I have to cook for a person with gout. And his favorite foods are the worst
ones for it. Asparagus, red meat and seafood. And I was unwittingly
serving the wrong things. Chicken with mushroom sauce. The chicken may
have been okay but apparently mushrooms are not. And I've been making a lot
of dried beans because they're cheap. Oops!

I know that most fruit and vegetables are good. Spinach is not. I know
that whole grains are good and that tofu might be okay. Eggs might be okay.
But some people react to them.

I am just kind of stumped when it comes to protein. I've been serving
chicken and turkey but I'm sure that will get old. I have seen mixed things
about cheese. Does cheese bother you?

What can I fix? Luckily this person isn't a picky eater. Just prefers the
foods that are the worst for gout. Exception being fruit. He is a big
fruit eater. Guess I need to buy more.

On 8/29/2012 2:49 AM, Julie Bove wrote:
> I have to cook for a person with gout.

Allopurinol is my friend.

Does cheese bother you?

No. Spinach, swiss chard, and certain other vegetables taste metallic
and nasty to me. I assume that's a warning so I eat them in moderation,
seldom.

>
> What can I fix? Luckily this person isn't a picky eater. Just prefers the
> foods that are the worst for gout. Exception being fruit. He is a big
> fruit eater. Guess I need to buy more.
>
>

He has gout because he eats those foods. Ask HIM what he is willing to
eat and willing to suffer if he chooses wrong. You aren't his doctor.
You know if he doesn't get what he wants, he'll stop out to eat.

gloria p

"gloria p" > wrote in message
...
> On 8/29/2012 2:49 AM, Julie Bove wrote:
>> I have to cook for a person with gout.
>
> Allopurinol is my friend.
>
> Does cheese bother you?
>
> No. Spinach, swiss chard, and certain other vegetables taste metallic and
> nasty to me. I assume that's a warning so I eat them in moderation,
> seldom.

Thanks! Good thing I didn't buy the Swiss Chard. I almost did.

>> What can I fix? Luckily this person isn't a picky eater. Just prefers
>> the
>> foods that are the worst for gout. Exception being fruit. He is a big
>> fruit eater. Guess I need to buy more.
>>
>>
>
> He has gout because he eats those foods. Ask HIM what he is willing to
> eat and willing to suffer if he chooses wrong. You aren't his doctor.
> You know if he doesn't get what he wants, he'll stop out to eat.

He eats what I buy. He eats what I fix. I made the mistake of feeding him
a ton of beef because I know that he likes it. I had forgotten about the
gout until he began complaining about it. He will never speak up and tell
me why he can't eat something. I did notice that he didn't eat the beans
last night. But he didn't say why. It's very frustrating. He doesn't
communicate well.

On Aug 29, 1:11*pm, "Julie Bove" > wrote:
> "gloria p" > wrote in message
>
> ...
>
> > On 8/29/2012 2:49 AM, Julie Bove wrote:
> >> I have to cook for a person with gout.
>
> > Allopurinol is my friend.
>
> > * Does cheese bother you?
>
> > No. *Spinach, swiss chard, and certain other vegetables taste metallic and
> > nasty to me. *I assume that's a warning so I eat them in moderation,
> > seldom.
>
> Thanks! *Good thing I didn't buy the Swiss Chard. *I almost did.
>
> >> What can I fix? *Luckily this person isn't a picky eater. *Just prefers
> >> the
> >> foods that are the worst for gout. *Exception being fruit. *He is a big
> >> fruit eater. *Guess I need to buy more.
>
> > He has gout because he eats those foods. *Ask HIM what he is willing to
> > eat and willing to suffer if he chooses wrong. *You aren't his doctor..
> > You know if he doesn't get what he wants, he'll stop out to eat.
>
> He eats what I buy. *He eats what I fix. *I made the mistake of feeding him
> a ton of beef because I know that he likes it. *I had forgotten about the
> gout until he began complaining about it. *He will never speak up and tell
> me why he can't eat something. *I did notice that he didn't eat the beans
> last night. *But he didn't say why. *It's very frustrating. *He doesn't
> communicate well.

As for the beans...he probably didn't want the farts. there's a ton of
info on the Mayo Clinic website and you won't have to buy a book.

Chemo wrote:
> On Aug 29, 1:11 pm, "Julie Bove" > wrote:
>> "gloria p" > wrote in message
>>
>> ...
>>
>>> On 8/29/2012 2:49 AM, Julie Bove wrote:
>>>> I have to cook for a person with gout.
>>
>>> Allopurinol is my friend.
>>
>>> Does cheese bother you?
>>
>>> No. Spinach, swiss chard, and certain other vegetables taste
>>> metallic and nasty to me. I assume that's a warning so I eat them
>>> in moderation, seldom.
>>
>> Thanks! Good thing I didn't buy the Swiss Chard. I almost did.
>>
>>>> What can I fix? Luckily this person isn't a picky eater. Just
>>>> prefers the
>>>> foods that are the worst for gout. Exception being fruit. He is a
>>>> big fruit eater. Guess I need to buy more.
>>
>>> He has gout because he eats those foods. Ask HIM what he is willing
>>> to eat and willing to suffer if he chooses wrong. You aren't his
>>> doctor. You know if he doesn't get what he wants, he'll stop out to
>>> eat.
>>
>> He eats what I buy. He eats what I fix. I made the mistake of
>> feeding him a ton of beef because I know that he likes it. I had
>> forgotten about the gout until he began complaining about it. He
>> will never speak up and tell me why he can't eat something. I did
>> notice that he didn't eat the beans last night. But he didn't say
>> why. It's very frustrating. He doesn't communicate well.
>
> As for the beans...he probably didn't want the farts. there's a ton of
> info on the Mayo Clinic website and you won't have to buy a book.

That could be. But these were the very beans he had specifically asked for
in the past because they contain the most vitamins. Thanks!

"l, not -l" > wrote in :

>
> On 29-Aug-2012, gloria p > wrote:
>
>> On 8/29/2012 2:49 AM, Julie Bove wrote:
>> > I have to cook for a person with gout.
>>
>> Allopurinol is my friend.
>
> Amen to that; I haven't had a gout episode since starting on
> allopurinol 20 years ago.

Likewise.


--
"Where there's smoke there's toast!" Anon

Sqwertz wrote:
>
> I'm surprised I don't have gout since I'm so pro-meat. It probably
> has something to do with all the water I drink - usually about 2
> gallons a day.

That's probably it. If you have working kidneys,
drinking lots of water will compensate for eating
excessive meat.

Julie Bove > wrote:

>I have to cook for a person with gout. And his favorite foods are the worst
>ones for it. Asparagus, red meat and seafood. And I was unwittingly
>serving the wrong things. Chicken with mushroom sauce. The chicken may
>have been okay but apparently mushrooms are not. And I've been making a lot
>of dried beans because they're cheap. Oops!
>
>I know that most fruit and vegetables are good. Spinach is not. I know
>that whole grains are good and that tofu might be okay. Eggs might be okay.
>But some people react to them.
>
>I am just kind of stumped when it comes to protein. I've been serving
>chicken and turkey but I'm sure that will get old. I have seen mixed things
>about cheese. Does cheese bother you?
>
>What can I fix? Luckily this person isn't a picky eater.

The good news is designing a gout diet is pretty straightforward.
The bad news is that there is a lot of misinformation out there.

Here is a summary of what you need to know:

Firstly, all persons with gout should normally be on lifetime
uric-acid control medication, with periodic blood monitoring.
The purpose of the diet is to lower the serum uric acid even
further, but not many people with gout can rely on diet alone.

(Some can, but usually after decades of medication treatment, which
has finally reduced the stored uric acid in their tissues.)

On the other hand, some people with gout rely on medication
alone and simply ignore diet. If their blood work continues
to be okay, there is no real problem with this, other than
one might be using higher dosages of the drugs than would
otherwise be necessary.

Assuming one wants to address diet, the three components that need
to be restricted for a gout diet a purines, alcohol, and fructose.

Purines are found in almost all protein sources and some vegetable sources.

Among protein sources, the only ones that is completely purine-free is
dairy. Egg whites also contain no purine. Everything else
that has protein also has purines, but in somewhat different
ratios.

Among vegetables, there are some with more purines than others --
you've already identified a couple such as asparagus and mushrooms.

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.

2) A significant fraction of the protein should come from dairy.
(In my case, I try to get half my protein from dairy.)

3) Frutose (including all sweets) and alcohol should be cut back.

4) Vegetables are okay but avoid mass quantities of those vegetables
known to be high purine. Starches are okay (unlike sugar which is
one-half fructose, starches do not contain much fructose). Fats
are okay.

Some meat products, such as organ meats, are particularly high
in purines. On the other hand, some such as sausages or salami
are relatively low, because they are high fat without much protein.
The purines are associated with the protein part of the meat.

Previously, I posted a list of purine content vs. protein content
for various foods and I will see if I can locate that and re-post.


Steve

Steve Pope wrote:
>
> Firstly, all persons with gout should normally be on lifetime
> uric-acid control medication, with periodic blood monitoring.
> The purpose of the diet is to lower the serum uric acid even
> further, but not many people with gout can rely on diet alone.

I can control it through diet alone. I've never been
on medication. My last bad gout attack was over 10 years
ago. I've had a few minor ones since then, due to
carelessness in following my diet.

It all depends on the cause of the gout. If it's kidney
disease, then yes you probably need the medication. If
it's overindulgence in eating meat, all you have to do is
stop doing that. If it's excess alcohol consumption, it's
sufficient to stop drinking.

> (Some can, but usually after decades of medication treatment, which
> has finally reduced the stored uric acid in their tissues.)
>
> On the other hand, some people with gout rely on medication
> alone and simply ignore diet. If their blood work continues
> to be okay, there is no real problem with this, other than
> one might be using higher dosages of the drugs than would
> otherwise be necessary.

If you want to keep drinking heavily, you may need the
medication. That's not a good solution, but it is a
solution.

> Assuming one wants to address diet, the three components that need
> to be restricted for a gout diet a purines, alcohol, and fructose.
>
> Purines are found in almost all protein sources and some vegetable sources.

Purines and pyrimidines are minor contributors to the
organic nitrogen load, as compared to amino acids from
protein. They are a more concentrated nitrogen source,
but less abundant in the diet.

> Among protein sources, the only ones that is completely purine-free is
> dairy. Egg whites also contain no purine. Everything else
> that has protein also has purines, but in somewhat different
> ratios.

Total red herring. Any concentrated protein can cause
gout.

> Among vegetables, there are some with more purines than others --
> you've already identified a couple such as asparagus and mushrooms.

Eat all you want. Vegetables won't give you gout.
Mushrooms can be a problem because they are high in
protein and it's very unbalanced protein.

> 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.

Yes, protein must be at the minimum level.

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

The protein should be a complete protein, because
unbalanced proteins contribute more to gout and
less to the nutritional requirement for protein.
Dairy protein is complete, but so is the protein
from eggs and meat. Dairy also contains saturated
fat, which is bad.

> 3) Frutose (including all sweets) and alcohol should be cut back.

If the gout is caused by heavy drinking, you've
got to stop.

> 4) Vegetables are okay but avoid mass quantities of those vegetables
> known to be high purine. Starches are okay (unlike sugar which is
> one-half fructose, starches do not contain much fructose). Fats
> are okay.

All vegetables are just fine. Eat all you want.

> Some meat products, such as organ meats, are particularly high
> in purines. On the other hand, some such as sausages or salami
> are relatively low, because they are high fat without much protein.
> The purines are associated with the protein part of the meat.

It's the protein which is main problem. Dried meats
like salami are worse than fresh meats, just because
they're more concentrated.

> Previously, I posted a list of purine content vs. protein content
> for various foods and I will see if I can locate that and re-post.

If he posts it, ignore it. Don't believe anyone who
says you can't eat vegetables.

Mark Thorson > replies to my post,

>> Firstly, all persons with gout should normally be on lifetime
>> uric-acid control medication, with periodic blood monitoring.
>> The purpose of the diet is to lower the serum uric acid even
>> further, but not many people with gout can rely on diet alone.

>I can control it through diet alone.

Great; but you are the exception. I didn't say nobody can
control it through diet alone. Just that most with gout cannot.

Furthermore, it is easy to determine if your gout treatment
is working... measure your serum uric acid. So a given individual
need not worry about whether many, or most, or just a few
gout sufferers can rely on dietary measures; they can find out
for themselves if their own measures are sufficient.

>It all depends on the cause of the gout. If it's kidney
>disease, then yes you probably need the medication. If
>it's overindulgence in eating meat, all you have to do is
>stop doing that. If it's excess alcohol consumption, it's
>sufficient to stop drinking.

You're right that it depends on the cause of the gout. I don't have
"kidney disease", but like many with gout I am an
"underexcreter", defined as passing less thant 800 mg/day
of uric acid into the urine. Thus uric acid from dietary sources
builds up unless I do something about it.

If you're not an underexcreter, and in fact are consuming way
too many purines such that you have gout anyway, then probably yes
it's important to control it through diet (although allopurinol
will still reduce it).

And even if such a person changes their diet, there is the
problem of high levels of uric acid built up in their tissues.
They must excrete this uric acid to avoid future disease.
A uricosuric drug can help them do this.

>> (Some can, but usually after decades of medication treatment, which
>> has finally reduced the stored uric acid in their tissues.)
>>
>> On the other hand, some people with gout rely on medication
>> alone and simply ignore diet. If their blood work continues
>> to be okay, there is no real problem with this, other than
>> one might be using higher dosages of the drugs than would
>> otherwise be necessary.
>
>If you want to keep drinking heavily, you may need the
>medication. That's not a good solution, but it is a
>solution.

Agreed

>> Assuming one wants to address diet, the three components that need
>> to be restricted for a gout diet a purines, alcohol, and fructose.
>>
>> Purines are found in almost all protein sources and some vegetable sources.
>
>Purines and pyrimidines are minor contributors to the
>organic nitrogen load, as compared to amino acids from
>protein. They are a more concentrated nitrogen source,
>but less abundant in the diet.

The body produces uric acid only from purines. There are some
minor synthesis pathways from amino acids to purines, but these are
synthesized because those purines are needed in cells (e.g. in
mitochondria). In some uncommon genetic disorders these pathways run
out of control, and gout is a possibility, but that is not
a typical cause of gout.

>> Among protein sources, the only one that is completely purine-free is
>> dairy. Egg whites also contain no purine. Everything else
>> that has protein also has purines, but in somewhat different
>> ratios.

>Total red herring. Any concentrated protein can cause gout.

I'm very certain this is not the case.

Dietary sources of protein usually contain purines, but
to finger protein as causitive of gout is merely guilt by association.

>> 1) The diet must contain the daily value of protein, but not much more.
>> The DV of protein is 50 to 60 grams.
>
>Yes, protein must be at the minimum level.
>
>> 2) A significant fraction of the protein should come from dairy.
>> (In my case, I try to get half my protein from dairy.)

>The protein should be a complete protein,

I agree, if one is doing this right, one should eat no more
protein than necessary, and the implication would be it must be
complete protein, otherwise you are undernourished.

If one eats 4x the DV of protein, one is not undernourished
even with incomplete proteins. And, yes, there is then waste nitrogen
entering your metabolism. But it is not going to cause high
uric acid levels. Excess protein is metabolised into glycogen
and fat, and the nitrogen enters the urea cycle (which is unrelated
to uric acid).

The science on this is overwhelming that high dietary purine levels,
but not high dietary protein levels, lead to higher serum uric acid.

>Dairy protein is complete, but so is the protein
>from eggs and meat. Dairy also contains saturated
>fat, which is bad.

In a gout scenario I recommend high-protein forms of dairy:
cottage cheese, Greek yogurt, low-fat cheeses in general,
whey protein concentrate. It is not at all excessive or unhealthy
to obtain half your dietary protein needs - about 25g/day -- from such
sources. You can, if you like, do this just from whey protein
concentrate.

>> Some meat products, such as organ meats, are particularly high
>> in purines. On the other hand, some such as sausages or salami
>> are relatively low, because they are high fat without much protein.
>> The purines are associated with the protein part of the meat.
>
>It's the protein which is main problem. Dried meats
>like salami are worse than fresh meats, just because
>they're more concentrated.

Interesting, but the numbers don't support this. Lean beef
has more purines per weight, and also more purines per calorie
than does salami.

Steve

"Steve Pope" > wrote in message
...
> Julie Bove > wrote:
>
>>I have to cook for a person with gout. And his favorite foods are the
>>worst
>>ones for it. Asparagus, red meat and seafood. And I was unwittingly
>>serving the wrong things. Chicken with mushroom sauce. The chicken may
>>have been okay but apparently mushrooms are not. And I've been making a
>>lot
>>of dried beans because they're cheap. Oops!
>>
>>I know that most fruit and vegetables are good. Spinach is not. I know
>>that whole grains are good and that tofu might be okay. Eggs might be
>>okay.
>>But some people react to them.
>>
>>I am just kind of stumped when it comes to protein. I've been serving
>>chicken and turkey but I'm sure that will get old. I have seen mixed
>>things
>>about cheese. Does cheese bother you?
>>
>>What can I fix? Luckily this person isn't a picky eater.
>
> The good news is designing a gout diet is pretty straightforward.
> The bad news is that there is a lot of misinformation out there.
>
> Here is a summary of what you need to know:
>
> Firstly, all persons with gout should normally be on lifetime
> uric-acid control medication, with periodic blood monitoring.
> The purpose of the diet is to lower the serum uric acid even
> further, but not many people with gout can rely on diet alone.
>
> (Some can, but usually after decades of medication treatment, which
> has finally reduced the stored uric acid in their tissues.)
>
> On the other hand, some people with gout rely on medication
> alone and simply ignore diet. If their blood work continues
> to be okay, there is no real problem with this, other than
> one might be using higher dosages of the drugs than would
> otherwise be necessary.

What he was doing was saying that the med he had didn't work. I don't think
he was taking it all the time like I know he is supposed to. After being in
the hospital he now says that he has to take it daily.

I don't know if he is just cluess about the diet or just doesn't want to
know. Daughter and I have tried to tell him. Last time it acted up we
bought him cherry juice but he refused to drink it.
>
> Assuming one wants to address diet, the three components that need
> to be restricted for a gout diet a purines, alcohol, and fructose.
>
> Purines are found in almost all protein sources and some vegetable
> sources.
>
> Among protein sources, the only ones that is completely purine-free is
> dairy. Egg whites also contain no purine. Everything else
> that has protein also has purines, but in somewhat different
> ratios.

Ah crud. I wasn't sure about the eggs. I read mixed things on that. I was
going to do fried rice with a little egg in it.

> Among vegetables, there are some with more purines than others --
> you've already identified a couple such as asparagus and mushrooms.
>
> 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.
>
> 3) Frutose (including all sweets) and alcohol should be cut back.

Okay.
>
> 4) Vegetables are okay but avoid mass quantities of those vegetables
> known to be high purine. Starches are okay (unlike sugar which is
> one-half fructose, starches do not contain much fructose). Fats
> are okay.

I do have plenty of starches.
>
> Some meat products, such as organ meats, are particularly high
> in purines. On the other hand, some such as sausages or salami
> are relatively low, because they are high fat without much protein.
> The purines are associated with the protein part of the meat.

Ah... Hm! He loves the Pho with the organ meats. I guess that is bad.
>
> Previously, I posted a list of purine content vs. protein content
> for various foods and I will see if I can locate that and re-post.

Thanks!

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

"Steve Pope" > wrote in message
...
> 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.
>

My FIL suffered from it very badly but he wasn't a big meat eater. What he
did say that he could live on daily was pasta fagioli. I guess all those
beans and the tomatoes in there wasn't very good either. Another thing he
and my MIL ate frequently was what she called "bread salad". When she had
stale bread she would break it onto a plate and cover it with canned
tomatoes and juice. Eaten at room temp.

On Aug 29, 5:42*pm, (Steve Pope) wrote:

> 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.
>

For years I had what I didn't realize were gout attacks (I would think
I had stubbed my toe or something.) Turned out it was a side effect of
the diuretic blood pressure medication I had been taking. Getting off
the thiazide cut them out radically.

spamtrap1888 wrote:
> On Aug 29, 5:42 pm, (Steve Pope) wrote:
>
>> 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.
>>
>
> For years I had what I didn't realize were gout attacks (I would think
> I had stubbed my toe or something.) Turned out it was a side effect of
> the diuretic blood pressure medication I had been taking. Getting off
> the thiazide cut them out radically.

Very interesting! I take a thiazide but AFAIK there are no problems. I did
have a toe problem some years ago that my dad thought was gout. Nope.
Turns out it was a pair of peep toe shoes that I had. The left shoe was
fine but the right one? The edge of the peep toe was rubbing at the outside
edge of the right big toenail and irritating the skin there.

Steve Pope > wrote:

>Previously, I posted a list of purine content vs. protein content
>for various foods and I will see if I can locate that and re-post.

I can't find my previous post in google archives but my memory
of the result was as follows:

Milk and egg whites are purine-free protein.

Whole grains, legumes, soy and eggs have some purines, relative
to the amount of protein.

Beef, lamb, tuna have somewhat more relative level of purine.

Chicken has the higher purine levels per protein gram. White
meat chicken is worse than leg meat.


I will try to compile more accurate data and post it. Maddeningly,
the USDA nutrition database does not list purine content,
making this task more difficult.


Steve

"Steve Pope" > wrote in message
...
> Steve Pope > wrote:
>
>>Previously, I posted a list of purine content vs. protein content
>>for various foods and I will see if I can locate that and re-post.
>
> I can't find my previous post in google archives but my memory
> of the result was as follows:
>
> Milk and egg whites are purine-free protein.
>
> Whole grains, legumes, soy and eggs have some purines, relative
> to the amount of protein.
>
> Beef, lamb, tuna have somewhat more relative level of purine.
>
> Chicken has the higher purine levels per protein gram. White
> meat chicken is worse than leg meat.
>
>
> I will try to compile more accurate data and post it. Maddeningly,
> the USDA nutrition database does not list purine content,
> making this task more difficult.

Oh dear. I did buy some tofu today. Not sure what I intend to do with it.

Steve Pope wrote:
>
> I can't find my previous post in google archives but my memory
> of the result was as follows:
>
> Milk and egg whites are purine-free protein.

That doesn't matter.

> Whole grains, legumes, soy and eggs have some purines, relative
> to the amount of protein.
>
> Beef, lamb, tuna have somewhat more relative level of purine.

That doesn't matter either.

> Chicken has the higher purine levels per protein gram. White
> meat chicken is worse than leg meat.

Protein content matters. Purine content doesn't.

> I will try to compile more accurate data and post it. Maddeningly,
> the USDA nutrition database does not list purine content,
> making this task more difficult.

That because purine content doesn't matter.

Quoting from:
http://www.ncbi.nlm.nih.gov/pubmed/15014182

N Engl J Med. 2004 Mar 11;350(11):1093-103.
Purine-rich foods, dairy and protein intake, and the
risk of gout in men.
Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G.

Source
Rheumatology Unit, Department of Medicine,
Massachusetts General Hospital, Boston, MA 02114, USA.

Abstract
BACKGROUND:

Various purine-rich foods and high protein intake
have long been thought to be risk factors for gout.
Similarly, the possibility that the consumption of
dairy products has a role in protecting against
gout has been raised by metabolic studies. We
prospectively investigated the association of
these dietary factors with new cases of gout.

METHODS:

Over a 12-year period, we prospectively examined
the relationship between purported dietary risk
factors and new cases of gout among 47,150 men
who had no history of gout at base line. We used
a supplementary questionnaire to ascertain whether
participants met the American College of
Rheumatology survey criteria for gout. Diet was
assessed every four years by means of a
food-frequency questionnaire.

RESULTS:

During the 12 years of the study, we documented
730 confirmed new cases of gout. The multivariate
relative risk of gout among men in the highest
quintile of meat intake, as compared with those
in the lowest quintile, was 1.41 (95 percent
confidence interval, 1.07 to 1.86; P for trend
= 0.02), and the corresponding relative risk
associated with seafood intake was 1.51 (95
percent confidence interval, 1.17 to 1.95;
P for trend = 0.02). In contrast, the incidence
of gout decreased with increasing intake of
dairy products; the multivariate relative risk
among men in the highest quintile, as compared
with those in the lowest quintile, was 0.56
(95 percent confidence interval, 0.42 to 0.74;
P for trend <0.001). The level of consumption
of purine-rich vegetables and the total protein
intake were not associated with an increased
risk of gout.

CONCLUSIONS:

Higher levels of meat and seafood consumption
are associated with an increased risk of gout,
whereas a higher level of consumption of dairy
products is associated with a decreased risk.
Moderate intake of purine-rich vegetables or
protein is not associated with an increased
risk of gout.

Mark Thorson > wrote:

>Steve Pope wrote:
>>
>> I can't find my previous post in google archives but my memory
>> of the result was as follows:
>>
>> Milk and egg whites are purine-free protein.
>
>That doesn't matter.

Sure it does.

>Protein content matters. Purine content doesn't.

Where did you get this idea?

>> I will try to compile more accurate data and post it. Maddeningly,
>> the USDA nutrition database does not list purine content,
>> making this task more difficult.
>
>That because purine content doesn't matter.
>
>Quoting from:
>http://www.ncbi.nlm.nih.gov/pubmed/15014182

"The level of consumption of purine-rich vegetables and the
total protein intake were not associated with an increased risk
of gout."

This says that total protein intake is not a risk factor, which
is what I've been saying.

Purine-rich vegetables are not likely to amount in as much purines
as meat/fish sources of purines. So this is also consistent with
purines being a risk factor.

"CONCLUSIONS: Higher levels of meat and seafood consumption are
associated with an increased risk of gout, whereas a higher
level of consumption of dairy products is associated with a
decreased risk."

Which is consistent with dairy products being purine-free,
despite being high protein.

So, you've validated everything I've been saying here. Thank you.


Steve

"Steve Pope" > wrote in message
...
> Mark Thorson > wrote:
>
>>Steve Pope wrote:
>>>
>>> I can't find my previous post in google archives but my memory
>>> of the result was as follows:
>>>
>>> Milk and egg whites are purine-free protein.
>>
>>That doesn't matter.
>
> Sure it does.
>
>>Protein content matters. Purine content doesn't.
>
> Where did you get this idea?
>
>>> I will try to compile more accurate data and post it. Maddeningly,
>>> the USDA nutrition database does not list purine content,
>>> making this task more difficult.
>>
>>That because purine content doesn't matter.
>>
>>Quoting from:
>>http://www.ncbi.nlm.nih.gov/pubmed/15014182
>
> "The level of consumption of purine-rich vegetables and the
> total protein intake were not associated with an increased risk
> of gout."
>
> This says that total protein intake is not a risk factor, which
> is what I've been saying.
>
> Purine-rich vegetables are not likely to amount in as much purines
> as meat/fish sources of purines. So this is also consistent with
> purines being a risk factor.
>
> "CONCLUSIONS: Higher levels of meat and seafood consumption are
> associated with an increased risk of gout, whereas a higher
> level of consumption of dairy products is associated with a
> decreased risk."
>
> Which is consistent with dairy products being purine-free,
> despite being high protein.
>
> So, you've validated everything I've been saying here. Thank you.
>
>
> Steve

I have read that overall protein needs to be cut back on but that it is the
purines that matter the most.

On Wed, 29 Aug 2012 01:49:25 -0700, "Julie Bove"
> wrote:

> I have to cook for a person with gout. And his favorite foods are the worst
> ones for it. Asparagus, red meat and seafood. And I was unwittingly
> serving the wrong things. Chicken with mushroom sauce. The chicken may
> have been okay but apparently mushrooms are not. And I've been making a lot
> of dried beans because they're cheap. Oops!
>
> I know that most fruit and vegetables are good. Spinach is not. I know
> that whole grains are good and that tofu might be okay. Eggs might be okay.
> But some people react to them.
>
> I am just kind of stumped when it comes to protein. I've been serving
> chicken and turkey but I'm sure that will get old. I have seen mixed things
> about cheese. Does cheese bother you?
>
> What can I fix? Luckily this person isn't a picky eater. Just prefers the
> foods that are the worst for gout. Exception being fruit. He is a big
> fruit eater. Guess I need to buy more.
>

That will change when he gets tired of having gout attacks. In the
mean time, don't bother because he won't appreciate what you're trying
to do anyway.

It seems like everything has purines in it in one degree or another.
The first thing he has to figure out what his triggers are and then
you can work from there. My husband can't eat more than one piece of
shellfish or he'll have twinges the next day and he limits himself to
one beer if it's a social drinking situation. Red meat (beef) isn't
as bad, but we only have it a couple of times a month because if we
have it a couple of times a week a couple of weeks in a row he can
feel his body start to complain (not an attack, but getting ready for
one). My husband *loves* mushrooms and they don't trigger his gout,
so I put twice as many as I used to in sauces and gravies now (by
request). We'd eat more fish if I liked it better and was willing to
cook it... but I don't and I'm not.

We eat a lot of chicken, so I have a myriad of recipes for that. We
could eat chicken every day and not get bored because the recipes are
so different.

--
Food is an important part of a balanced diet.

"sf" > wrote in message
news
> On Wed, 29 Aug 2012 01:49:25 -0700, "Julie Bove"
> > wrote:
>
>> I have to cook for a person with gout. And his favorite foods are the
>> worst
>> ones for it. Asparagus, red meat and seafood. And I was unwittingly
>> serving the wrong things. Chicken with mushroom sauce. The chicken may
>> have been okay but apparently mushrooms are not. And I've been making a
>> lot
>> of dried beans because they're cheap. Oops!
>>
>> I know that most fruit and vegetables are good. Spinach is not. I know
>> that whole grains are good and that tofu might be okay. Eggs might be
>> okay.
>> But some people react to them.
>>
>> I am just kind of stumped when it comes to protein. I've been serving
>> chicken and turkey but I'm sure that will get old. I have seen mixed
>> things
>> about cheese. Does cheese bother you?
>>
>> What can I fix? Luckily this person isn't a picky eater. Just prefers
>> the
>> foods that are the worst for gout. Exception being fruit. He is a big
>> fruit eater. Guess I need to buy more.
>>
>
> That will change when he gets tired of having gout attacks. In the
> mean time, don't bother because he won't appreciate what you're trying
> to do anyway.
>
> It seems like everything has purines in it in one degree or another.
> The first thing he has to figure out what his triggers are and then
> you can work from there. My husband can't eat more than one piece of
> shellfish or he'll have twinges the next day and he limits himself to
> one beer if it's a social drinking situation. Red meat (beef) isn't
> as bad, but we only have it a couple of times a month because if we
> have it a couple of times a week a couple of weeks in a row he can
> feel his body start to complain (not an attack, but getting ready for
> one). My husband *loves* mushrooms and they don't trigger his gout,
> so I put twice as many as I used to in sauces and gravies now (by
> request). We'd eat more fish if I liked it better and was willing to
> cook it... but I don't and I'm not.
>
> We eat a lot of chicken, so I have a myriad of recipes for that. We
> could eat chicken every day and not get bored because the recipes are
> so different.

I have been serving lots of chicken but I was using a garlic mushroom sauce.
Need to find another way to fix it. Daughter really likes it that way.

On Wed, 29 Aug 2012 13:14:08 -0700, "Julie Bove"
> wrote:

> I have been serving lots of chicken but I was using a garlic mushroom sauce.
> Need to find another way to fix it. Daughter really likes it that way.
>
There are lots of recipes on the internet, that's where I find most of
mine.

--
Food is an important part of a balanced diet.

"sf" > wrote in message
...
> On Wed, 29 Aug 2012 13:14:08 -0700, "Julie Bove"
> > wrote:
>
>> I have been serving lots of chicken but I was using a garlic mushroom
>> sauce.
>> Need to find another way to fix it. Daughter really likes it that way.
>>
> There are lots of recipes on the internet, that's where I find most of
> mine.

Yeah, I know. I have tried lots of recipes. And they weren't liked.

On Wed, 29 Aug 2012 22:21:23 -0700, "Julie Bove"
> wrote:

>
> "sf" > wrote in message
> ...
> > On Wed, 29 Aug 2012 13:14:08 -0700, "Julie Bove"
> > > wrote:
> >
> >> I have been serving lots of chicken but I was using a garlic mushroom
> >> sauce.
> >> Need to find another way to fix it. Daughter really likes it that way.
> >>
> > There are lots of recipes on the internet, that's where I find most of
> > mine.
>
> Yeah, I know. I have tried lots of recipes. And they weren't liked.
>
Most of the recipes I make from the internet are really good. One's a
clunker every now and then, but not absolutely horrible... just not to
my particular liking.

Take the recipe I made tonight - there was absolutely nothing wrong
with it, but it was so easy to make that I didn't feel like I was
cooking so I was very disappointed with it. <shrug>

--
Food is an important part of a balanced diet.

Julie Bove wrote:
>
> I have to cook for a person with gout. And his favorite foods are the worst
> ones for it. Asparagus, red meat and seafood. And I was unwittingly
> serving the wrong things. Chicken with mushroom sauce. The chicken may
> have been okay but apparently mushrooms are not. And I've been making a lot
> of dried beans because they're cheap. Oops!

What's wrong with asparagus? It's meat, eggs, and cheese
that you've got to watch out for.

> I know that most fruit and vegetables are good. Spinach is not. I know
> that whole grains are good and that tofu might be okay. Eggs might be okay.
> But some people react to them.

What's wrong with spinach? I think you're confusing gout
with kidney stones. Gout can cause kidney stones, but
it's a different type of stone than the ones caused by
eating spinach.

Eggs are definitely NOT okay. Tofu is bad, but not
as bad as meat and eggs. Anything that's high in protein
is a potential problem.

> I am just kind of stumped when it comes to protein. I've been serving
> chicken and turkey but I'm sure that will get old. I have seen mixed things
> about cheese. Does cheese bother you?

Yes, cheese is no good when it comes to gout. Hard,
fermented cheeses are worse than fatty fresh cheeses.
Chicken and turkey, like all meats, are bad.

> What can I fix? Luckily this person isn't a picky eater. Just prefers the
> foods that are the worst for gout. Exception being fruit. He is a big
> fruit eater. Guess I need to buy more.

All vegetables, fruit, and carbs are fine. The foods
which must be restricted are meat, eggs, and cheese.

Gout is caused by build-up of the waste products of
metabolizing organic nitrogen, which comes mostly from
protein. Normally, this is processed into urea which
then goes out in the urine. But if the level of urea
gets too high, it is converted into uric acid which gets
deposited as crystals in the joints, which is gout.

The best way to handle gout by far is PREVENTION. It's
so easy to get gout and so painful to suffer through.
Nearly all of my gout attacks were preceded by
overindulging in meat. I remember many times thinking
"I wonder if this will give me gout", and pretty much
every time the answer was YES. I'm reeeaaallly careful
to watch my meat consumption nowdays.

I've tried the alleged cherry juice remedy. Didn't do
a thing for me.

"Mark Thorson" > wrote in message
...
> Julie Bove wrote:
>>
>> I have to cook for a person with gout. And his favorite foods are the
>> worst
>> ones for it. Asparagus, red meat and seafood. And I was unwittingly
>> serving the wrong things. Chicken with mushroom sauce. The chicken may
>> have been okay but apparently mushrooms are not. And I've been making a
>> lot
>> of dried beans because they're cheap. Oops!
>
> What's wrong with asparagus? It's meat, eggs, and cheese
> that you've got to watch out for.
>
>> I know that most fruit and vegetables are good. Spinach is not. I know
>> that whole grains are good and that tofu might be okay. Eggs might be
>> okay.
>> But some people react to them.
>
> What's wrong with spinach? I think you're confusing gout
> with kidney stones. Gout can cause kidney stones, but
> it's a different type of stone than the ones caused by
> eating spinach.
>
> Eggs are definitely NOT okay. Tofu is bad, but not
> as bad as meat and eggs. Anything that's high in protein
> is a potential problem.
>
>> I am just kind of stumped when it comes to protein. I've been serving
>> chicken and turkey but I'm sure that will get old. I have seen mixed
>> things
>> about cheese. Does cheese bother you?
>
> Yes, cheese is no good when it comes to gout. Hard,
> fermented cheeses are worse than fatty fresh cheeses.
> Chicken and turkey, like all meats, are bad.
>
>> What can I fix? Luckily this person isn't a picky eater. Just prefers
>> the
>> foods that are the worst for gout. Exception being fruit. He is a big
>> fruit eater. Guess I need to buy more.
>
> All vegetables, fruit, and carbs are fine. The foods
> which must be restricted are meat, eggs, and cheese.
>
> Gout is caused by build-up of the waste products of
> metabolizing organic nitrogen, which comes mostly from
> protein. Normally, this is processed into urea which
> then goes out in the urine. But if the level of urea
> gets too high, it is converted into uric acid which gets
> deposited as crystals in the joints, which is gout.
>
> The best way to handle gout by far is PREVENTION. It's
> so easy to get gout and so painful to suffer through.
> Nearly all of my gout attacks were preceded by
> overindulging in meat. I remember many times thinking
> "I wonder if this will give me gout", and pretty much
> every time the answer was YES. I'm reeeaaallly careful
> to watch my meat consumption nowdays.
>
> I've tried the alleged cherry juice remedy. Didn't do
> a thing for me.


It's food high in purines that are the problem. I got gout from eating too
many tomatoes. And raw cherry juice fixed me up fast. You have to have the
raw stuff not the cherry juice beverage you find in most stores. At the
time TJs sold it but like everything else good they dropped it from the
inventory.

"Paul M. Cook" > wrote in message
...
>
> "Mark Thorson" > wrote in message
> ...
>> Julie Bove wrote:
>>>
>>> I have to cook for a person with gout. And his favorite foods are the
>>> worst
>>> ones for it. Asparagus, red meat and seafood. And I was unwittingly
>>> serving the wrong things. Chicken with mushroom sauce. The chicken may
>>> have been okay but apparently mushrooms are not. And I've been making a
>>> lot
>>> of dried beans because they're cheap. Oops!
>>
>> What's wrong with asparagus? It's meat, eggs, and cheese
>> that you've got to watch out for.
>>
>>> I know that most fruit and vegetables are good. Spinach is not. I know
>>> that whole grains are good and that tofu might be okay. Eggs might be
>>> okay.
>>> But some people react to them.
>>
>> What's wrong with spinach? I think you're confusing gout
>> with kidney stones. Gout can cause kidney stones, but
>> it's a different type of stone than the ones caused by
>> eating spinach.
>>
>> Eggs are definitely NOT okay. Tofu is bad, but not
>> as bad as meat and eggs. Anything that's high in protein
>> is a potential problem.
>>
>>> I am just kind of stumped when it comes to protein. I've been serving
>>> chicken and turkey but I'm sure that will get old. I have seen mixed
>>> things
>>> about cheese. Does cheese bother you?
>>
>> Yes, cheese is no good when it comes to gout. Hard,
>> fermented cheeses are worse than fatty fresh cheeses.
>> Chicken and turkey, like all meats, are bad.
>>
>>> What can I fix? Luckily this person isn't a picky eater. Just prefers
>>> the
>>> foods that are the worst for gout. Exception being fruit. He is a big
>>> fruit eater. Guess I need to buy more.
>>
>> All vegetables, fruit, and carbs are fine. The foods
>> which must be restricted are meat, eggs, and cheese.
>>
>> Gout is caused by build-up of the waste products of
>> metabolizing organic nitrogen, which comes mostly from
>> protein. Normally, this is processed into urea which
>> then goes out in the urine. But if the level of urea
>> gets too high, it is converted into uric acid which gets
>> deposited as crystals in the joints, which is gout.
>>
>> The best way to handle gout by far is PREVENTION. It's
>> so easy to get gout and so painful to suffer through.
>> Nearly all of my gout attacks were preceded by
>> overindulging in meat. I remember many times thinking
>> "I wonder if this will give me gout", and pretty much
>> every time the answer was YES. I'm reeeaaallly careful
>> to watch my meat consumption nowdays.
>>
>> I've tried the alleged cherry juice remedy. Didn't do
>> a thing for me.
>
>
> It's food high in purines that are the problem. I got gout from eating
> too many tomatoes. And raw cherry juice fixed me up fast. You have to
> have the raw stuff not the cherry juice beverage you find in most stores.
> At the time TJs sold it but like everything else good they dropped it from
> the inventory.

We did get him raw cherry juice the last time this happened but he refused
to drink it. I am going to buy more cherries today while I can still get
them.

Thanks!

Mark Thorson > wrote:

-snip-
>
>All vegetables, fruit, and carbs are fine. The foods
>which must be restricted are meat, eggs, and cheese.

Because it is tomato season, I'll just mention them. They have no
purines, but are acidic. Acid triggers some folks' gout.

Cherry tomatoes are generally higher in acid than the big boys and
their ilk.

Jim

"Jim Elbrecht" > wrote in message
news
> Mark Thorson > wrote:
>
> -snip-
>>
>>All vegetables, fruit, and carbs are fine. The foods
>>which must be restricted are meat, eggs, and cheese.
>
> Because it is tomato season, I'll just mention them. They have no
> purines, but are acidic. Acid triggers some folks' gout.
>
> Cherry tomatoes are generally higher in acid than the big boys and
> their ilk.

Thanks! I did make some things with tomato. Guess I will have to stop.

"Julie Bove" > wrote in message
...
>I have to cook for a person with gout. And his favorite foods are the
>worst ones for it. Asparagus, red meat and seafood. And I was unwittingly
>serving the wrong things. Chicken with mushroom sauce. The chicken may
>have been okay but apparently mushrooms are not. And I've been making a
>lot of dried beans because they're cheap. Oops!
>
> I know that most fruit and vegetables are good. Spinach is not. I know
> that whole grains are good and that tofu might be okay. Eggs might be
> okay. But some people react to them.
>
> I am just kind of stumped when it comes to protein. I've been serving
> chicken and turkey but I'm sure that will get old. I have seen mixed
> things about cheese. Does cheese bother you?
>
> What can I fix? Luckily this person isn't a picky eater. Just prefers
> the foods that are the worst for gout. Exception being fruit. He is a
> big fruit eater. Guess I need to buy more.


Just Google purines and avoid foods high in them. It is not all seafood
that is bad it is specifically shellfish. Beef is not so bad either but
offal is. Tomatoes are bad.

http://www.acumedico.com/purine.htm

"Paul M. Cook" > wrote in message
...
>
> "Julie Bove" > wrote in message
> ...
>>I have to cook for a person with gout. And his favorite foods are the
>>worst ones for it. Asparagus, red meat and seafood. And I was
>>unwittingly serving the wrong things. Chicken with mushroom sauce. The
>>chicken may have been okay but apparently mushrooms are not. And I've
>>been making a lot of dried beans because they're cheap. Oops!
>>
>> I know that most fruit and vegetables are good. Spinach is not. I know
>> that whole grains are good and that tofu might be okay. Eggs might be
>> okay. But some people react to them.
>>
>> I am just kind of stumped when it comes to protein. I've been serving
>> chicken and turkey but I'm sure that will get old. I have seen mixed
>> things about cheese. Does cheese bother you?
>>
>> What can I fix? Luckily this person isn't a picky eater. Just prefers
>> the foods that are the worst for gout. Exception being fruit. He is a
>> big fruit eater. Guess I need to buy more.
>
>
> Just Google purines and avoid foods high in them. It is not all seafood
> that is bad it is specifically shellfish. Beef is not so bad either but
> offal is. Tomatoes are bad.
>
> http://www.acumedico.com/purine.htm

Oh snap! I didn't realize that tomatoes were bad. Thanks!

On 8/29/2012 4:49 AM, Julie Bove wrote:
> I have to cook for a person with gout. And his favorite foods are the worst
> ones for it. Asparagus, red meat and seafood. And I was unwittingly
> serving the wrong things. Chicken with mushroom sauce. The chicken may
> have been okay but apparently mushrooms are not. And I've been making a lot
> of dried beans because they're cheap. Oops!
>
> I know that most fruit and vegetables are good. Spinach is not. I know
> that whole grains are good and that tofu might be okay. Eggs might be okay.
> But some people react to them.
>
> I am just kind of stumped when it comes to protein. I've been serving
> chicken and turkey but I'm sure that will get old. I have seen mixed things
> about cheese. Does cheese bother you?
>
> What can I fix? Luckily this person isn't a picky eater. Just prefers the
> foods that are the worst for gout. Exception being fruit. He is a big
> fruit eater. Guess I need to buy more.
>
>
A guy I work with gets gout flareups from too much salt. I think that's
rare.

"Cheryl" > wrote in message
...
> On 8/29/2012 4:49 AM, Julie Bove wrote:
>> I have to cook for a person with gout. And his favorite foods are the
>> worst
>> ones for it. Asparagus, red meat and seafood. And I was unwittingly
>> serving the wrong things. Chicken with mushroom sauce. The chicken may
>> have been okay but apparently mushrooms are not. And I've been making a
>> lot
>> of dried beans because they're cheap. Oops!
>>
>> I know that most fruit and vegetables are good. Spinach is not. I know
>> that whole grains are good and that tofu might be okay. Eggs might be
>> okay.
>> But some people react to them.
>>
>> I am just kind of stumped when it comes to protein. I've been serving
>> chicken and turkey but I'm sure that will get old. I have seen mixed
>> things
>> about cheese. Does cheese bother you?
>>
>> What can I fix? Luckily this person isn't a picky eater. Just prefers
>> the
>> foods that are the worst for gout. Exception being fruit. He is a big
>> fruit eater. Guess I need to buy more.
>>
>>
> A guy I work with gets gout flareups from too much salt. I think that's
> rare.

OMG! You wouldn't believe how much salt he eats. He salts everything and
tons of it.

Julie Bove wrote:

> I have to cook for a person with gout. And his favorite foods are
> the worst ones for it.
--snipped--

Not sure. But one keyword to search for is "purines", not Purina Dog
Chow :-)

Most seafood is high in purine content. Most sauces also have high
purine content.

using Google, the following search
http://www.google.com/webhp?complete...iw=755&bih=435

gave over 195,000 hits.

The two at the top of the returns from my search were

purine table
http://www.acumedico.com/purine.htm

Gout Diet - Foods to Avoid
http://arthritis.about.com/cs/gout/a/foodstoavoid.htm

Yes wrote:
> Julie Bove wrote:
>
>> I have to cook for a person with gout. And his favorite foods are
>> the worst ones for it.
> --snipped--
>
> Not sure. But one keyword to search for is "purines", not Purina Dog
> Chow :-)
>
> Most seafood is high in purine content. Most sauces also have high
> purine content.
>
> using Google, the following search
> http://www.google.com/webhp?complete...iw=755&bih=435
>
> gave over 195,000 hits.
>
> The two at the top of the returns from my search were
>
> purine table
> http://www.acumedico.com/purine.htm
>
> Gout Diet - Foods to Avoid
> http://arthritis.about.com/cs/gout/a/foodstoavoid.htm

Thanks!

"Andy" > wrote in message ...
> "Julie Bove" > wrote:
>
>> I have to cook for a person with gout. And his favorite foods are the
>> worst ones for it. Asparagus, red meat and seafood. And I was
>> unwittingly serving the wrong things. Chicken with mushroom sauce.
>> The chicken may have been okay but apparently mushrooms are not. And
>> I've been making a lot of dried beans because they're cheap. Oops!
>>
>> I know that most fruit and vegetables are good. Spinach is not. I
>> know that whole grains are good and that tofu might be okay. Eggs
>> might be okay. But some people react to them.
>>
>> I am just kind of stumped when it comes to protein. I've been serving
>> chicken and turkey but I'm sure that will get old. I have seen mixed
>> things about cheese. Does cheese bother you?
>>
>> What can I fix? Luckily this person isn't a picky eater. Just
>> prefers the foods that are the worst for gout. Exception being fruit.
>> He is a big fruit eater. Guess I need to buy more.
>
>
>
> Julie,
>
> I have gout but haven't had a crippling attack in years. I drink lots of
> water so that keeps the uric acid crystal buildup at bay. But it's just
> under the skin waiting to erupt.
>
> There are plenty of gout and purine food ranking websites that exist,
> rather than recreate here from scratch.
>
> There are medications that mask the effect of gout, allopurinol being one.
> I chose to cross foods off, benefiting my weight loss effort in the
> process.
>
> I know what I can and can't eat and wouldn't trust anyone to cook for me.
> That's another reason I don't dine out.
>
> Your friend should know this.
>
> Your hit and miss approach amounts to his gout torture. Since you don't
> know, don't cook for him.
>
> I've said it before, I wouldn't wish gout on the enemy!

Well I am the cook which is why I am asking. I did try looking online but
mostly I found websites trying to sell me a book.

Andy wrote:
> "Julie Bove" > wrote:
>
>> Well I am the cook which is why I am asking. I did try looking
>> online but mostly I found websites trying to sell me a book.
>
>
>
> Julie,
>
> I don't by that for an instant!!! Pure BS!!!
>
> When I found out I had gout, I scoured the web daily for months and
> never had to spend a penny to learn what I needed to know.
>
> There are thousands of websites of free and valid info.
>
> You're making up a story!!!

I have indeed found stuff online but some of it is contradictary. Such as
egg. Some sources say they are fine to eat. Some say only the whites.
Some say only eat an egg product which is what I have and some say to avoid
them. Some say chicken is okay but one says it is not.
>
> If you were serious, you wouldn't give up web searching with such a
> silly excuse as... "I don't want to buy a book."
>
I am asking if there are people here that have gout and asking what they
eat. I thought that would be easier than spending hours looking at
contradictary information.

> How can you take care of him? You can't take care of yourself!

Uh... I take care of myself. And I am not taking care of him. Just buying
the food and doing the cooking. Seeing as how I have had to get rid of tons
of food already because we have to keep changing our diets, I don't want to
be buying the wrong things yet again.