Thursday, January 26, 2012
So, here I was motoring along on my low carb diet when I discovered my uric acid levels had shot through the roof (normal is under 6; I am 9.1). I have never had a gout attack, and I never want to as I understand that they are quite painful.
Weirdly, there are no standard recommendations for diet except "avoid meat"and "eat low-fat dairy," both of which have been clinically shown to decrease the possibility and number of gout attacks and to lower uric acid.
Having done research now for several days, I think I have synthesized the information to be as follows:
1. Avoid certain foods entirely:
Meat Stocks and Gravies
Brewer’s and Baker’s Yeast
Juice and Regular Soda
High Fructose Corn Syrup
2. Otherwise, eat a "heart healthy" diet, especially high in low acid fruits and vegetables. Limit protein from animals to 4 oz. per day.
3. Make sure to get at least 2 fat-free or low-fat servings of dairy daily.
4. Take a 500 mg. Vitamin C supplement.
5. Avoid all alcohol except the occasional glass of red wine.
6. Do not fast or lose weight rapidly, but otherwise, work toward a healthy weight.
7. Exercise at least 30 minutes daily.
8. Push water.
The interesting thing is that the diet I'm following is good except that I will replace my protein shakes with low-fat cottage cheese or yogurt and I will eat mostly chicken, fish and eggs at dinner. I will also add more vegetables and fruit into the mix with my mid-morning and mid-afternoon low fat dairy.
So, the weight loss plan continues, but with some modifications to get the uric acid level back to normal.
The causes for the spike may be: a complication from psoriasis, a complication from the damage done to my kidneys a couple of years ago, an indication that I'm moving toward, or actually in, "metabolic syndrome," or hereditary. But diet and exercise are the first form of treatment, so I'm going to be highly compliant and get tested again in 3 months.
Funny how life twists and turns. It becomes more and more true what my doctor said at our last visit: I have many compelling reasons to lose weight. I just got one more.