Key to Gout Flare-Ups

GOUT DIET COOKBOOK: Everything There Is to Know About Gout, Home Remedies, Lowering Uric Acid, and Decreasing Painful Attacks, in Addition to More than 100 Tasty and Simple Recipes, with Pictures

Gout is a painful and uncomfortable condition that affects millions of people each year. It is caused by too much uric acid in the bloodstream, leading to joint pain, swelling, and inflammation. Diet plays an important role in managing gout symptoms and controlling flare-ups. A GOUT DIET COOKBOOK: Everything There Is to Know About Gout, Home Remedies, Lowering Uric Acid and Decreasing Painful Attacks, in Addition to More than 100 Delicious Recipes offers a key to gout flare-ups with its combination of helpful advice on managing gout symptoms as well as delicious recipes designed to meet a variety of dietary needs.

Learn more: GOUT DIET COOKBOOK: Everything There Is to Know About Gout, Home Remedies, Lowering Uric Acid, and Decreasing Painful Attacks, in Addition to More than 100 Tasty and Simple Recipes, with Pictures. 

My mom was diagnosed with gout not long ago and we were looking for ways to stop the painful flair ups. It turns out, according to this book we can lower uric acid numbers by watching purine. The book provides a list of foods with moderate purine levels, so that is a helpful list to have to reference back to. Then we get into the recipes. There are quite a lot of recipes here. You will find pasta dishes, smoothies, so many options. I liked that the book explained what gout was and what cause it to flair up occasionally. Then the book provides a solution, follow this diet. I liked the way this book was done.

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Although many people suffering from painful gout flare-ups point to diet as the culprit, new research suggests DNA plays a much bigger role.

The findings challenge the long-held belief that diet is the major factor in gout, a joint disease that causes extreme pain and swelling. Gout is caused by hyperuricemia -- high blood levels of uric acid, which forms crystals that collect around the joints.

In the study, New Zealand researchers analyzed genetic and diet data from nearly 17,000 American men and women of European ancestry.

The investigators found that diet was much less important than the individual patient's genes in deciding whether or not they would develop hyperuricemia.

The findings "are important in showing the relative contributions of overall diet and inherited genetic factors" in gout, wrote a team led by Dr. Tony Merriman of the University of Otago.

In a related editorial, rheumatologist Dr. Ed Roddy, of Keele University in the United Kingdom, said the findings have important psychological implications for patients.

That's because people with gout often face stigma due to the misconception that gout is a "self-inflicted" condition, caused by unhealthy lifestyle habits. That, in turn, can make some patients reluctant to seek medical help.

But the new research "provides important evidence that much of patients' preponderance to hyperuricemia and gout is [genetic and] non-modifiable, countering these harmful but well-established views and practices," Roddy said.

For centuries, diet was considered the main risk factor for gout, and recent studies suggest that certain foods such as meat, shellfish, alcohol and sugary soft drinks are associated with a higher risk of gout, while other foods such as fruit, vegetables, low-fat dairy products and coffee may protect against gout.

But other studies have also shown that genetics plays an important role in gout.

Dr. Waseem Mir is a rheumatologist at Lenox Hill Hospital in New York City. The new findings are "consistent with what I see in clinical practice," he said.

"There is a lot of misunderstanding amongst patients as to why they are getting gout attacks. Diet seems to play little role even in clinical practice," he said.

"What we learn from this study is that it is a genetic problem and needs to be addressed with medication and not just diet in most cases," Mir added.

The study was published online Oct. 11 in the BMJ.

Learn more: Cure Arthritis Naturally

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