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Gout and Nutrition

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I have researched a variety of sources, including research

organizations, medical web sites, articles by individual doctors,

experiences of patients, etc. and there are so many conflicting

recommendations and cautions about protein and purine-specific

foods, sugars, and grains. Following is a small example of the

conflicting information I have received:

 

„h Five or more servings of refined semolina flour -vs- no white

flour

„h Whole grains -vs- no whole grains, only refined grains

„h Wheat germ and bran are usually restricted although their

purine

content per normal serving is very low (generally around 5 mg or

less per average grain serving according to one source [1/8th that

of red meat)

„h No oats -vs- oats in moderation

„h Brown rice -vs- only white rice

„h Any vegetable except spinach -vs- restricting most vegetables,

and

totally excluding spinach, kale, Swiss chard, broccoli florets

„h Peanuts in moderation -vs- no peanuts

„h Avocados -vs- no avocados

„h Bananas -vs- no bananas

„h Sugars, including fruit juices -vs- restricted sugars

„h Three or more servings of all fruits is advocated but citrus

is

questioned

„h No salmon -vs- salmon in moderation (e.g. 2 oz)

„h No chocolate -vs- chocolate in moderation

„h No alcohol -vs- a small amount of wine once a day

„h No mushrooms -vs- moderation

„h No meats or poultry at all -vs- certain meats and poultry in

moderation

„h Soy is both advocated and questioned

„h No oily fish -vs- no fish at all

„h Specific non-oily fish such as flounder are restricted -vs-

any

are allowed

„h Some sources advocate no meat, dairy, fish or eggs whatsoever.

How

then does one get adequate protein, vitamins, minerals on such a

restricted diet?

 

„h Fried/roasted oils of any kind are usually restricted but

little

is said of non-cooked oils

„h Where do nightshade vegetables fit in for gout suffers - said

to

be dangerous to rheumatoid arthritis suffers

„h Nuts and seeds are rarely mentioned in my sources

 

„h Vitamin B6 supplementation is questioned by some sources

„h Niacin is questioned by NIH but by none of my other sources

 

„h What is the relationship between a recommended gout-diet which

includes only refined carbohydrates and a person with a family

history of diabetes?

 

There is a final question here. Several sources say that diet plays

a limited role (some define this as 30% ) in the prevention of gout

attacks. How does that translate into one's personal course of

action?

 

Is it that 30% of the people will respond favorably to a properly

restricted diet and never have an attack? If so, how does one know

he is one of these who will respond to diet? Does it mean EVERYONE

prone to gout should be on a restrictive diet " just in case " ?

 

Is it that most people prone to gout will get their attacks but by

not following a restrictive diet it will increase the frequency of

attacks by 30% ? How can one know this? Does it mean EVERYONE prone

to gout should be on a restrictive diet " just in case " ?

 

Or is it just don't overdo any category or item?

 

Irwin Tyler

Find Hidden Cures http://www.FindHiddenCures.opportunity.com

Serious illness needs professional research help

when you haven't the time or skill to do it on your own

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