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

nytimes.com

91–100 of 210 posts

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

#91
To fight my gout and to limit the portions of gout drug I quit smoking in 2009 and stopped drinking alcohol for about 5 years. Now I take drug occasionally and don't eat meat every day (its like once few months, maybe I could call my self vegetarian). Another good practice to lower acids that induce gout is exercises, and drinking water is ok, like 3 liters a 100kg person or so. Same good is limiting coffee and tea. Really just settle in place where there is drinking water strait from the tap, that helps to limit littering with plastic bottles

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

#92
post #86
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…

Have you tried Cranberry juice/extract? I've often heard that it can help the body break down the Uric acid.

I hadn’t heard of cranberry - but cherry juice is claimed to help. Never did much for me (diagnosed with Gout a few years ago)

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

#93
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…

Given the frankly enormous variances in medicine, saying that it is entirely impossible that their situation has improved in the way described just because you can't see it seems a little small-minded. Such strong claims are something that might have been acceptable and expected thirty years ago, but not now.

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

#94
post #72

Earlier quoted context omitted.

Most national dietary guidelines encourage eating fruits and vegetables, with an emphasis on the vegetables. The sugar amount in fruit has a direct impact on the overall calories you consume but since fruit are also high in fibre, the contained sugar is not comparable to, say, a chocolate bar.

You are comparing the sugars in raw food to something heavily processed. That's not a good comparison.

It is in the context of dieting advice “instead of a chocolate bar, eat an apple” (still about 20 grams of sugar/100 kcal, but about half that of the chocolate bar)

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

#95
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...

Were fruits the thing most commonly cut out of your diet though? Most people (Americans at least) don't eat that much fruit, but eat a lot of fructose from other sources.

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

#96

> Some scientists point to the dramatic rise in rates of obesity — from 13.4 percent of adults in 1980 to 42.4 percent in 2017-18, again per the NHANES — since excess weight depresses kidney efficiency, and to the likely not unrelated introduction, in 1967, of high-fructose corn syrup , which can cause the body to produce higher levels of uric acid, and its wholesale embrace in the early 1980s by the American food in…

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

#97
post #49

Earlier quoted context omitted.

This is not entirely true. Gout is caused by excessive levels of uric acid, which is an end-product of purine metabolism. You can get uric acid via two pathophysiologic mechanisms: under-excretion of uric acid, or over-production. Under-excretion is by far and away the most common cause of gout (think ~90% of cases). Causes for this include things like chronic kidney disease or an inborne/hereditary problem (like you…

Wait a minute, how did red meat make its way into this post?

From the Mayo Clinic:

>Purines are also found in certain foods, such as steak, organ meats and seafood. Other foods also promote higher levels of uric acid, such as alcoholic beverages, especially beer, and drinks sweetened with fruit sugar (fructose).

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

#98
post #94

Earlier quoted context omitted.

You are comparing the sugars in raw food to something heavily processed. That's not a good comparison.

It is in the context of dieting advice “instead of a chocolate bar, eat an apple” (still about 20 grams of sugar/100 kcal, but about half that of the chocolate bar)

The other difference is that while chocolate bar makes you more active if you was low on sugar, you are still quite empty, hungry and looking for more to eat shortly after you ate that.

If you eat apples, you hit limit soon. Apples also do not work all that much if you actually need quick energy when doing something straining. It does not have that "immediately feel better" effect (which motivates you eat more and more).

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

#99
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,…

Fruit is pretty much sugary water in fruit form these days.

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

#100
post #72

Earlier quoted context omitted.

Most national dietary guidelines encourage eating fruits and vegetables, with an emphasis on the vegetables. The sugar amount in fruit has a direct impact on the overall calories you consume but since fruit are also high in fibre, the contained sugar is not comparable to, say, a chocolate bar.

You are comparing the sugars in raw food to something heavily processed. That's not a good comparison.

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