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Started By
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Gout Prevention.... Any suggestions?
Posted on 8/3/25 at 8:40 am
Posted on 8/3/25 at 8:40 am
Been dealing with gout on and off for years but this summer has gotten really bad. 4 bouts in 6 weeks and it’s now time to look into preventative treatments. Any suggestions?
This post was edited on 8/26/25 at 12:31 pm
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Posted on 8/3/25 at 11:16 am to BatonRougeBuckeye
I think there are meds. See a doctor.
DIET- Find out what triggers it.
A few years ago, I went on a seafood binge and had a bad episode. I’ve learned to eat shrimp and oysters in a very strict moderation since.
DIET- Find out what triggers it.
A few years ago, I went on a seafood binge and had a bad episode. I’ve learned to eat shrimp and oysters in a very strict moderation since.
This post was edited on 8/3/25 at 11:17 am
Posted on 8/3/25 at 11:35 am to BatonRougeBuckeye
I had gout a few years ago and started taking a tart cherry pill supplement and have been good since then. Apparently oily fish like salmon and mackerel can cause gout and I eat a fair amount of those types fish. So look at your diet and see if you are eating a lot of the trigger foods.
Posted on 8/3/25 at 12:09 pm to BatonRougeBuckeye
Just take allopurinol and be done with it before you do more damage to your body. Hereditary for me, one bout was all it took after watching my dad suffer.
Posted on 8/3/25 at 12:24 pm to BatonRougeBuckeye
Allopurinol starts at 100mg once a day.
Dietary changes are important too. Start with decreasing high purine foods like beef, pork, and especially shellfish. The worst food is sardines. And of course decreasing alcohol intake.
Dietary changes are important too. Start with decreasing high purine foods like beef, pork, and especially shellfish. The worst food is sardines. And of course decreasing alcohol intake.
Posted on 8/3/25 at 8:29 pm to BatonRougeBuckeye
I had several flare ups and got put on meds. I cut out alcohol (used to be a daily drinker) and came off the meds. Been on a carnivore program the last few years and have had no issues.
Posted on 8/4/25 at 8:17 am to way_south
quote:
Just take allopurinol and be done with it before you do more damage to your body.
This is my advice. I fought it for a while and tried diet changes, but it would still flare. I started Allo and haven't looked back. My grandfather had it. My dad has it. I have it. It's just like that for some people.
Posted on 8/4/25 at 11:19 pm to jose
quote:
Allopurinol starts at 100mg once a day.
Yep. Try to stay at 100mg. My doc put me on 300mg a day for years and I'm a little concerned it's damaged by kidneys a little.
Posted on 8/6/25 at 6:50 am to BatonRougeBuckeye
Gout all my adult life. Take the meds, and I still get it. Don’t drink either.
Figured out it was old shoes. Once the arch goes, the gout flares back.
Brooks, ASICS and On Cloud have the best arches and heal support. Wear them all the time. I’ll get gout if I wear flip flops for 2 days.
Buy new shoes every 6 weeks.
Figured out it was old shoes. Once the arch goes, the gout flares back.
Brooks, ASICS and On Cloud have the best arches and heal support. Wear them all the time. I’ll get gout if I wear flip flops for 2 days.
Buy new shoes every 6 weeks.
Posted on 8/11/25 at 11:48 am to Maytheporkbewithyou
quote:
Yep. Try to stay at 100mg. My doc put me on 300mg a day for years and I'm a little concerned it's damaged by kidneys a little.
What kind of issues have you been having? Doc started me on 100mg/day and gradually increased me to 300mg this year. He says the uric acid level has to be at 6 or it won't work long term.
I'd hate to control one thing, but then create a potentially worse problem.
Posted on 8/11/25 at 11:57 am to BatonRougeBuckeye
I don't eat or drink anything with high fructose corn syrup and drink half my weight in ounces of water every day. Haven't had a flare up in over 2 years.
Posted on 8/11/25 at 3:35 pm to SouthboundTiger
Allopurinol is the first line treatment. But it is renally cleared. So at higher doses it can affect kidney function. If it does start affecting kidney function, or if a patient has reduced kidney function and needs to be put on something, Febuxostat is used instead, because it is primarily cleared by the liver and not by the kidneys and therefore has less impact on the kidney.
Which also means Febuxostat can adversely affect liver function. Kind of a pick your poison kind of thing based upon how your organs are functioning.
Which also means Febuxostat can adversely affect liver function. Kind of a pick your poison kind of thing based upon how your organs are functioning.
This post was edited on 8/11/25 at 3:36 pm
Posted on 8/11/25 at 6:44 pm to SouthboundTiger
Honestly, every year when I get my physical it's my numbers that revolve around kidney function are flagged.
They moved me down 100mg this year after being on 300mg for over a decade.
As far as I can tell, I'm not having any issues. It just worries me a little.
They moved me down 100mg this year after being on 300mg for over a decade.
As far as I can tell, I'm not having any issues. It just worries me a little.
Posted on 8/18/25 at 10:44 am to BatonRougeBuckeye
I have a diagnosis of very mild gout just over two years ago and thankfully, my provider emphasized prevention by diet with no medication needed. He stated no shrimp, which was a bit disappointing, but I followed it. Also, no or very low peanut butter consumption.
Of course, limiting sugar and lowering red meat consumption a bit are often recommended and a good idea as well.
As one poster noted, I've also supplemented with tart cherry since the diagnosis.
I realize dietary restrictions may not work for everyone, but I have done very well just by doing the things listed above.
Of course, limiting sugar and lowering red meat consumption a bit are often recommended and a good idea as well.
As one poster noted, I've also supplemented with tart cherry since the diagnosis.
I realize dietary restrictions may not work for everyone, but I have done very well just by doing the things listed above.
This post was edited on 8/18/25 at 10:48 am
Posted on 8/20/25 at 4:20 am to BatonRougeBuckeye
Had gout since I was 18. After 30 long years of awful attacks lasting weeks (even months!), I went on Allopurinol 300mg. I haven't had an attack in almost three years. I have since started drinking lots of water, eating healthier, and lost weight. I don't miss those attacks and I'm willing to do whatever it takes to never have one again.
Posted on 8/25/25 at 8:15 pm to BatonRougeBuckeye
As others have said, water is important. Also, impact exercise (i.e. running) will help break up the crystals before they embed in your joints.
Posted on 8/26/25 at 12:59 am to way_south
quote:
Just take allopurinol and be done with it before you do more damage to your body.
Sweat, and lose fat if you have excess fat to lose.
Im trying to get off of it.
It has helped me trendously, Im going to try to lose another 50 pounds then come off of it, or just take half.
The triggers for me, were Whiskey, Sweet Tea, Fake suger, and being extremly dehyrdated. And my weight. What I ate had an effect but more so what I drank.
But Ive only had 1 attack since ive started allo and it was pretty bad.
Then the doctors that treat it here, just want to give you steriods.
And no one treats it like the Old doctor I went too. He doesnt practice anymore, but he would give you a anti-flammatory/cortosire shot with a horse needle. Which dissolved the gout crystals in the joint on contact, paintful but you could walk out of the clinic after 15 minutes.
Gout is tricky. They are not lying, you can do a lot of damage to your joints if left untreeated.
Posted on 9/1/25 at 10:06 am to Zappas Stache
quote:
I had gout a few years ago and started taking a tart cherry pill supplement and have been good since then. Apparently oily fish like salmon and mackerel can cause gout and I eat a fair amount of those types fish. So look at your diet and see if you are eating a lot of the trigger foods.
This x1000000. I take a cherry tart extract pill every day and have had no issues since my last bout, which was probably a third bout in a year or so. I take a fish oil supplement with it as well. Probably cleaned up the diet a bit, but it was never that dependent on processed meats, which is the only think I intentionally avoid.
This post was edited on 9/1/25 at 10:08 am
Posted on 9/1/25 at 3:17 pm to bah humbug
My health provider suggested avoiding shrimp. I have mild gout, so after the initial time, I have been able to so far deal with it without meds.
I've had the reaction with my left big toe slightly swelling after eating quite a bit of peanut butter on crackers, so I have cut out peanut butter. Also, I had bread pudding about four days ago and had my first flare-up in about two years. My sister, an RN, thinks it was the combination of dairy products and eggs. However, I eat a boiled egg almost daily and have no reaction.
I was told by a friend who has much worse gout to limit red meat and don't overdo the sweets. That's good advice in general, but especially for those with any degree of gout.
Forgot--so came back with the edit. I take two tart cherry supplements--one with each of the first two meals also. One friend indicated he's heard that drinking cherry juice can be helpful.
I've had the reaction with my left big toe slightly swelling after eating quite a bit of peanut butter on crackers, so I have cut out peanut butter. Also, I had bread pudding about four days ago and had my first flare-up in about two years. My sister, an RN, thinks it was the combination of dairy products and eggs. However, I eat a boiled egg almost daily and have no reaction.
I was told by a friend who has much worse gout to limit red meat and don't overdo the sweets. That's good advice in general, but especially for those with any degree of gout.
Forgot--so came back with the edit. I take two tart cherry supplements--one with each of the first two meals also. One friend indicated he's heard that drinking cherry juice can be helpful.
This post was edited on 9/1/25 at 3:20 pm
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