I don't think avocado would be an issue Boss. . more fat than carbs or protein. Red meat is higher protein, but I seem to have no issue with 8 ozs of ground beef on Sundays, but limit it to 1 meal a week. I find sugar seems to be a bigger issue. I eat 1.3 lbs of chicken the other 6 days a week, and no issues since 3/20, so keeping fingers crossed.
Whn I first started having flare-ups, it felt like a severely twisted ankle. I didn't know to look for hot skin, so I was soaking it in ice water daily, and worked for 2 months in pain. Only after uric acid test did it switch to my right big toe, and the bottom of my foot ( the worst ).
I would like to claim low carb is working for me , but just went on a 3 week binge, and had no issues. Hydration does seem to be a huge issue. My brother gets pain if he doesn't drink a few liters of water a day. He goes 3-4 months between flare-ups, and eats cereal, bologna sandwiches, and noodles with vegetables.. pork 2-3 nights a week. Plus, he weighs 333.
I drink 80 ozs a day, and back on low carb. I was eating my 1600 calories of meals every day, even on my binge, just ADDING 2000-3000 calories of junk on top. I drank a lot of pop, and ate junior mints at 3 movies, so I guess I am just lucky, and just want to get back on track before my body realizes what I did, and blasts me with a flare-up.
I think food is usually the cause, but obviously, it doesn't happen every time, so now I am wondering why it didn't happen. I am 223.8, so weight, since we are within 15 lbs of each other, isn't a determining factor. All I am sure of is that I am happy not to be in pain. Hope you are feeling better already.
"We can't solve our problems with the same thinking we used when we created them "
- Albert Einstein
“Whether you think you can, or you think you can't--you're right.”
What both of you are describing (swollen ankles, exhaustion, achiness) definitely sounds like a combination of dehydration as well as electrolyte imbalances. It's a real trick to find the right balance of sodium, potassium, and magnesium once they're out of whack.
This link is to the blog of Dr. Eades, and, though he's specifically addressing out-of-whack electrolytes due to lowered insulin levels at the beginning of a low carb program, the description of how the different "salts" function is very good.
And no, I don't think that only food causes flares, though it certainly is the leading cause. Anything that causes internal inflammation could potential trigger a flare, and over-exertion might just qualify.
The quick test for dehydration is to pinch the skin on the back of your hand. If it doesn't spring right back to place you are somewhat dehydrated. *pinches* Yikes. I'd better go get some water asap.
Oh. And you need to drink just water, not tea, coffee, or caffeinated pop. Caffeine is a mild diuretic, so it's fluid in/fluid out, leaving you with no net gain in hydration. Herbal tea is generally good.
I've been mostly out of commission for the last week, and now the question is, can other than food cause a flareup? I had been working hard physically when the gout kicked in early last week, and was followed by my whole body shutting down. I was exhausted and achy all over. I had overdone. The gout added a lot to my discomfort. Could it have been too much physical activity?
The same thing just happened to me. It was always in my right toe, but this evening its the left toe. My food has been nothing out of the ordinary. I was quite active yesterday and again this afternoon. Sorry to say, not exercise, but work. I sat down and had some chicken soup and it started hurting. My last taste of beef was last Thursday. Banana, cereal, milk, yogurt and soup and soda crackers today. Chicken and salad yesterday. Nothing sweet or weird. ouch!
Avocado is generally not thought to be a common trigger food. It's low in sugar and tends to be moderately alkaline, and (I think) doesn't have a high purine value. That doesn't mean, though, that it doesn't interact with your particular system.
About the bananas - I looked at your tracker for Saturday and there was a banana listed for breakfast and the cereal from the same meal had a lot of sugar as well. Since a lot of flares seem to be fructose-driven I thought it would be a good idea to look for sugar sources. The latest way for food processors to hide fructose is by calling it "evaporated cane juice", which is just another form of table sugar, which is half fructose.
I don't really know what the "incubation" period would be, since it not even universally understood why they usually occur at night (less stimulation/circulation to the affected area? cooler body temperature?). You did mention other times that you got warning symptoms before you had a full on attack I think. Anything this time?
Most of what I've read links food and drink as triggers to flares, though not directly as the root cause of the problem. (Since uric acid is a potent antioxidant, it seems logical that it would be overproduced in response to free radicals in the system. Figure out what increases the free radicals and you've figured out the whole shooting match!)
To reprise my comment on the blog itself:
Ugh. Bummer. What do you think, too much of the bananas?
Might want to watch out for hidden sugar in your processed foods too. "Evaporated Cane Juice" is sugar, plain and simple. (Couldn't find any details though on the proportion of glurose to fructose, but it's probably close to table sugar - 50% glucose and 50% fructose.)
So overnight I awakened to a gout flare-up, in my left ankle, where I have never had it before. So I was thinking (and looking... thank you Spark) back on my food intake history yesterday, for causation. The only thing abnormal for me was the new Chicken Cobb Salad at Panera, that has avocado in it. Does avocado cause gout? Woubbie?Russell? et. al. -what say you!
Oh, and I'm back to thinking about that allopurinol script. I had thought that weight loss would take this away - well not yet anyway. :(
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