eating principles:
Low purine diet (See handout on "purine levels of foods" in materia medica.)
Drink lots of fluids and eliminate alcohol: It is best to try and dilute the contents of the blood so that the uric acid has less chance of precipitating out of the blood.
Short juice fast followed by diet very low in purines: This diet will eliminate many precipitating toxins.
Weight loss with low fat and low protein diet and high levels of fiber: Overall goal is to lose weight over long term.
A short alkaline fast is recommended for 5 days and repeated one month later. A water fast is not advised. See Fasting in materia medica.
Low fat diet of unsaturated fats
Calorie percentages: 70% complex carbohydrates, protein 12-15%, fat 15-18%
High fiber
therapeutic foods:
apples, black currants, watercress, kale, strawberries, dandelion greens, potato broth, chicory, cherries, blueberries, raspberries, parsnips, celery
olives, rye, lima beans, rice bran, bananas, sprouts, watercress, apples (Jensen, p. 61)
fresh juices:
Cherry juice: Eating 8 oz of fresh or canned cherries has been shown to decrease levels of uric acid. Other berries because of their anthocyanidin content, such as blackberries, blueberries, hawthorne berries, and others may have significant antiinflammatory effects. (Blau LW. Texas Rep Biolog Med 8:309-11, 1950)
Potato juice raw: 4 - 6 oz every hour, may increase the excretion of uric acid (Marz, p. 351, 1997)
Celery and parsley juice or tea (decoct 7-8 minutes) (Shefi)
Celery (Shefi)
Carrot and spinach (Walker, p. 139)
Carrot, beet, and cucumber (Walker, p. 139)
Carrot, celery, and parsley (Walker, p. 139)
Potato peeling broth (Jensen, p. 61)
Dried olive tea (Jensen, p. 61)
Nut milk and liquid chlorophyll (Jensen, p. 61)
foods contraindicated:
Eliminate homogenized milk: may be a source of xanthene oxidase which can increase levels of uric acid (Marz, p. 351, 1997)
Purine-rich foods: organ meats, shellfish, herring, anchovies, sardines, lentils, dry peas, dry beans, seafood, meats, alcohol, asparagus, mushrooms
Vitamin B3, alcohol, ketones, coffee, tea, cocoa, cola (Marz)
Refined carbohydrates, saturated fat
supplements
Bromelain and curcumin: Antiinflammatory actions (Marz, p. 351, 1997)
Folate: 25 mg three times daily in acute situations may inhibit xanthene oxidase when given together with vitamin C; Folic acid 10-75 mg per day, monitor B12 levels, watch for toxicity (Oster, 1973)
Lithium carbonate: 200 mg three times daily, can be used with essential oils safflower or flax seed oil to reduce the risk of toxicity (Jonathan Wright).
Vitamin B12, if taking colchicine for gout
Vitamin C 3-5 g per day (Stein, 1976)
Quercetin: 1gm three times daily, may inhibit uric acid production and inhibits leukotriene formation. (Marz, p. 351, 1997)
» drug interaction:
Potassium and indomethacin (Indocin): as a prostaglandin inhibitor, indomethacin reduces renin and aldosterone, and consequently reduces potassium excretion and causes hyperkalemia (Goldszer, et al., 1981; 141: 802-804; Tan, et al., 1979; 90: 783-785; MacCarthy, et al., 1979; 1: 550)
B12 and colchicine: colchicine reduces intrinsic factor B12 receptors
footnotes
Blau LW. Cherry diet in the control of gout and arthritis. Texas Rep Biolog Med 8:309-311, 1950.