Protein - the best way to limit it to moderate limit

Daryl_G_Jackson · 2017-12-22 15:48:38 UTC

Not every gout prone individual has the same gout triggers. And there is doubt between correlation of gout causes and purine, at least I heard that mentioned in an article somewhere. For me it’s red meat, burgers, steaks, beef roasts, etc. However pork, fowl, lamb do not give me gout attacks. I started keto just a little over 2 weeks ago, but trying to eat my proteins and fats as a truck driver is challenging, so I ate burgers without buns, a breakfast steak here a ribeye there in the last 2 weeks! I thought keto diet would protect me from gout but turns out i have to avoid red meat, or just eat once or twice a month if that’s all there is, at least until after the 6 week target where most are fat adapted. I have eaten more beef in the last 2 weeks than I have eaten in the last 2 years! My left knee started to ache, and i thought ‘thats not done that in a while’. I had restless sleep that night as my knee was tender sensitive, the next day brought tears. I went about my day and we delivered a load in La Mirada, California, then picked up a load in Ontario, Ca, it took FOREVER to load! When we finally got loaded I started driving, I made it a little into Arizona and my knee starts SCREAMING! It’s the MOTHER of all my gout attacks, excruciating pain, the pain that makes one want to pass out! I am not on gout medication anymore as my doctor doesn’t like it, it’s my fault for consuming BEEF! At least much more than I normally would on a normal diet. ‘Treat your gout with your diet’ my doctor says. I will have to muddle through this gout bout by drinking water, vinegar water, eating celery with cream cheese, etc, I will let y’all know if there is any relief. My keto journey of my epic 2 weeks I started at 205 pounds, (I am not into metric), last time I weighed 3 or 4 days ago, the scale said 191, and I am sure I weigh less now, at 5’9" I carry my weight well but for health reasons at 52 I want to get to a more healthy and reasonable weight of 165 to 170. We won’t get home until Saturday 12/23, trying to be home for Christmas Eve but if my knee gout keeps acting up I may stay home and take it easy as activity seems to make my gout pain worse. I may abstain from any fasts until after 6 weeks or more as that could have contributed to my gout bout or so I have read. I am staying keto, keeping calm and keto-ing on!

PaulL · 2017-12-22 16:44:34 UTC

Your gout may improve, eventually, as your inflammatory markers go down. I don’t really know much about the subject except what I’ve read, so I can’t really offer more than a pious hope. But I do know that even if your gout never goes away completely, you will benefit so much from a well-formulated ketogenic diet that it is worth it in any case.

VLC.MD · 2017-12-22 16:58:21 UTC

I agree.

Gout has significant linkages to insulin resistance and metabolic syndrome.

ncbi.nlm.nih.gov

Hyperuricemia, gout and the metabolic syndrome.

JG Puig and MA Martínez, Current opinion in rheumatology, Mar 2008

The metabolic syndrome is defined by the clustering of a number of cardiovascular risk factors and entails an increased risk for cardiovascular disease and mortality from both cardiovascular disease and all causes. In the present paper, we review the most recent evidence on the association between hyperuricemia, metabolic syndrome, and cardiovascular disease.Serum urate is frequently elevated in patients with the metabolic syndrome and increases with the number of components of this condition. Hyperuricemia has been related to decreased renal uric acid excretion, which may be mediated by enhanced proximal tubular sodium reabsorption and hyperinsulinemia. Recent epidemiologic studies have shed some light on the prognosis of hyperuricemia. While hyperuricemia appears to show a benign significance in low cardiovascular risk individuals, it clearly increases cardiovascular mortality in patients at high cardiovascular disease risk.Clinicians should be aware of the presence of metabolic syndrome in patients with hyperuricemia or gout in order to control its components (high blood pressure, obesity, etc.) and hence reduce the risk for cardiovascular disease. Long-term, randomized interventional clinical trials are needed to test the hypothesis that urate-lowering therapy can reduce cardiovascular risk in these patients.

jpmenezes · 2017-12-22 17:14:35 UTC

Hey Daryl,

Keep your spirits up. I know the gout pain as I experienced it myself. But I will surely pray for you and wish that you will be home for Christmas and celebrating with your family.

Pascal