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The Gouty Diet
Food Group Low Purine
0-50mg purine/100g
Eat as desired
Moderate Purine
50-150 purine/100g
Eat in moderation
High Purine
150-825mg purine/100g
Avoid eating
Breads, Cereals
& Grain
Products
White Bread
Corn Bread
Noodles/Pasta
Macaroni
Popcorn
Spaghetti
White Rice
Crackers
Puddings/Custards
Rice
Wheat
Bread
Oatmeal
Wheat bran
Wheat germ
Brown Rice
Whole
grains
Sweetbreads
Yeast (Baker’s and Brewer’s)
Fruit All Fruits and Fruit Juices
Vegetables Most vegetables (except those noted in
next column)
Vegetable soups made w/o meat stock
Asparagus
Cauliflower
Spinach
Mushrooms
Green Peas
Meats, Poultry,
Fish, and
Protein Foods
Eggs
Peanut Butter
Nuts (Walnut,Almond, Peanut)
Lean Meat
(beef, pork,
lamb)
Poultry
without skin
Tofu
Fish
Shellfish
(shrimp,
crab,
oysters,
clams)
Sardines
Mackerel
Anchovies
Herring
Organ Meats (liver,
kidney, brain, heart,
intestines)
Meat Extracts
Mincemeat
Dried beans (red bean,
munggo bean, soybean,
black eye peas, lentils, etc)
Mussels
Scallops
Milk and Milk
Products
All low fat or fat free milk and dairy
products
Cheese
Others Carbonated
beverages
Chocolate
Coffee and Tea
Fats and Oils
Condiments
Salt
Olive/Pickles
Meat Soups and Broth Beer and Alcoholic Products
Gravies
Eating During Acute Attack Eating in Remission
Consume 8-16 cups of fluid daily, at least half
water
Abstain from alcohol (discuss with M.D.)
Avoid fruit juice and sugared soft drinks (diet
sodas are okay)
Limit animal foods of meat, fish, and poultry to 4
to
6 oz./day
Eat protein in moderation: low-fat or nonfat dairy,
tofu, eggs, and nut butters, such as peanut butter
or
almond butter, are preferred
Consume 8 to 16 cups of fluid daily, at least half
water
Limit alcohol intake (discuss with M.D.)
Limit/avoid fruit juice and sugared soft drinks
(diet
sodas are ok)
Consume a healthy low-fat diet, with moderate
amounts of protein.Visit MyPyramid.gov and
click
on MyPyramidPlan link for daily intake
guidelines
Maintain a healthy body weight.Avoid fasting or
high-protein diets for weight loss
Sources
•  https://dcc2.bumc.bu.edu/goutstudy/
PurineContent.aspx
•  http://www.cchrchealth.org/sites/default/files/files/
e_purine_diet_2013wLogo.pdf
•  http://www.pamf.org/handouts/gout.pdf

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The Gouty Arthritis Diet

  • 2. Food Group Low Purine 0-50mg purine/100g Eat as desired Moderate Purine 50-150 purine/100g Eat in moderation High Purine 150-825mg purine/100g Avoid eating Breads, Cereals & Grain Products White Bread Corn Bread Noodles/Pasta Macaroni Popcorn Spaghetti White Rice Crackers Puddings/Custards Rice Wheat Bread Oatmeal Wheat bran Wheat germ Brown Rice Whole grains Sweetbreads Yeast (Baker’s and Brewer’s) Fruit All Fruits and Fruit Juices Vegetables Most vegetables (except those noted in next column) Vegetable soups made w/o meat stock Asparagus Cauliflower Spinach Mushrooms Green Peas Meats, Poultry, Fish, and Protein Foods Eggs Peanut Butter Nuts (Walnut,Almond, Peanut) Lean Meat (beef, pork, lamb) Poultry without skin Tofu Fish Shellfish (shrimp, crab, oysters, clams) Sardines Mackerel Anchovies Herring Organ Meats (liver, kidney, brain, heart, intestines) Meat Extracts Mincemeat Dried beans (red bean, munggo bean, soybean, black eye peas, lentils, etc) Mussels Scallops Milk and Milk Products All low fat or fat free milk and dairy products Cheese Others Carbonated beverages Chocolate Coffee and Tea Fats and Oils Condiments Salt Olive/Pickles Meat Soups and Broth Beer and Alcoholic Products Gravies
  • 3. Eating During Acute Attack Eating in Remission Consume 8-16 cups of fluid daily, at least half water Abstain from alcohol (discuss with M.D.) Avoid fruit juice and sugared soft drinks (diet sodas are okay) Limit animal foods of meat, fish, and poultry to 4 to 6 oz./day Eat protein in moderation: low-fat or nonfat dairy, tofu, eggs, and nut butters, such as peanut butter or almond butter, are preferred Consume 8 to 16 cups of fluid daily, at least half water Limit alcohol intake (discuss with M.D.) Limit/avoid fruit juice and sugared soft drinks (diet sodas are ok) Consume a healthy low-fat diet, with moderate amounts of protein.Visit MyPyramid.gov and click on MyPyramidPlan link for daily intake guidelines Maintain a healthy body weight.Avoid fasting or high-protein diets for weight loss