Can symptomatic gout be managed by diet alone

Can symptomatic gout be managed by diet alone?

Unfortunately, gout is difficult to manage by diet alone because the purine content of the diet typically contributes only modestly to the total serum urate concentration (≤1 mg/dL). Patients should limit/moderate their consumption of purine-rich foods such as red meats (particularly organ meats) and seafood (particularly shellfish, sardines, and anchovies). Excessive fructose consumption (sodas, fruit juices, energy drinks) is also associated with an increased gout risk. Fructose is metabolized in the liver to ATP that contributes to the urate production. In contrast, moderate intake of purine-rich vegetables (asparagus, cauliflower, spinach, and mushrooms), nuts, legumes (beans and peas), and vegetable protein is not associated with an increased risk of gout. Coffee intake through a non-caffeine mechanism, vitamin C (500 mg/day), reduced-fat dairy intake (low-fat milk, yogurt), and tart cherries may lead to modest reductions in serum urate levels and gout risk.

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