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A 25-year-old male asked:

Uric acid is up 440>502 umol/l despite my gout diet. never had an atk. i eat only1400 cals, 3 l water, and 3 hour workout/day. should i take alupurinol?

3 doctor answers4 doctors weighed in
Dr. Marshall Solomon
Podiatry 49 years experience
See your DR. : Allopurinal os a good alternative to controlling uric acid. But you need to find out if you are a overproducer of ua. Take a 24 urine test for ua and your dr will be able to advise on best oral treatment.
Dr. Jeffrey Kass
Podiatry 29 years experience
You should let : Your doctor decide what they want to prescribe, but medication proves better than diet alone with gout.
Dr. Rex Mahnensmith
A Verified Doctoranswered
45 years experience
Rx 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 /foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veggies. Drink 4 L /day. If UA stays hi, yes

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