Four letter word, Gout

[Minkster]

I thought it was 2g per KG of goal weight?

 

[DunningKruger]

Just wanted to add my own experience (NOT medical advice) with gout/gout symptoms. Ingesting foods high in oxalates made those symptoms so much worse. This was not meat products for me, but instead raw foods, a lot of the superfoods like acai, kale, cacao, green smoothie mixes, and nuts.
I wondered why my feet were screaming in pain when I was having kale smoothies.

Some could be minimized by soaking and sprouts (like nuts) or cooking, or steaming leafy greens, but I generally have to avoid a lot.
Taking chanca piedra (the 'stone breaker' supplement) has helped my kidneys quite a bit, and reduced flareups.

I had a similar experience. I could eat a steak with zero inflammation, but a spinach salad coupled with a run would cause my first MTP to blow up. 🔥

It resolved when I removed vegetables, shifted to a carnivore approach and increased protein to around 1–1.5g per lb of bodyweight, (120g to 180g daily).

In my case, it didn’t seem to be protein-driven. Now it only flares after date nights, which makes me question whether overall metabolic load, food additives, or specific plant compounds (coupled with genetics) play more of a role than we think.

Just something to consider when troubleshooting. Have you experimented with simpler protein sources? Some commercial ones contain a lot of additives that may not be ideal if inflammation is part of the picture. When I use a powder, I stick to something clean (Highly recommend Kaha brand; minimal ingredients + enzymes to aid in whey digestion).

 

[neo6488]

Drink more water. I actually have gout and dehydration sets me off.

 

[MsGizmo]

I thought it was 2g per KG of goal weight?

Mayo says 0.8g per KG if you don't exercise and 1.1-1.5g per KG if you do. 1.7g is the highest level for people in intense training. It also mentions that people who are overweight should have their protein goals calculated by a nutritionist. I agree with you that this probably means goal weight. That's what I've always thought anyway.

 

[Minkster]

I lift 4days/wk and struggle to get enough protein. I should be hitting around 145g and most days I'm around 100g. Not terrible but def could be better.

 

[Crumplestiltskin]

I had a similar experience. I could eat a steak with zero inflammation, but a spinach salad coupled with a run would cause my first MTP to blow up. 🔥

It resolved when I removed vegetables, shifted to a carnivore approach and increased protein to around 1–1.5g per lb of bodyweight, (120g to 180g daily).

In my case, it didn’t seem to be protein-driven. Now it only flares after date nights, which makes me question whether overall metabolic load, food additives, or specific plant compounds (coupled with genetics) play more of a role than we think.

Just something to consider when troubleshooting. Have you experimented with simpler protein sources? Some commercial ones contain a lot of additives that may not be ideal if inflammation is part of the picture. When I use a powder, I stick to something clean (Highly recommend Kaha brand; minimal ingredients + enzymes to aid in whey digestion).

That's great you've been finding those patterns that work better for you, too.
Thanks for that resource! I'll check it out. Additives can cause a lot of inflammation and reactions. For example, rice powder makes my joints flare, and lots of mast cell reactions.

I believe quantity can also play a factor. Nuts are probably eaten in much higher quanitities now that they are commercially available, than when they were locally harvested.

I was also reading about cultures with high oxalates, such as legumes or sweet potatoes, also eat a lot of fresh dairy (sour cream, paneer, cotijita, etc). Calcium can bind to the oxalates, thus reducing the load in the body.

 

[agussie]

Start off with my love for the pride of Golden Colorado and also food adorned in corn meal and baptized in oil. Got a lot of that sorted with Reta. My doctor gave me a piece of paper allowing me to procure allopurinol (sp.?) a number of years ago and it’s a miracle drug.

Flash forward 3 years and I’m trying to get down to my fighting weight. Beer is all but gone. Cardio 3-4 days a week. Strength training 4-5 days a week. Protein. Protein is important. Especially when using GLP’s and limited caloric intake. Prioritize protein when you can. They say 2grams per KG of weight. My scale said 314 this AM. That’s a lot of protein I “need” to keep up. I use shakes. Lots of them since I can’t eat anyway. Get 80-120 grams each day this way.

(Pic for effect hereView attachment 9071. OCD is real in my garage fridge.)

Easy enough. Problem is gout is creeping back. Internet lies a lot. Has anyone else inflamed gout via protein shakes? Only trigger I can point toward. Labs again end of month to measure for sure, but my ankles don’t lie. Thoughts?

Allupurinol didn’t ever work for me. Fubuxostat/Uloric has been unbelievable, no flare ups as long as I don’t forget a few days.

 

[Chili777]

Allupurinol didn’t ever work for me. Fubuxostat/Uloric has been unbelievable, no flare ups as long as I don’t forget a few days.

Yeah my doctor kept me on Allopurinol for years and then I found out it only has 40% efficacy. It's a scam.

 

[HZM808]

IDK if this the right crowd, but for the rest of my life, I'll never be able to hear "gout" without thinking "gout 🍆". IYKYK