Posted by: Scott Stewart, MSAc., Dipl.Ac., LAc.
According to a 2011 study, the prevalence of hyperuricemia and gout has increased in both men and women over the past 20 years; effecting 8.3 million American adults.  Gout affects men 4 times more than women, and is seen to a greater extent in men over the age of 30. 
Gout attacks can be quite excruciating, but can be lessened or even prevented with some simple lifestyle changes. Below you will find some recommendations that will improve your quality of life, and reduce the frequency of attacks.
1. Stick to a low – purine diet  - Purines are amino acids that when metabolized create the waste product uric acid. The following foods are high in purines and should be avoided:
2. Follow an anti-inflammatory diet - Gout is an inflammatory disease, so it only makes sense to eat foods that do not invoke inflammation. (see list of anti-inflammatory foods vs inflammatory foods)
3. Avoid refined sugars and high fructose corn sugar (HFCS) - The standard American diet (SAD) is saturated with sugar and sweeteners like HFCS, and are implicated in many chronic diseases. HFCS is a combination of fructose and glucose sugars and directly linked with metabolic diseases. HFCS increases uric acid , and has also been found to cause scarring in the liver where most uric acid is synthesized. 
4. Eliminate alcohol - Alcohol converts to lactic acid, which inhibits the elimination of uric acid.
5. Stay hydrated - This helps flush the system. Add some freshly squeezed lemon juice to increase the detoxing effects.
6. Restrict caffeine intake - Studies have found a correlation between caffeine intake within a 24 hour period and increased gout attacks in people who already have the condition. 
7. Reduce weight - Obesity puts individuals at higher risk for gout, especially men.  Data from the National Health and Nutrition Examination Surveys demonstrated that gout was more prevalent in individuals with a higher body mas index (BMI) score. 
8. Manage stress - No matter what the disease stress has a negative effect on the mind and the body. Stress can trigger a gout attack, so it's important to find productive ways to deal with stress. Here are a few suggestions: meditation, yoga or deep breathing; find what works best for you.
9. Eat lots of cherries or hawthorn berries ( 20 / day) - These contain antioxidants and have an anti-inflammatory effect. Studies have found that cherry consumption reduces the frequency of gout attacks. 
10. Avoid these medications:
Lifestyle modifications are the most effective deterrent of gout attacks. Visit our Conditions Treated page to read more about the condition of gout
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2. The Harvard Medical School Health Guide
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6. American College of Rheumatology
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10. Zhang Y1, Neogi T, Chen C, Chaisson C, Hunter DJ, Choi H. Low-dose aspirin use and recurrent gout attacks. Ann Rheum Dis. 2014 Feb;73(2):385-90. doi: 10.1136/annrheumdis-2012-202589. Epub 2013 Jan 23.
11. McAdams DeMarco MA1, Maynard JW, Baer AN, Gelber AC, Young JH, Alonso A, Coresh J. Diuretic use, increased serum urate levels, and risk of incident gout in a population-based study of adults with hypertension: the Atherosclerosis Risk in Communities cohort study. Arthritis Rheum. 2012 Jan;64(1):121-9. doi: 10.1002/art.33315.
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