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A 32-year-old male asked:

Can i lower my elevated uric acid with gout diet? my doctor only prescribe colchicine 3x a week with no allopurinol or febuxostat.

5 doctor answers8 doctors weighed in
Dr. Arnold Beresh
Podiatry 42 years experience
Yes: Diet plays a huge role in controlling uric acid.
Dr. Ronald Krauser
A Verified Doctor commented
A US doctor answered Learn more
No it does not. Studies have conclusively shown thatt diet alone has minimal effect on serum uric acid levels.
Oct 18, 2014
Dr. Thomas Inwood
Podiatry 36 years experience
Gout: As stated , yes. Diet is huge in controlling gout. Additionally . Colchicine should be used for short term relief , not long term.
Dr. Ronald Krauser
A Verified Doctor commented
A US doctor answered Learn more
Not really. Studies have shown that diet is not an effective tool to lower the serum uric acid level.
Oct 18, 2014
Dr. Jack Rubin
Nephrology and Dialysis 49 years experience
Lower uric acid: Colchicine (C) reduces uric acid levels in patients who do not excrete a normal amount in their urine, under-excreters. C increases the urinary output of uric acid (U), lowering U levels in those persons. If one is an over-producer or normal producer of U, C will be of no use. If an over producer, Allopurinol is used. You can reduce U by staying well hydrated and by avoiding eating organ meats.
Dr. Marcel Goldberg
Family Medicine 28 years experience
The biggest problem with using Colchicine regularly is cost, since FDA removed all generic versions from the market. Now VERY expensive for a drug that should only cost pennies a pill.
Jun 19, 2014
Dr. Marcel Goldberg
Family Medicine 28 years experience
Yes: diet can help reduce uric acid levels. Colchicine stabilizes inflammatory cells, preventing them from releasing inflammatory molecules. It does not have a significant effect on lowering uric acid. For that, you may need Allopurinol, Uloric, or Probenecid, etc.
Dr. Rex Mahnensmith
A Verified Doctoranswered
45 years experience
Diet for uric acid: Adjust diet. Take in tart cherry juice and tart cherries, 20/day. Add Lemon extract 4 tblspns / day. Avoid alcohol, animal fats, organ meats, anchovies, sardines, tuna, salmon, and shellfish. Limit other meats to 4 oz per day. Avoid high fructose corn syrup containing drinks and foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veggies. Drink 3 L /day. Achieve ideal wt

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Last updated Feb 23, 2018

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