By: Michael Lam, MD, MPH

General dietary guidelines for gout prevention:

  • Avoid purine-rich foods. The higher the purine content, the more uric acid will be produced in the body.
  • Avoid wine to prevent goutIf you are overweight, try and achieve your ideal weight through slow, controlled weight loss (maximum 500 g per week).
  • Rapid / sudden fasting is not recommended as this can raise uric acid levels and aggravate gout.
  • Avoid heavy, rich meals with high fat and protein content.
  • Alcohol should be avoided, particularly wine since it interferes with uric acid excretion.

Foods that are extremely beneficial for gout prevention:

  • Purified water (dissolves toxins).
  • Celery (renews joints, bones, arteries, all connective tissue; clears digestive.
  • Eat plenty of vegetables to avoid goutFermentation, which causes dampness and acidic blood, (according to Chinese medicine).
  • Tomato: After digestion, it alkalizes the blood and is good for treating acid blood condition of gout.
  • Seaweed.
  • Cherries, strawberries, blueberries and other red-blue berries.
  • Lots of vegetables, especially kale, cabbage, parsley, and other green, leafy vegetables.
  • Bananas.

Foods to avoid:

  • Rich foods.
  • Greasy, oily foods.
  • Red meat and meat extracts such as bouillon and gravies.
  • Organ meats such as liver, kidney.
  • Coffee, sugar and white-flour products.
  • Avoid bread to prevent goutRefined sugar and other concentrated sweeteners.
  • Alcohol, coffee, tea, cola drinks.
  • Sweetbreads.
  • Refined carbohydrates.
  • Yeast products.
  • Spices.
  • Shell fish, poultry, preserved fish such as sardines, herring and anchovies.
  • Dried beans and peas.
  • Foods that contain additives such as MSG (found even in Worcestershire sauce).

Foods moderately high in purine levels, to be eaten sparingly (no more than 4 times per week):

  • fish, poultry, turkey and beans. Spinach, mushrooms, asparagus
  • bran and wheat breads are also on this list.
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