Before paleo I was low fat high carb that spiked my TC and LDL cholesterol sky high. So thought I would give Paleo a try. Here is a review of what I have been eating, breakfast on most mornings is an egg(s) then 2 or so mornings a week will be coconut milk (unsweetend) smoothie with bananas and blueberries/strawberries or raspberries. snack was usually some nuts or dark chocolate lunch would be a salad with veggies and avocados afternoon snack a piece of fruit or dried fruit (homemade) and dinners where either - chicken, grass fed beef, salmon, pork loin, with one meal being shrimp and one scallops over the past 3 weeks. All meals were accompanied with veggies, steamed, baked or grilled, carrots, asparagus, spaghetti squash etc. the good news is even in just 3 weeks on the diet my TC and LDL (rest was normal or better) dropped from 266 to 200 and 191 to 127 on the LDL. Bad news is no question I am getting gout. Never had it before. Was not overweight at all and exercise regularly. Haven't had my uric acid tested, is there a ph test or uric acid home test you can buy at the pharmacy? Anybody else have this issue?
Too much fruit. Eat more eggs, meat, fowl etc...
Gout correlates with hyperinsulinism and fruit isn't going to help with that. Drop your carbs for a month and do a low-carb version of Paleo. After that add back in some starch. After maybe 2-3 months start messing with fruit.
Removing protein as the substrate for Uric acid build up won't address what is causing the uric acid build up, and that is the hyper-insulinism.
Are you low carbing? Theres an adjustment period where your uric acid output is lowered by ketones in the urine. Then again, you dont get gout in three weeks. Is it painful? If not it might be fluid, not gout.
Gout is most highly associated with fructose and alcohol. If youve got it, I suggest you drop those two like a hotcake.
Get a uric acid test at your doctor. But if its not painful, it might be fluid. If it is gout, its not the paleo, its what you were doing before the paleo.
Vitamin C, adequate hydration, and starchy carbs.
In my own research, I've come across gout being connected to a lack of vitamin C, which your list of foods might indicate. Here is Mark Sisson's take on gout in which he suggests supplementing a gram or two of vitamin C per day, being careful with intermittent fasting, staying well hydrated, and even trying a quarter teaspoon of baking soda dissolved in water to increase alkalinity which may help stave off gout attacks.
Paul Jaminet also discusses excess uric acid production in his Dangers Of Zero Carb Diets series, arguing that low carb dieters have trouble recycling vitamin C as well.
Finally, Kurt Harris talks about low-carb and the importance of eating enough safe starches versus non-starchy vegetables and fruits.
If this were happening to me personally, I'd consider adding a gram or two of vitamin C (taken at intervals is better than all at once, say 500mg 2-4 times throughout the day) and perhaps the baking soda in water trick, as well as making sure I was getting enough starchy carbs. It won't hurt to add moderate amounts of sweet potatoes, white potatoes or more bananas, and white rice in reasonable quantities is suggested by Jaminet and Harris as well.
I had gout a few months ago that started in my right ankle and it was extremely painful. This was confirmed by a doctor's testing.
I don't know what is causing it but wanted others to know that gout doesn't always start in the toe.
I had never had gout before but I, too, self-diagnosed it, and though my doctor was skeptical she tested me and it was confirmed.
Any pain in the feet that is almost akin to childbirth is probably gout. Also, I was taking aspirin for the pain, which actually makes gout worse -- do NOT take aspirin if you ever suspect gout.
A natural food that helps with gout is cherries.
Thanks folks, yes very painful, searing hot pain around the ankle and progression on top of foot and mildly into big toe. Gloucouse blood sugar levels have always been normal. I will get a uric acid test and see what that says.
The strangest thing happened to my husband and it took us about 8 years to figure out what it was. Long before we ate Paleo he would have intensely painful gout like foot issues 3 - 4 times a year. For a week he wouldn't be able to walk... the weight of a sheet on his foot would cause him to cry out in pain. He had a ton of tests for everything and no doctor could ever diagnose.
We went to naturopathic doctor who told us it was farmed fish. He was right, when we went back in our minds of when this would show up it was always around a time he would eat shrimp. ( he's not a big fish eater but loved shrimp rings). To this day....6 years later... nothing. He can eat wild caught fish but we avoid anything farmed.
I can relate to this problem-- I'm a 44 year old woman and have been very happily paleo for two years now. Countless health improvements. Recently though I've been experiencing mild gout symptoms too. Pain in my big toe woke me up just a bit ago, out of the blue. This has happened a few times in the past 6 months. No major swelling, just slight, but it does seem to be gout..? At this moment the worst pain has past but it hurts to press the joint. My right middle finger last joint has also been hurting, and there is some swelling there-- In this joint maybe I'm just experiencing the beginning of osteoarthritis though they both seemed to initially flare at the same time. I've really never been overweight but have had high blood pressure which has improved to almost normal on paleo. I've had two pregnancies (pre-paleo) and had preeclampsia in both which makes me wonder if I may perhaps have kidney damage which would contribute to gout. I worry a little about going heavy on dairy. I've been dairy- free since before going paleo and have seen major digestive improvements off dairy as well as a much better resistance to infection...