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-   -   Gout (http://forum.lowcarber.org/showthread.php?t=484863)

Benay Thu, Apr-08-21 11:09

Gout
 
I have been having severe foot pain - on and off - with swelling and discoloring. Treatment with antibiotics has not stopped it.
Possible diagnosis - gout
I looked up gout on the Mayo Clinic website.
Gout formed by uric acid crystal build up. One food to avoid - red meat especially lamb
Since red meat is my mainstay diet food, I am at a loss.
I do not find fish or chicken satisfying
What am I to do?

Gypsybyrd Thu, Apr-08-21 13:01

Quote:
Originally Posted by Benay
I have been having severe foot pain - on and off - with swelling and discoloring. Treatment with antibiotics has not stopped it.
Possible diagnosis - gout
I looked up gout on the Mayo Clinic website.
Gout formed by uric acid crystal build up. One food to avoid - red meat especially lamb
Since red meat is my mainstay diet food, I am at a loss.
I do not find fish or chicken satisfying
What am I to do?


Hi!

Check out Dr. Ken Berry's videos on YouTube. He has at least one on gout. I think he says red meat does not cause gout. But watch the video.

Nancy LC Thu, Apr-08-21 13:30

There was someone else here who had gout and I think eventually it went away on LC.

deirdra Thu, Apr-08-21 18:24

I've had gout occasionally and use unsweetened tart cherry juice concentrate (Dynamic Health brand from a health food store), an old wives' remedy for joint inflammation that actually works for me. And there are medical reasons it should work: https://www.healthline.com/health/cherry-juice-for-gout

It has some carbs, but I only take 1 teaspoon at a time which has 2.5 g carbs. Or 2 tsp for 5g. It also comes in capsules, but I haven't tried them.

Ms Arielle Thu, Apr-08-21 20:45

Are u sure it's gout and not one of the side effects of IR? Ive been learning that swelling in the feet (and other bodily areas) swell a bit. The nerve damage, neropoathy, is a part if the package.

( I've asked my primary for years why the tingling, why the pain ....she doesn't know. My thought is IR)

If you can't get a good diagnosis, then trial and error us just as good.

Hope you find your answers quickly.

https://youtu.be/Swg05Gv0wMU

JEY100 Fri, Apr-09-21 03:13

If you have an actual diagnosis of gout, then you continue the medication. A ketogenic diet does not cause gout, but you can have a flare as you transition to one. Short video from Dr Westman on gout: https://www.youtube.com/watch?v=P7c_T1zFzXM

Benay Fri, Apr-09-21 03:27

Quote:
Originally Posted by Ms Arielle
Are u sure it's gout and not one of the side effects of IR? Ive been learning that swelling in the feet (and other bodily areas) swell a bit. The nerve damage, neropoathy, is a part if the package.

( I've asked my primary for years why the tingling, why the pain ....she doesn't know. My thought is IR)

If you can't get a good diagnosis, then trial and error us just as good.

Hope you find your answers quickly.

https://youtu.be/Swg05Gv0wMU


What is IR?
"Tingling" bears no resemblance to the severe pain of gout.

Benay Fri, Apr-09-21 03:28

Quote:
Originally Posted by JEY100
If you have an actual diagnosis of gout, then you continue the medication. A ketogenic diet does not cause gout, but you can have a flare as you transition to one. Short video from Dr Westman on gout: https://www.youtube.com/watch?v=P7c_T1zFzXM


Since I have been on low carb for decades, I am not exactly "transitioning"
Thanks for the film clip

Benay Fri, Apr-09-21 03:30

Quote:
Originally Posted by deirdra
I've had gout occasionally and use unsweetened tart cherry juice concentrate (Dynamic Health brand from a health food store), an old wives' remedy for joint inflammation that actually works for me. And there are medical reasons it should work: https://www.healthline.com/health/cherry-juice-for-gout

It has some carbs, but I only take 1 teaspoon at a time which has 2.5 g carbs. Or 2 tsp for 5g. It also comes in capsules, but I haven't tried them.


I will try that Dierdra.
Thanks

s93uv3h Fri, Apr-09-21 06:42

My wife suffers from it now and then. I keep a few references handy.

Gout: The Missing Chapter from Good Calories, Bad Calories [ Tim Ferriss ]

Gout and low carb
9-21-2018 dietdoctor.com

Gout: Is it Meat, or Metabolic Syndrome?
9-5-2018 [ Amy Berger ]

Got Gout but Love Meat?
2012 Dr. Georgia Ede

Benay Fri, Apr-09-21 07:37

Quote:
Originally Posted by s93uv3h
My wife suffers from it now and then. I keep a few references handy.

Gout: The Missing Chapter from Good Calories, Bad Calories [ Tim Ferriss ]

Gout and low carb
9-21-2018 dietdoctor.com

Gout: Is it Meat, or Metabolic Syndrome?
9-5-2018 [ Amy Berger ]

Got Gout but Love Meat?
2012 Dr. Georgia Ede


Thank you. Much appreciated

Benay Fri, Apr-09-21 07:45

Quote:
Originally Posted by JEY100
If you have an actual diagnosis of gout, then you continue the medication. A ketogenic diet does not cause gout, but you can have a flare as you transition to one. Short video from Dr Westman on gout: https://www.youtube.com/watch?v=P7c_T1zFzXM


As Westman says don't go binging on seafood and red meat.
I am no fan of chicken or turkey

dan_rose Sun, Apr-11-21 11:10

Quote:
Originally Posted by Benay
What is IR?


I think it's insulin resistant.

Benay Mon, Apr-12-21 03:49

Quote:
Originally Posted by dan_rose
I think it's insulin resistant.


Thanks, Dan
If IR is "insulin resistant" and some one think this causes the Gout pain, I don't see the connection. And it is not mentioned on any of the sites that discusses gout.

Apparently gout is part of the family of rheumatoid arthritis

JEY100 Sat, Apr-17-21 09:36

Quote:
Insulin and Gout

The story is similar for gout. Gout flares happen when a compound called uric acid builds up in the joints and forms solid crystals. If you or someone you know suffers from gout, then you know it’s very painful.

Typically, healthy kidneys hold on to the right amount of uric acid and filter out the rest—much like they hang on to the right amount of sodium—but high insulin levels cause your kidneys to hold on to more uric acid than normal.

The parallels between sodium, uric acid, kidney function, and your overall health don’t end there. Uric acid comes from the breakdown of something called purines. Purines are nitrogen-containing compounds that your body produces, and they are also found in foods—protein-rich foods, in particular. Certain proteins—such as shellfish, red meat, and organ meats (liver, kidney)—are higher in purines than than others, which is why people who suffer from gout are advised to avoid these foods.

However, red meat and shellfish are among the most nutrient-dense foods in the modern diet. Aside from being great sources of complete protein, they’re loaded with B vitamins, iron, zinc, selenium, and other critical vitamins and minerals. You can get these nutrients from other foods, but red meat and seafood provide them in exceptionally high amounts and in forms your body can absorb more easily than others, and you don’t need to avoid them if you have gout.

If gout flares come from an accumulation of uric acid crystals in your joints, and elevated insulin causes your kidneys to hang on to too much uric acid, then rather than avoiding foods whose breakdown creates uric acid, you might be better served by keeping your insulin level lower. Plus, uric acid doesn’t exist to trigger gout attacks and cause you pain. It’s an antioxidant, so you wouldn’t want to be entirely without uric acid in your body.

Too much is a problem, but you do need some. And “too much” uric acid comes from too much insulin. The truth is, if you have gout, you can enjoy more red meat and seafood—as long as you keep your carbohydrate intake low.


From the Insulin chapter in Dr Eric Westman's new book,
End Your Carb Confusion


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