How to Manage Gout

Gout is a type of arthritis that results from the deposit and buildup of glass-like crystals of uric acid in your joints. Uric acid is a by-product of the breakdown of certain proteins. Normally, uric acid is broken down in the bloodstream and then eliminated in the urine.

It is estimated that over 2 million Americans have gout. A severe gout attack is extremely painful and, if left untreated, can cause permanent and severe joint damage. Fortunately, gout can be managed or controlled.

First things first: risk factors
Are you at risk for gout? Although gout can occur in men and women of any age, it most often occurs in men over age 40. Gout usually does not affect women until after menopause. Lifestyle factors increase the risk of gout, including being overweight, fasting or crash dieting, drinking alcohol in excess and eating a diet that includes foods high in purines (proteins which make up uric acid):

Organ meats (e.g., liver, kidney, brain, sweetbread, heart)
Fish roe
Mussels
Anchovies
Herring
Sardines
Legumes (e.g., dried beans, peas, soybeans)
Meat extracts
Consommé
Gravies
Mushrooms
Spinach
Asparagus
Cauliflower
Poultry
Drinking high-fructose beverages, like sugar-sweetened sodas and orange juice can dramatically increase your risk of gout. There appears to be a genetic component as well, but not a large one. Six percent to 18% of people who have gout have relatives who also have gout. (In a small number of people, the risk of gout is increased by an enzyme defect that interferes with the way the body breaks down purines.) That means that 82% to 94% of the people with gout do not have a genetic link to the disease; it is primarily a lifestyle issue.

Certain medications can increase the risk of gout. These include:

Diuretics
Salicylates and medicines made from salicylic acid (such as aspirin)
Caffeine, including medicines containing caffeine
Levodopa (used in the treatment of Parkinson's disease)
Aminophylline
Withdrawal of corticosteroid medications
Cyclosporine (used to help control rejection of transplanted organs)
Niacin in doses of 1000 mg per day may trigger an attack in someone with gout
In addition, surgery, trauma, and cancer treatments such as radiation or chemotherapy may also increase your risk of developing gout.

It is possible to develop gout with or without the risk factors listed above. However, the more risk factors you have, the greater your likelihood of developing gout. If you have a number of risk factors, ask your doctor what you can do to reduce your risk.

Reducing uric acid
It is known that Vitamin C reduces uric acid in people with gout – and there is simply no better form than Dr. Libby’s Vital C™. As little as 500 mg of Vitamin C daily can help the body reduce uric acid levels over time and a Vital C flush is a common solution recommended by Dr. Libby for people with gout. Folic acid is also a time-honored solution for the symptoms of high uric acid. And, according to legendary naturopaths Dr. Murray and Dr. Pizzorno, essential fatty acids like those found in OmegaPrime® can also be very useful.

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