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A 38-year-old male asked:

Hi doc, wondering if apple cider vinegar & pomegranate concsntrate juice really good/ suitable for gout treatment? dont want to rely on pills only

2 doctor answers2 doctors weighed in
Dr. Randy Baker
Holistic Medicine 41 years experience
Worth a try but...: It's possible these may help ; they're safe to try, but i'm unaware of research proving they help, so consider treatments with scientific support. Vit c has been shown to help, as has cherries ; cherry juice. For other good options see http://umm.Edu/health/medical/altmed/condition/gout 84% of those who tried apple cider vinegar self-report that it helps: http://earthclinic.Com/cures/gout.Html.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Ronald Krauser
A Verified Doctor commented
A US doctor answered Learn more
Because cherry juice does not reduce serum uric acid levels, it is no substitute for good medical care and the use of allopurinol.
Mar 3, 2014
Dr. Randy Baker
Dr. Randy Baker commented
Holistic Medicine 41 years experience
Provided original answer
I do not advise cherry juice as a substitute for allopurinol- the patient was asking about useful adjuncts- he doesn't want to rely on "pills only" but does not say he does not want to take pills. Diet is obviously crucial. Quoting http://www.med.nyu.edu/content?ChunkIID=21705 A...recent study did find some evidence that cherry consumption might lower levels of urate in the blood..." cont. below
Mar 3, 2014
Dr. Randy Baker
Dr. Randy Baker commented
Holistic Medicine 41 years experience
Provided original answer
Quoting NYU source above "Another...study...in 633 people using cherries or cherry extract 2 days prior to a gout attack. Participants taking cherries or cherry extract had 35% lower risk of gout attacks than when they did not... Further, the addition of cherry consumption with allopurinol treatment reduced the risk of gout attacks by 75% when compared to using only one of either treatment."
Mar 3, 2014
Dr. Ronald Krauser
A Verified Doctoranswered
Rheumatology 53 years experience
No: They have no value. Unless you normalize your serum uric acid with Allopurinol or a similar med you will eventually develop irreversible joint and kidney damage as well as accelerated arteriosclerosis.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Randy Baker
Dr. Randy Baker commented
Holistic Medicine 41 years experience
This patient isn't saying he doesn't want to take allopurinol but is wisely asking about additional measures that may help. In the absence of studies I don't see how you can be so certain these have no value, esp. when 84% of 86 people who tried apple cider vinegar report benefits (you can read their reports at http://earthclinic.com/CURES/gout.html ). Based upon that, research seems warranted.
Mar 3, 2014
Dr. Ronald Krauser
A Verified Doctor commented
A US doctor answered Learn more
Provided original answer
Anecdotal evidence is not scientific fact. Again, if one is properly treated one should have no gouty attacks and no need for fruit juices.
Mar 3, 2014

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Last updated Jun 24, 2014

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