Four letter word, Gout

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ronin365 said:
How has your inflammation been? That may have something to do with your recovery. My first week on Reta completely removed the edema from my ankles.
The first week or so, I thought Reta was causing me to flare. I was getting growing joint pain and I thought it just going to keep building, but it stopped and went away. Since then, small tophi that I had in my elbows and ankles have just disappeared. It's amazing. Now, I've also been running KPV for inflammation for the past month, but this started to become noticeable way before that. I'm convinced this may be another benefit of Reta and I'd be thrilled if research bore that out.
 
randompersonrandom said:
I have no advice, I just hate this for you.
Thanks. Just something I've leaned to live with. I wouldn't wish it on anyone.
 
Chili777 said:
The first week or so, I thought Reta was causing me to flare. I was getting growing joint pain and I thought it just going to keep building, but it stopped and went away. Since then, small tophi that I had in my elbows and ankles have just disappeared. It's amazing. Now, I've also been running KPV for inflammation for the past month, but this started to become noticeable way before that. I'm convinced this may be another benefit of Reta and I'd be thrilled if research bore that out.
There is definitely a pronounced anti-inflammatory benefit with Reta--at least for me. It cleared up the edema in my ankles in the first week, and I have not seen any swelling since.
 
Just wanted to add my own experience (NOT medical advice) with gout/gout symptoms. Ingesting foods high in oxalates made those symptoms so much worse. This was not meat products for me, but instead raw foods, a lot of the superfoods like acai, kale, cacao, green smoothie mixes, and nuts.

I wondered why my feet were screaming in pain when I was having kale smoothies.

Some could be minimized by soaking and sprouts (like nuts) or cooking, or steaming leafy greens, but I generally have to avoid a lot.

Taking chanca piedra (the 'stone breaker' supplement) has helped my kidneys quite a bit, and reduced flareups.
 
Crumplestiltskin said:
Just wanted to add my own experience (NOT medical advice) with gout/gout symptoms. Ingesting foods high in oxalates made those symptoms so much worse. This was not meat products for me, but instead raw foods, a lot of the superfoods like acai, kale, cacao, green smoothie mixes, and nuts.

I wondered why my feet were screaming in pain when I was having kale smoothies.

Some could be minimized by soaking and sprouts (like nuts) or cooking, or steaming leafy greens, but I generally have to avoid a lot.

Taking chanca piedra (the 'stone breaker' supplement) has helped my kidneys quite a bit, and reduced flareups.
I had a couple kidney stones about 10 years ago and Chanca Piedra helped me avoid the treatment, which was kind of sound wave thing that broke them up. I told my doctor I was going to try it and sure enough, they were gone in 3 weeks. Didn't help my gout much, but I wouldn't hesitate to use it again.
 
Chili777 said:
I had a couple kidney stones about 10 years ago and Chanca Piedra helped me avoid the treatment, which was kind of sound wave thing that broke them up. I told my doctor I was going to try it and sure enough, they were gone in 3 weeks. Didn't help my gout much, but I wouldn't hesitate to use it again.
I take it every day as preventative, now. It helps with lower limb swelling, especially in warm months.

I remembered I use other amino acids to help the urea cycle, specifically ornithine to help break down ammonia.
 
I'll be honest, I don't believe in the formulas they pitch us. Sure protein is absolutely needed for muscles. But I'm carrying around an extra 100 pounds of fat .. fat doesn't need more protein to sustain it. I personally calculate my protein needs based on what I SHOULD weigh.

Right now I weigh 276 and the MAYO clinic says that I need .8 grams of protein if I am not doing a lot of exercise (I'm not at this time, don't judge) So if I use that weight I should be eating 100 grams of protein daily. BUT .. If I were to use my ideal weight of 150 I would only need about 54 grams of protein a day. That's almost half.

That being said .. since you are a dude and are actively exercising your intake PROBABLY isn't the total problem .. although I don't think it would hurt you to take in less.

My hot take .. switch to plant protein as others have suggested. Keep up the water intake. Consider adding more leafy greens .. heck get some powdered greens and mix it into the shakes. If not already using GLOW/KLOW daily .. consider it harder. Probably need a higher dose than I use to boot.

Saving your kidneys is more important than saving muscle mass.
 
MsGizmo said:
-snip

Right now I weigh 276 and the MAYO clinic says that I need .8 grams of protein if I am not doing a lot of exercise (I'm not at this time, don't judge) So if I use that weight I should be eating 100 grams of protein daily. BUT .. If I were to use my ideal weight of 150 I would only need about 54 grams of protein a day. That's almost half.

snip-
I just want you to know.....that I'm judging.
 
It had probably more than 10 if not 15 years since my last gout flareup earlier this June. My symptoms subsided quickly after a short course of prednisone I had on hand.

That said, while I was doing some research at that time, I read some indication to support apple cider vinegar (ACV) as a possible dietary compliment to combat gout. In general, I use a tablespoon 1-2 times a day to improve digestion, saitety among other benefits,
 
Crumplestiltskin said:
Just wanted to add my own experience (NOT medical advice) with gout/gout symptoms. Ingesting foods high in oxalates made those symptoms so much worse. This was not meat products for me, but instead raw foods, a lot of the superfoods like acai, kale, cacao, green smoothie mixes, and nuts.

I wondered why my feet were screaming in pain when I was having kale smoothies.

Some could be minimized by soaking and sprouts (like nuts) or cooking, or steaming leafy greens, but I generally have to avoid a lot.

Taking chanca piedra (the 'stone breaker' supplement) has helped my kidneys quite a bit, and reduced flareups.
I had a similar experience. I could eat a steak with zero inflammation, but a spinach salad coupled with a run would cause my first MTP to blow up. 🔥

It resolved when I removed vegetables, shifted to a carnivore approach and increased protein to around 1–1.5g per lb of bodyweight, (120g to 180g daily).

In my case, it didn’t seem to be protein-driven. Now it only flares after date nights, which makes me question whether overall metabolic load, food additives, or specific plant compounds (coupled with genetics) play more of a role than we think.

Just something to consider when troubleshooting. Have you experimented with simpler protein sources? Some commercial ones contain a lot of additives that may not be ideal if inflammation is part of the picture. When I use a powder, I stick to something clean (Highly recommend Kaha brand; minimal ingredients + enzymes to aid in whey digestion).
 
Minkster said:
I thought it was 2g per KG of goal weight?
Mayo says 0.8g per KG if you don't exercise and 1.1-1.5g per KG if you do. 1.7g is the highest level for people in intense training. It also mentions that people who are overweight should have their protein goals calculated by a nutritionist. I agree with you that this probably means goal weight. That's what I've always thought anyway.
 
I lift 4days/wk and struggle to get enough protein. I should be hitting around 145g and most days I'm around 100g. Not terrible but def could be better.
 
DunningKruger said:
I had a similar experience. I could eat a steak with zero inflammation, but a spinach salad coupled with a run would cause my first MTP to blow up. 🔥

It resolved when I removed vegetables, shifted to a carnivore approach and increased protein to around 1–1.5g per lb of bodyweight, (120g to 180g daily).

In my case, it didn’t seem to be protein-driven. Now it only flares after date nights, which makes me question whether overall metabolic load, food additives, or specific plant compounds (coupled with genetics) play more of a role than we think.

Just something to consider when troubleshooting. Have you experimented with simpler protein sources? Some commercial ones contain a lot of additives that may not be ideal if inflammation is part of the picture. When I use a powder, I stick to something clean (Highly recommend Kaha brand; minimal ingredients + enzymes to aid in whey digestion).
That's great you've been finding those patterns that work better for you, too.

Thanks for that resource! I'll check it out. Additives can cause a lot of inflammation and reactions. For example, rice powder makes my joints flare, and lots of mast cell reactions.

I believe quantity can also play a factor. Nuts are probably eaten in much higher quanitities now that they are commercially available, than when they were locally harvested.

I was also reading about cultures with high oxalates, such as legumes or sweet potatoes, also eat a lot of fresh dairy (sour cream, paneer, cotijita, etc). Calcium can bind to the oxalates, thus reducing the load in the body.
 
BooneDonk said:
Start off with my love for the pride of Golden Colorado and also food adorned in corn meal and baptized in oil. Got a lot of that sorted with Reta. My doctor gave me a piece of paper allowing me to procure allopurinol (sp.?) a number of years ago and it’s a miracle drug.

Flash forward 3 years and I’m trying to get down to my fighting weight. Beer is all but gone. Cardio 3-4 days a week. Strength training 4-5 days a week. Protein. Protein is important. Especially when using GLP’s and limited caloric intake. Prioritize protein when you can. They say 2grams per KG of weight. My scale said 314 this AM. That’s a lot of protein I “need” to keep up. I use shakes. Lots of them since I can’t eat anyway. Get 80-120 grams each day this way.

(Pic for effect here View attachment 9071 . OCD is real in my garage fridge.)

Easy enough. Problem is gout is creeping back. Internet lies a lot. Has anyone else inflamed gout via protein shakes? Only trigger I can point toward. Labs again end of month to measure for sure, but my ankles don’t lie. Thoughts?
Allupurinol didn’t ever work for me. Fubuxostat/Uloric has been unbelievable, no flare ups as long as I don’t forget a few days.
 
agussie said:
Allupurinol didn’t ever work for me. Fubuxostat/Uloric has been unbelievable, no flare ups as long as I don’t forget a few days.
Yeah my doctor kept me on Allopurinol for years and then I found out it only has 40% efficacy. It's a scam.
 
IDK if this the right crowd, but for the rest of my life, I'll never be able to hear "gout" without thinking "gout 🍆". IYKYK
 
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