What causes uric acid levels to get to high and lead to gout?

2 Causes: Excess uric acid is either caused by under excretion (kidneys) or overproduction. The latter is often due to an enzyme deficiency, and made worse by a high purine (protein) diet. A low purine diet, good hydration and talking to your doctor about possibly taking Allopurinol should help.

Many things: It could be due to a diet high in purine content. Excess protein intake. Dehydration. Excess alcohol.

Diet: Kidney impairment and diuretic meds are common causes. Diet can aggravate. So avoid alcohol, animal fats, organ meats and shellfish. Limit other meats to 4 oz per day. Avoid high fructose corn syrup containing drinks. Add egg whites, quinoa, soy as protein. Eat lots of fruit and veggies. Drink 3 liters per day. Tart cherry juice daily can help.