Many diseases can be successfully treated without special nutrition, which cannot be said about gout. With this disease, diet is one of the most important preventive and therapeutic components of action.
Gout is a metabolic disorder that occurs when there is too much uric acid in the body. It is deposited in peripheral tissues and organs, thereby causing a lot of problems. Complications include severe attacks of gouty arthritis, as well as the formation of kidney stones.
Current medications aimed at treating gout reduce the formation of uric acid and increase the rate of its excretion in the urine.
Despite constant treatment, which has a lot of side effects and is considered costly, gout is not always able to be kept under control.
Gout cannot be cured, you can only achieve stable remission, sometimes for life. In these cases, preventive and therapeutic antipurine nutrition will be useful.
The menu for gout always contains more vegetarian products.
To understand why the gout diet is so effective, you need to know where uric acid comes from. Gout appears due to a disorder in purine metabolism.
Purines freely enter the human body with food or as part of nucleic acids. The key source of purines are protein products.
Purines are important for the human body; their metabolism is quite clearly regulated. However, it is not known for certain why this particular process malfunctions.
Purine bases begin to quickly decompose and do not have time to form, so the level of uric acid in the body increases, since it acts as the end product of purine metabolism.
In a normal state, uric acid is produced by the kidneys, but with gout its volume begins to exceed the functionality of the excretory system, which is ultimately expressed in the deposition of uric acid salts in the tissues of the body. Serious health complications begin.
It is logical to assume that if you reduce your intake of foods rich in purines, you can reduce the amount of uric acid in the body. If a person’s diet for a long time meets the standards and the products are carefully selected, then the level of uric acid in the body will noticeably drop.
A diet for gout on the legs has a clear goal - to reduce the intake of purines in the body and reduce the volume of uric acid, as well as normalize purine metabolism and remove uric acid salts from the body.
In gout, uric acid is actively deposited in the joints. As a rule, the big toe is affected first, which causes intense pain.
The patient's nutrition should be provided with the following provisions:
It is important to remember that gout is a significant cause of certain types of chronic diseases. We are talking primarily about arterial hypertension, ischemic damage to the brain and heart, as well as gallstones and urolithiasis.
It is necessary to maintain the level of uric acid at an optimal physiological level - this is an important preventive measure.
The diet for gout of the legs provides a clear list of products with some restrictions.
Below is a list of allowed and prohibited foods, and prohibited foods for gout constitute a fairly large category that is difficult to ignore.
If you have gout, you should not consume:
For gout you are allowed to consume:
It is clear that the patient does not face hunger with gout. Before switching to dietary products, you can first create a complete menu for the week.
For people who are experiencing gout for the first time and cannot yet create a diet for themselves, an approximate menu for 1 day is given.
With a little imagination, you can change the recipes of dishes, adjusting them to your taste.
Due to the poor environmental situation and constant stressful situations, every person should be more attentive to their health, especially in cases of certain diseases. Eating foods prohibited for illnesses not only makes you feel worse, but also risks causing more severe consequences of the disease. What foods are allowed and not allowed for gout? This is what we will discuss in the article.
Before you find out what foods you should not eat if you have gout, you should consider what kind of disease it is. Most often, men and women over forty are susceptible to these diseases, although previously it was believed that only men suffer from gout. This is one of the types of joint diseases, the development of which is caused by the abuse of foods high in purines. It is because of their consumption that salts are deposited in the joints. Painful sensations that take the form of prolonged attacks can affect the joints of both the upper and lower extremities. The symptoms are extremely unpleasant - swelling, joint deformation, inflammation, acute pain.
To relieve the symptoms of gout, it is extremely important to follow a therapeutic diet, which consists of limiting and prohibiting certain types of foods. The frequency of gout attacks and the duration of remission depend on whether the patient eats properly or violates the diet.
When prescribing medications, the attending physician must prescribe a therapeutic diet to the patient - table No. 6, one of the important points of which is the rules of food intake. What are the allowed and prohibited foods for gout? They are listed below:
The norms for food consumption during a diet during gout are as follows. The daily calorie content of the diet should be in the range of 2700 – 2800 kcal. The ratio of proteins, carbohydrates and fats in the diet should be as follows:
If you exclude foods rich in purines from your diet, the number of attacks of joint pain immediately begins to decrease, and the functioning of both the genitourinary and vascular systems normalizes. With the right diet, swelling subsides and inflammatory processes are eliminated.
What foods should you not eat if you have gout? The list is as follows:
But this is not the entire list of foods prohibited for gout. There are also those whose consumption should be significantly limited.
Consumption of fish and meat for gout should be limited to 1-2 times a week. Doctors recommend eating fish with developed gills and scales. The fact is that these fish by-products, like human kidneys, remove toxins. If an attack of gout occurs, meat or fish can be eaten only after 1-2 weeks.
What other foods should you not eat if you have gout? You should limit your use:
What foods are prohibited for gout? This also includes broths, canned food, semi-finished products and offal. Why? People who suffer from this disease are often worried that diet No. 6, indicated for gout, excludes broths. This is understandable, since delicious borscht and soups are prepared using them. In fact, it is extremely important to follow the rules and exclude broths, since a couple of spoons of the dish, especially with spices such as bay leaves and pepper, can cause an attack. This is due to increased uric acid levels. It is best to cook the meat separately and eat it together with vegetable broths. It is important to remember that during cooking meat you should drain the water several times, as this helps reduce the amount of purines several times.
Convenience foods from the store are foods prohibited for gout and arthritis. They may contain a lot of harmful substances that are extremely undesirable for these diseases - vegetable fats, offal, pork or beef fat. In addition, in order not to provoke an attack, you should avoid fast food, as this product contains a lot of fat.
By-products (lungs, liver, heart, chicken stomachs, tongue) should also not appear in the diet, since they contain a lot of purines. As a result, if you break the diet, the attack will begin immediately. Canned fish and meat are harmful due to their high salt content and excess purines: sardines - 120 mg per 100 g, sprats - 92 mg per 100 g.
It is impossible to imagine your life without coffee and tea and their faithful companion - chocolate, but for gout these are the prohibited foods. For what reason? To begin with, drinks dehydrate the body, and if there is not enough water, there is a risk of a gout attack. Coffee and tea retain uric acid instead of removing it, which is why they can cause a gout attack. In addition, brewed black tea contains 2766 mg of purines per 100 g, cocoa - 1897 mg, slightly less in instant coffee - 1213 mg per 100 g. You can replace the above drinks with green tea; it is not only desirable, but also necessary to drink when gout, as it removes uric acid and neutralizes the effect of purines that enter the body. Chocolate is also undesirable because it contains purine compounds and is also quite heavy on the digestive system. Creams based on it, desserts and the like are also prohibited. Even if the purine content in chocolate is not critical, it is still better to abstain from it and replace it with healthy sweets such as marshmallows and marmalade.
Artificially grown mushrooms (champignons, oyster mushrooms) are foods prohibited for gout and joints. They are very harmful to health because they are grown using chemicals. Preference should be given to wild mushrooms. Kombucha is considered a cure for gout, as it relieves pain during attacks and improves the condition of the body. With the help of tinctures from it you can reduce pain in the joints; it is recommended to both apply a napkin with the tincture to the sore spot and drink it an hour before meals.
Dates, grapes, raspberries are also on the list of prohibited foods for gout. It seemed that raspberries are a healthy berry, so they should definitely be included in the diet if you are sick. However, it contains a lot of purines (22 mg per 100 g), so it is better to exclude it. The same applies to grapes (8 mg per 100 g), and it does not matter what kind of grape it is, it is completely prohibited in case of illness. Dates contain 22 mg of purines per 100 g, therefore, among all other dried fruits, they are the most harmful for gout, and therefore are prohibited for consumption.
Alcoholic drinks are not only prohibited if you have gout, they can even be dangerous. Particularly harmful are beer, red wines and cognac. The fact is that alcohol dehydrates the body and removes all water from it, which increases the concentration of uric acid. All low-alcohol drinks contain high levels of purine compounds. Doctors strongly recommend giving up beer for another reason: even non-alcoholic beer is brewed with yeast, and it contains a lot of purines (761 mg per 100 g). The beer drink itself contains 1810 mg per 100 g, turning into a real poison for a person suffering from gout attacks, since 400 mg per 100 g is considered high.
Beer removes water, but toxins (waste and poisons) remain in the kidneys, like uric acid. The kidneys have to cope with both a large amount of purines and the negative effects of alcohol, which causes an increase in renal tone. The patient's metabolism slows down, which is why gout attacks become more frequent. Alcohol is strictly prohibited in all its forms (even low-alcohol drinks and champagne) both during an exacerbation of gout and during remission, when the disease recedes a little.
There are times when you want to drink a little alcohol or some holiday is coming up. Of course, drinking alcohol is highly undesirable, but if there is no other choice, you can minimize the negative effects of alcohol by following the following rules:
We looked at what foods you should not eat if you have gout. The list is quite impressive. But, despite the fact that the diet implies significant restrictions, the list of permitted foods is quite wide and varied. It is also worth considering that almost all products are dietary and healthy, therefore, if you are overweight, you can easily get rid of it. This is important, as extra pounds increase stress on the joints and can trigger an attack. However, it should be remembered that rapid weight loss (more than 2 kg per week) is fraught with negative consequences for the body.
The list of permitted products includes the following:
On the diet, it is permissible to eat vinaigrettes (do not add legumes, pickles in small quantities), sauerkraut (in moderation), vegetable caviar and stew. The main thing is not to forget that nutrition should be balanced and correct. It is very important not to overeat, as this impairs the functioning of the gastrointestinal tract.
Everyone knows that it is better to avoid consuming foods that are prohibited for gout. Which ones can you eat? To ease an attack of gout and prolong the remission time as much as possible, it is extremely important that foods that help remove uric acid from the body appear more often in the diet.
So, apples and apple juice are especially useful for gout. The beneficial substances that make up the fruit, especially malic acid, neutralize uric acid and prevent it from settling and crystallizing in the joints. The ascorbic acid contained in the fruit has a strengthening effect on the connective tissue of the joint, and also heals damage caused by sharp crystals of uric acid.
For gout, it is also important to eat bananas, which are rich in potassium. The effect of the latter is that with its help, uric acid crystals are liquefied and removed from the body faster. The fruit is especially useful when combined with yogurt.
Cherries are also considered a food that helps relieve gout. The berry contains antioxidants that fight against free radicals, which are considered the cause of many diseases. In addition, cherries contain bioflavonoids and anthocyanins, which reduce inflammation in gout. To make pain and inflammation go away faster during an exacerbation, you should eat at least 20 cherries a day. If you don’t have fresh ones, you can drink cherry juice or canned cherry compote.
Strawberries, wild strawberries and all types of nuts reduce the harm of uric acid to a minimum, since it does not have time to crystallize in the joints and cause a gout attack. Eating these types of berries as often as possible can even cure gout.
Gout, the development of which is caused by the accumulation of excess amounts of purine bases in the blood, is a typical disorder of metabolic processes in the body. When a certain concentration of uric acid and purine metabolic products in the blood serum is exceeded (these conditions arise as a result of the massive formation of these substances in the body or when their normal secretion is disrupted), uric acid crystals can fall into the joints or be deposited in the body tissues in the form of tophi.
Urates (salts of uric acid, which are formed in the body during the metabolism of certain protein compounds) can be actively deposited in the synovium of the joints, in the tendons surrounding the affected joint, or in the soft tissues of the body. A prerequisite for the development of gout is a sharp increase in the concentration of purine metabolic products (uric acid) in the blood serum - it is with a laboratory blood test that the doctor can suspect gout and prescribe measures to prevent its complications even before the first attack of arthritis occurs.
The use of therapeutic nutrition for gout is based on proven evidence that certain foods have the ability to increase the concentration of urate in the blood serum, while other components of the diet reduce the content of these compounds in the body.
The use of a diet for gout remains a mandatory and unchanged component of systemic therapy, which is used at any stage of the disease - with this metabolic disorder in the body, the recommended diet should be used for life.
Changing the composition of the diet in case of purine metabolism disorders helps monitor the patient’s condition and control the amount of uric acid in the patient’s blood serum - this will reduce the likelihood of developing gouty arthritis several times, and with prolonged use, it reduces the likelihood of developing kidney damage due to gout. To achieve this effect, it is necessary to exclude from the diet foods that increase the content of uric acid salts in the blood serum or accelerate the mobilization of urates from tophi (body tissues in which there are deposits of these compounds). Patients can eat foods that do not so dramatically affect the metabolism of uric acid salts in the body only in limited quantities and only in the stage of complete clinical remission of the disease. Without restrictions in the diet of patients, you can use products that reduce the concentration of uric acid and its derivatives in the blood serum - dishes from them can be consumed at any period of gout.
Especially for the treatment of such patients and the prevention of gout and its complications, diet No. 6, developed by M. Pevzner, is used.
When treating and preventing gout, rheumatologists and nutritional therapists recommend adhering to the following principles:
The use of alkaline mineral waters should be a mandatory component of non-medicinal treatment of gout - this rule must be observed both in the satisfactory condition of the joints and internal organs, and in the event of an exacerbation of the disease.
When compiling a diet for patients suffering from gout, it is important not only to use “allowed foods”, but also to monitor the nutritional value of the diet - patients should receive a diet whose caloric content corresponds to their age, type of professional activity, or be slightly lower. It is necessary to limit protein of animal origin - vegetable protein can enter the body without such strict restrictions.
The list of foods allowed for gout includes:
Some foods can be introduced into the diet of gout patients in limited quantities - they are allowed only during the remission stage of the disease and are completely excluded during periods of exacerbation. Such foods should be introduced into food in small portions - after eating them you need to monitor the condition of your joints and well-being
Prohibited foods for gout
This group includes those products, the consumption of which sharply increases the concentration of purine compounds in the blood or accelerates their release from tissues.
The list of foods prohibited for gout includes:
Diet therapy for gout should not be limited only to the consumption of “healthy” foods - compliance with the recommended diet is no less important - if such recommendations are followed, the likelihood of developing complications of the disease and arthritis associated with gout is significantly reduced.
The treatment of any ailment is closely related to the correct human diet. Gout usually strikes people when they are old. By this time, metabolism is already undergoing changes not for the better, the immune system is weakening, and ailments are gaining strength. The cause of gout is a metabolic disorder. Therefore, properly selected nutrition is an effective non-drug treatment for the “disease of aristocrats.”
Manifestations at different stages of the disease
As soon as purine metabolism in the body is disrupted, a person develops gout. The amount of uric acid in the blood becomes significantly higher than normal. Urates begin to be deposited in the articular and periarticular tissues. This process is not limited only to joints: urate deposition also occurs in internal organs, including the kidneys.
There are different types of gout. They differ in the clinical picture of the disease, but there are common symptoms that will indicate gout. If a person begins to have an attack, he experiences pain in places where the joints are inflamed. The basic understanding of this disease was formed based on the signs of gouty arthritis, when the joint becomes inflamed, swollen, and red.
If you put your hand on the swollen joint, you can feel the heat emanating from it. The temperature of the area of the body where inflammatory processes occur will be noticeably higher. Painful attacks of gout last on average from several days to a week. During the day, the feeling of pain in the affected joints decreases, at night, on the contrary, it increases. Gout is especially dangerous because, affecting one area, it begins to spread throughout the body, affecting more and more joints, unless measures are taken.
It is much easier to preserve destructive gouty processes at their initial stage. Therefore, in addition to drug treatment methods, doctors always advise reviewing the diet, adding foods to it that will alleviate the patient’s condition. Porridges, vegetables, and fruits for gout should be consumed precisely those that can reduce the amount of uric acid in the blood and will help remove urea and waste products from the body.
The list of products that will help a person fight gout is very extensive. But before he starts actively using them, he must understand: for the sake of effective treatment, it is necessary to reconsider the very basics of eating. It is necessary to find out what these prohibited products are. First of all, you will have to limit the consumption of large amounts of proteins, because they contribute to imbalance in the joints and periarticular tissues.
Foods for gout, the consumption of which should be minimized:
You will have to avoid foods rich in oxalic acid. This rule also applies to foods rich in purines. However, a body weakened by illness should not be left without fish and meat; they just need to be consumed in small quantities. They can only be eaten boiled. And you will have to wean yourself off strong meat and fish broths, since they are saturated with purines.
Proper urination is a special issue, because the body needs to get rid of uric acid and waste products. Therefore, drinking plenty of fluids is mandatory for people suffering from gout. They should drink about 2 liters of liquid per day in the form of juices, decoctions, and weak teas. If a person has kidney problems, this rule does not apply to him.
There is a belief that once upon a time it was customary for aristocrats to treat gout with red wine, and this remedy helped. This statement is erroneous: any alcoholic drinks are strictly contraindicated for the patient. Drinking red wine can cause an increase in the amount of uric acid in the body. Moreover, if you consume wine and fatty foods, a painful attack of gout will begin, provoked by them.
Once a week, doctors recommend that people suffering from gout have a fasting day, that is, do not eat anything, but drink only citrus juices, fermented milk drinks, and slightly alkaline mineral water. But it is necessary to remember: in case of kidney diseases, such fasting days are prohibited by official medicine. If a patient is obese, he will have to do everything possible to get rid of extra pounds. How? The product distribution scheme is very simple: reduce the small amount of meat and fish even more, and, on the contrary, increase the volume of dairy products.
In addition to fatty meats, foods prohibited for patients with gout include various smoked foods. Situations often arise: knowing about the ban, a person treats himself to smoked sausage, and as a result he begins to have an attack of illness. What else can you not eat if you have gout? Few people know that eating mushrooms is prohibited. On the one hand, these products are rich in microelements beneficial to humans. On the other hand, mushrooms contain a lot of protein, which will cause increased formation of uric acid in the blood.
If you have gout, you should not eat peas and various types of legumes, as they are also rich in protein. If a person nevertheless decides to treat himself to pea soup, such a deviation from the rules is fraught with a sharp deterioration in health and an “early” attack of gout. It seems clear that lard is a fatty product, and those suffering from the “aristocratic disease” cannot eat it. But every day thousands of patients turn to doctors who have violated the ban, and the disease immediately made itself known.
A special issue is spices. Many cannot imagine their life without them. You need to know that any spices for gout are strictly prohibited. This ban also applies to medicinal infusions that contain spices. Taking such balms internally instead of improving the general condition of the body and supporting its vitality will cause an attack of illness.
Vegetables for gout can be eaten in unlimited quantities, but cabbage and sorrel should not be among them. Radish and horseradish should also be excluded from the diet. Exotic fruits for gout should be consumed, giving preference to various types of citrus fruits. Among dairy products, the main place should be occupied by kefir and low-fat cottage cheese. Can you eat eggs if you have gout? Yes, but in a small, strictly limited quantity: exactly one egg per day.
Various cereals obtained by processing and cooking grain crops are especially useful for gout. But you will have to give up most sweets. For those with a sweet tooth, this fact always causes disappointment. But there is an excellent natural substitute in the world for all cakes, pastries and sweets - natural, healthy bee honey.
The body cannot do without fats; it needs them for normal functioning. It is better to focus on vegetable and butter. There is an important nuance here: they should not be subjected to heat treatment.
Regularity and balanced nutrition is one of the essential conditions for the treatment of gout. A person himself has the right to decide whether or not to eat certain products. But a revision of the nutritional system will benefit the body.
Gout is not a very common, but extremely unpleasant chronic disease, which is caused by a violation of purine metabolic processes. The disease affects the joints of the upper and lower extremities, which is manifested by swelling, inflammation and deformation. To relieve symptoms, it is very important to choose the right foods for gout, because the course of the disease and its outcome largely depend on the nature of the patient’s diet.
Special nutrition for gout patients is necessary because the main cause of the disease is often excessive consumption of foods high in purines. A special diet will reduce the number and duration of attacks, and even reduce the dosage of certain medications.
The essence of the therapeutic diet is to limit foods that contain purines and salt, as well as to increase the consumption of plant foods and dairy products.
Among the new dietary rules that are recommended for people with gout, it is important to pay attention to the following principles:
The amount of purines in some foods (per 100 g).
Excessive amount (150 mg to 1 g)
Moderate amount (50 to 150 mg)
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Attacks of this disease lead to unbearable suffering. But if you do not consume prohibited foods for gout, the number of incidents can be reduced to zero. And this despite the fact that the disease is incurable.
Information about gout appeared in the most ancient sources, in publications dating back almost to the time of Hippocrates himself. This disease is characterized by metabolic disorders, more precisely, purine disorders. As a result, too much uric acid appears in the patient's body. The deposition of its salts - urates, which envelop the joints, is associated with attacks of pain in the limbs and other parts of the body.
Purines accumulate in the blood. Doctors associate this picture with metabolic disorders, but not in general, but with the leading metabolic processes. When uric acid exceeds permissible values in the blood serum, its crystals settle in joints and tissues. Salts of this acid also reach the tendons.
The diagnosis of gout is made by a basic blood test taken specifically to determine the level of uric acid. In laboratory conditions, it is possible to identify the stage of development of the disease. If there is no pain yet, the analysis can judge the state of the body. In this case, it is imperative to follow the doctor’s recommendations and follow all his prescriptions.
It is important to know that each patient must follow a special diet, which will significantly protect against attacks and the development of the disease. Every literate patient has a table on their refrigerator that clearly shows which foods should be avoided and what is healthy to eat (Table 1).
Nutritional therapy is indicated for all patients suffering from gout, regardless of the advanced stage of the process. Scientists have found that some components in food can significantly increase the concentration of urate in the blood, while others do not.
Some products reduce the level of harmful substances in the serum. The diet must be followed constantly, regardless of the improvement in the patient’s well-being.
To avoid damage to internal organs, a patient diagnosed with gout must follow the necessary rules. This is especially true for gout in the legs. It is necessary to remove foods that sharply increase the level of uric acid, and even those foods that slightly contribute to the negative process.
The patient should receive at least 2800 kcal per day. It is best to adhere to the diet of treatment table No. 6, doctors advise. The composition of the main substances in the diet looks like this:
Meals during the day, counting in the morning, should be at least 6. It is necessary to adhere to a fractional type of nutrition. You need to eat regularly, preferably at the same time. No overeating or dinners at night. Fasting days, during which the concentration of uric acid in the patient’s body sharply increases, are also not welcome.
If you need to lose weight, you should do it gradually. A sharp loss of kilograms leads to harmful processes, including an increase in the frequency of attacks.
It is necessary to drink as much liquid as possible, but the type must be chosen within the limits of permitted drinks. This list is headed by plain water; you should drink up to 2 liters. If an exacerbation of the disease occurs, you should drink more fluids, which helps eliminate harmful salts and acids.
A prerequisite for gout is the constant use of alkaline mineral water. This is especially true for conditions of exacerbation of the disease. Alcohol intake in any dose should be avoided. Drinking beer is not allowed. Salt can be no more than 7 g per day, otherwise you can provoke an attack. You also need to reduce your sugar intake, since this substance provokes the formation of uric acid in large quantities. If possible, limit the consumption of animal protein; plant proteins are encouraged.
Doctors have the right to prohibit those with gout from foods that increase the level of uric acid in the blood. There is an absolute taboo on tea, coffee, especially strong types. You should not eat mushrooms; you should not eat soups or fatty, thick broths.
List of what not to eat if you have gout:
You should not use seasonings such as pepper, mustard, horseradish in dishes. Doctors have the right to prohibit the consumption of legumes, cabbage, sorrel, and spinach by patients with gout. You need to limit puff pastry dishes, chocolate, dried fruits, cocoa. It is unacceptable to consume tomato juice, ketchup of any kind and tomato paste.
There are foods that you can eat if you have gout, but only little by little and during a period when there is no exacerbation. Among them: cheese, green vegetables, parsley, dill, and weak tea.
If the patient completely eliminates foods that cannot be eaten with gout, this will lead to an improvement in the condition. When maintenance therapy or rehabilitation measures are carried out, and the patient begins to eat only approved foods, then things will immediately improve.
These products work to normalize purine metabolism and, as a result, eliminate the causes of attacks. The patient must understand that his menu will be vegetarian. Relaxations are possible, but they only apply to favorite products and on major holidays.
Once a week, preferably on Saturday, you should eat only cottage cheese without sugar with fruit. Foods that you can eat add the necessary alkali to the blood, neutralizing harmful acid. List of what is obligatory and acceptable to eat:
In limited quantities you can use citric acid, cinnamon, vanillin, vinegar. A little honey water and herbal tea are acceptable. Pasta is useful for gout. Doctors recommend eating avocados, gooseberries, melons, green apples, juices, tea with milk, and compotes.
The table, which is important to adhere to for gout, normalizes weight and is an example of a healthy diet. You can allow yourself your favorite products from the taboo list, but very rarely, so as not to spoil the achieved effect.
The diet improves the functioning of all body systems. If you ignore doctors' recommendations regarding a healthy diet if you have gout, you can significantly worsen your condition. Among the deviations that await careless patients:
If the above ailments develop, irreversible processes will begin. It is easier to prevent these diseases than to spend a lot of effort and time trying to get rid of them. All doctors, without exception, are sure of this.
So, in order not to bring your gout condition to a critical state, and to reduce the number of attacks, you should follow a strict diet. You need to follow the diet throughout your life, even though it may become easier at some point. The diet should be balanced to such an extent that it includes only the right foods and the required amount of calories. You shouldn’t make concessions and eat foods from the unacceptable list, even if you really want to.