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Once the disease of gluttonous aristocrats, gout is now tormenting the masses

nytimes.com

131–140 of 210 posts

Re: Once the disease of gluttonous aristocrats, gout is now tormenting the masses

#133
post #58

Earlier quoted context omitted.

Sugar does seem to be involved in gout but high fructose corn syrup is basically indistinguishable from sugar metabolically.

That is not true. Natural sugar (e.g. sugar cane) is 50% fructose. HFCS is by definition a compound sugar with more than 50% of fructose. How much higher, depends on the manufacturer.

HCFS-42 is high fructose corn syrup with 42% fructose. So you don't need greater than 50% fructose. And the most common high fructose corn syrup is hcfs 55% which is very close to sugar.

The scientific consensus is pretty much there won't be any significant changes to your health if you replace sugar with HCFS or vice versa.

Re: Once the disease of gluttonous aristocrats, gout is now tormenting the masses

#134

I think the jury is still out on what the the 100% correct treatment of gout or many of the modern life style related sickness. But many can be cured by reversing what one eat to what people ate 100 years ago or 20.000 years ago. 100 years would mean no processed food, vegetable oils and a lot less sugar. 20.000 years would also remove all type of wheat and corns. Here is a guy who cured gout with the carnivore diet.…

> 100 years would mean no vegetable oils

Huh? Olive oil was known to at least the Greeks and Romans, and some disputed citation on Wikipedia even says that olives were harvested even 8.000 years BC.

Re: Once the disease of gluttonous aristocrats, gout is now tormenting the masses

#135
post #60
post #57

Earlier quoted context omitted.

By cutting out “fructose” surely you don’t mean cutting out fruit? Do mean derivatives like fructose syrup and stuff?

I avoid fructose, from any and all sources. Yes, it does mean limiting fruits but I eat them in moderation within my self-imposed 10g/day limit. I sometimes go up to 25g/day but only on special occasions no more than once a month or so. Here's one list of fructose content per type of fruit. I mostly stick to the ones with least fructose: http://nograiner.com/ingredients/fructose-content-common-fru...

Looking at that list it seems easy to get in one or two servings of fruit a day with that fructose requirement, so long as you don't get it elsewhere.

Thanks for sharing.

Re: Once the disease of gluttonous aristocrats, gout is now tormenting the masses

#136
post #3

I had my first gout attack on August 14th 2018 at just 24, following a night filled with liquor and red meat. Though I’ve gone through periods of continuous activity, it’s safe to say I lead a somewhat sedentary life. Today, at 26, I have been free of major gout symptoms since my first attack 2 years ago. Though I occasionally get mild inflammation in my gout-prone foot if I stray too far from my diet, I’ve been effe…

I do not want to squash your hopes but with dietary changes alone it is not possible to stop progression of gout. In a few years you will probably start having more frequent attacks. Lossing weight is little more effective. Keeping your uric acid well below 6.0 mg/dL is when the process starts very very slowly reversing. Fortunately there is a better understanding of the dissease and more new therapies in the pipelin…

That doesn't seem quite right. If your diet consists only of things that do not metabolize into uric acid, how can you experience gout? It might require a very strict diet, but surely this is possible?

Re: Once the disease of gluttonous aristocrats, gout is now tormenting the masses

#137
post #57
post #53

Started having severe gout attacks in 2004. Doctors are particularly unaware about gout. Despite having extremely painful and long attacks (during one attack, spent more than a month in bed unable to walk), all the doctors I saw had no idea despite endless tests. Finally based on my own research I suggested gout and they were like "oh yes, I suppose it could be that". Once diagnosed, doctors are quick to get you on d…

By cutting out “fructose” surely you don’t mean cutting out fruit? Do mean derivatives like fructose syrup and stuff?

The worst offender is fruit juice. It is practically soda with some vitamin C.

Suppose I'm from a country that does not have fruits. How do you convince me to start eating them from a health perspective? Fibre is in vegetables and I'm not too keen on increasing sugar intake for no reason.

Re: Once the disease of gluttonous aristocrats, gout is now tormenting the masses

#138
post #112
post #100

Earlier quoted context omitted.

Sugar is sugar. HFCS is a bit worse, but in the broader context of dietary intake it will make no difference.

That’s a very simplistic way of looking at things which isn’t supported by medical science. Specifically glucose, fructose, sucrose, are worth treating differently for the purposes of diet management.

>> Sugar is sugar.

>> That’s a very simplistic way of looking at things which isn’t supported by medical science.

I agree with you on this one but from what I've heard, it is likely that fruit juices and smoothies are not fruits either. If that is correct, the message can get very muddied.

>> Specifically glucose, fructose, sucrose, are worth treating differently for the purposes of diet management.

Now we need to not only treat different sugars differently, we also need to treat the delivery methods differently as well. At some point, the message just becomes too complicated.

Re: Once the disease of gluttonous aristocrats, gout is now tormenting the masses

#139
post #57

Earlier quoted context omitted.

By cutting out “fructose” surely you don’t mean cutting out fruit? Do mean derivatives like fructose syrup and stuff?

Most fruit are nowhere near as healthy as most people expect they are. They have been selectively bred over many hundreds of years to be far larger, sweeter and more devoid of micronutrients than they were hundreds of years ago. The amount of sugar (especially fructose) in fruits like apples, oranges and bananas is shockingly high, and can cause or exacerbate conditions such as obesity, fatty liver, type 2 diabetes,…

Melons are basically sugar water: 84% water, 14% carbs, 1% protein, 1% fibre

Re: Once the disease of gluttonous aristocrats, gout is now tormenting the masses

#140
post #6

I watch/read a lot of history and I am always curious, if you traveled back in time how would you treat gout? Without medications to manage uric acid what would you do for Ben Franklin, DaVinci, Michelangelo or Charlemagne? Have them lose weight? Stay away from foods X, Y, and Z but eat more of A/B/C? Does exercise help/hurt? Are there any herbs etc that we know today would lower uric acid which you could find with y…

Colchicine (and its more natural forms) has been used for centuries.

And if you want your daily rage, check out the history of pricing in the US:

https://www.hcplive.com/view/why-is-colchicine-so-expensive-...

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