferer is a carnivore who has consumed way more
protein than is nutritionally necessary for many years. You are
symptom-free as the stuff builds up in your body, until your
first attack.

Then things get more complicated, since as you comply with your
treatment, the lowered uric acid levels in your bloodstream
can cause the uric acid stored in tissues to migrate. Commonly,
according to my rheumatologist, it migrates out of cartilage,
back into synovial fluid, and you have more joint symptoms (which are
not necessarily as severe as a full attack). Eventually most
people ultimately reach a stable point and this stops happening.
Gout is considered highly treatable.

Another thing to consider is that gout is part of a larger
"metabolic syndrome". If you leave any of the components of
this syndrome untreated (hypertension, hyperglycemia, lipid disorders,
hyperuricemia), the others are more likely to emerge with symptoms.

Good luck.

Steve