Low Carb and gout anyone else have this problem

Don't forget, that the first pounds you lose on low-carb are usually water weight. I can't remember why, but your body flushes out a lot of water while you're transitioning. So, add that to the case for hydration.

Just an FYI this is because when going to a ketogenic low-carb diet, we deplete glycogen stores - which exist in both the liver and the skeletal muscle of the body. The typical adult has 500g of glycogen - and it is stored with water - roughly three to four parts water. As such the average person can quickly lose several pounds of water weight simply by depleting their glycogen stores.

Sorry- After a good deal of careful research, I firmly believe that sugar and grains are basically not handled well by the human body and are to be avoided. I don't really want to open a debate this point. It is just what I accept as the "Truth" But I really do appreciate your advise and suggestions. T hank you.

Can you devise your way of eating as mostly vegetables, some fruit and then add some meat for protein.

I have chosen to eat "keto" which is very low carb (under 25g/day), 25% protien- which I now intend to lower to 10% to avoid even the remote possibility of overdoing protien (under 75g/day, and the balance (85%) in fat-good fats such as olive oil and coconut oils.

Just an FYI, 10% might be on the low-side for you if you're also exercising, even a little. Even on keto you CAN catabolize lean tissue if protein is too low. You'll need to find the percentage of protein that works best, but helps prevent the gout flare-ups.

Personally, I'd start around 15% and experiment up/down from there.

I'd guess it's dehydration or the weight loss itself that's causing you to have gout issues. For hydration, it looks like the hydration target is an ouput of >2L of urine per day. If your weight loss trend is more than 1%/week, I'd suggest reducing your deficit and seeing if slower losses help with the gout. Your body stores uric acid (or maybe purines, the doctor I discussed it with was vague) in fat cells. During weight loss, your uric acid levels go up.

I'm guessing that you know more about the diet modifications than I do. Increased potassium, water with lemon juice, more dairy products, adequate B5, etc.

Another option is to talk to your doctor about taking one of the preventive medications during your weight loss. For non-prescription options, Quercetin or Quercetin+Bromelain, or Rutin may decrease uric acid levels (I think the studies are at in vitro/rat levels). Baking soda in water should increase uric acid excretion (this seems to have enough science to be considered EBM - but recommendations vary from 4-8g/day.)

(My only expertise here is that I have a family member who recently had a gout attack, so we've been exploring her options.)

Rocbola wrote: »

LCHF is very healthy. There is no scientific evidence to the contrary, period. It's perfectly sustainable - I've been on it 39 months, I know hundreds of people who've been on it anywhere from a few months to 16 years.

Again, not remotely true. His gout is impacted by an excess of protein, NOT reduction in carbohydrate.

The first statement is pure meat industry propaganda and has no basis in science or reality.

Gout, along with many inflammatory diseases, is caused by proteins slipping past the abdominal wall, or "gut leakage". Fruit and veggie based diets allow for gut leakage to heal. Way too many people on meat based diets have gut leakage, and the autoimmune conditions that come with it.

This is not true. There is tons of research indicating that a Paleo based diet, which is meat and veggie based and low carb compared to the standard American diet, aids in the healing of leaky gut, IBS, PCOS, and other inflammatory autoimmune diseases.

bnybanker wrote: »

Whenever I go very low carb-my gout flares up. two years ago I lost about 55 pounds on Paleo and had a few attacks- I ate high carb again and gained the weight back, this year I am eating a ketogenic diet reducing proteins and eating more fat, again I've lost about 23 pounds in 49 days but my gout is back. Any suggestions?

bnybanker if I can find the video I saw this week on low carbing and gout I will try to get it to you. My take away the gout should not be long term but that is one pain I do not deal with. Like you carbs can pack on the weight in my case as well. I tried a few times to gain weight by over eating fats but never got weight gain from going heavy on the fats. Protein in my case seems to be mid way between carbs and fats as far as weight gains go.