The Gouty Diet

Food Group Low Purine 0-50mg purine/100g

Eat as desired

Moderate Purine 50-150 purine/100g

Eat in moderation

High Purine 150-825mg purine/100g

Avoid eating

Breads, Cereals & Grain Products

White Bread Corn Bread Noodles/Pasta Macaroni Popcorn

Spaghetti White Rice Crackers Puddings/Custards Rice

Wheat Bread Oatmeal Wheat bran

Wheat germ Brown Rice Whole grains

Sweetbreads Yeast (Baker’s and Brewer’s)

Fruit All Fruits and Fruit Juices

Vegetables Most vegetables (except those noted in next column) Vegetable soups made w/o meat stock

Asparagus Cauliflower Spinach

Mushrooms Green Peas

Meats, Poultry, Fish, and Protein Foods

Eggs Peanut Butter Nuts (Walnut, Almond, Peanut)

Lean Meat (beef, pork, lamb) Poultry without skin Tofu

Fish Shellfish (shrimp, crab, oysters, clams)

Sardines Mackerel Anchovies Herring Organ Meats (liver, kidney, brain, heart, intestines) Meat Extracts Mincemeat

Dried beans (red bean, munggo bean, soybean, black eye peas, lentils, etc) Mussels Scallops

Milk and Milk Products

All low fat or fat free milk and dairy products Cheese

Others Carbonated beverages Chocolate Coffee and Tea

Fats and Oils Condiments Salt Olive/Pickles

Meat Soups and Broth Beer and Alcoholic Products Gravies

Eating During Acute Attack Eating in Remission Consume 8-16 cups of fluid daily, at least half water Abstain from alcohol (discuss with M.D.) Avoid fruit juice and sugared soft drinks (diet sodas are okay) Limit animal foods of meat, fish, and poultry to 4 to 6 oz./day Eat protein in moderation: low-fat or nonfat dairy, tofu, eggs, and nut butters, such as peanut butter or almond butter, are preferred

Consume 8 to 16 cups of fluid daily, at least half water Limit alcohol intake (discuss with M.D.) Limit/avoid fruit juice and sugared soft drinks (diet sodas are ok) Consume a healthy low-fat diet, with moderate amounts of protein. Visit MyPyramid.gov and click on MyPyramidPlan link for daily intake guidelines Maintain a healthy body weight. Avoid fasting or high-protein diets for weight loss

Sources

•  https://dcc2.bumc.bu.edu/goutstudy/PurineContent.aspx

•  http://www.cchrchealth.org/sites/default/files/files/e_purine_diet_2013wLogo.pdf

•  http://www.pamf.org/handouts/gout.pdf