He had gout a year or two ago. We cut meat out of his diet and, ta da!, no more gout. But now he needs the protein for the liver diet, so we put the meat back in. Two months later ... gout.
In case anyone can use the info, here are other possible causes and contributing factors:
- dehydration and/or diuretic usage
- fructose, which is found in fruits and anything with high fructose corn syrup, and is also a metabolic by-product of sucrose (table sugar)
- eating too much meat and/or seafood
- sleep apnea (maybe?)
These may (or may not) help:
- low fat dairy
- vegetable-based protein in beans, tofu, etc.
- coffee
- reducing sugar & fructose consumption
- drink more liquids! multiple liters!
This is incredibly frustrating. I need to feed him protein, but now I am having to cut back meat. He needs the diuretic to help with ascites and therefore appetite, but it is very likely contributing to the attacks. He drinks four Ensure Plus a day, but the sugar in those may be contributing to the attacks. It just makes me want to scream in frustration.
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