Nutritional Support for People with Gout


By Nutri-West

by Stephan Cooter, Ph.D.

Ninety-five percent of the people who suffer from gout are male, usually men over thirty. Gout has been linked to enzyme defects in the body's production of uricase, a digestive enzyme that oxidizes uric acid into a soluble form. Kidney problems, heart conditions, constipation, indigestion, anemia, stress, headaches, fever and chills are all signs and symptoms associated with gout. It has been called the rich man's disease since it has been linked to consumption of too much alcohol and rich foods such as meats, rich meat gravies and broths, sweetbreads, cakes and pies. Gout is caused by many factors that include foods rich in purines, which contribute to uric acid formation. Uric acid overproduction can lead to uric acid accumulation in blood and tissues, which can crystallize. Crystallized uric acid takes on the shape of needles and produces sharp pains commonly experienced in the big toe, but can produce sharp pains in the joints, including the mid-foot, ankle, knee, wrist, and fingers.

The Wrong Diet: Since uric acid is a byproduct of many foods containing purines, gout is closely tied to diet. High purine foods to avoid include: asparagus, mushrooms, anchovies, herring, sardines, mussels, meat gravies and meat broths, consomm? sweetbreads, organ meats, and other meats. Fried foods, foods cooked with oils, roasted nuts, all contain rancid fats that can destroy vitamin E, which results in the production of more uric acid. Other nutrient deficiencies that can lead to gout include pantothenic acid (vitamin B-5) and vitamin A. Alcohol inhibits release and elimination of uric acid through the kidneys. Avoid flour and sugar products. Limit intake of dried beans, lentils, peas, spinach, yeast products, cauliflower, caffeine, fish, eggs, poultry, and oatmeal.

Weight and weight loss: Overweight people have higher uric acid levels, and losing weight can lower uric acid levels. However, fasting for longer than 3 days and rapid-weight loss, crash-diets can result in increased uric acid production.

Interactions: Drugs that treat high blood pressure such as thiazide medications decrease the body's water levels and can increase uric acid levels. People who have experienced long term use of antibiotics, chemotherapy, or candida infections can have increased uric acid levels. Allopurinol inhibits uric acid production and is often prescribed for gout. The side effects can include: liver toxicity, skin eruptions, and blood vessel inflammation. Colchicine, a medication derived from crocus flowers, can be very effective in dissolving crystals but with the possible side effects of toxicity, which increase with length of use. Cortisone which is commonly prescribed for acute attacks can put more stress on already stressed adrenal glands in people with gout. Lead toxicity has been shown to cause gout. High consumption of niacin competes with uric acid excretion and can precipitate an attack of gout. High doses of vitamin C can increase uric acid levels in some individuals. RNA-DNA supplements can incr ease uric acid and should not be taken by anyone prone to gout.

Toxic overloads: Saturnine gout is a secondary form of gout that results from toxic overload in the body.

Supportive Diet: Include grains, seeds, and nuts in the diet. Drink plenty of good water to help excrete uric acid, and drink cherry juice to neutralize uric acid. Both cherries and strawberries neutralize uric acid. Include many raw fruits and vegetables in the diet. During a gout attack, eat only raw fruits and vegetables.

Case Study: In a case study of a male patient (GF) using Arthro-G?supplementation following the directions on the bottle for 19 days, except for the 16th of September when the supplement was not taken, the patient felt much better, except for the day the supplement was not taken when pain levels significantly increased. GF had been diagnosed with gout by his medical doctor several years ago and has been on a daily regimen of Hydrocodone daily since his diagnosis. No changes in his medication schedule were made. Supplementation with Arthro-G?was added to his usual medications as nutritional support (Edwards 2003). GF's comments regarding his pain levels were heartening: he stated that he felt "considerable" symptom relief since beginning therapy using Arthro-G? He said that he felt this was a pleasant and unusual development given the numerous prescription medications he has been on for many years, none of which seemed to provide much pain relief. He further stated that he was pleasant ly impressed and hoped to be able to continue Arthro-G?therapy. He felt that the increase in his body pain levels the 16th of September was due to his missing taking Arthro-G?completely on that date. He did not report any adverse reactions or side effects from Arthro G?


Each tablet contains: Vitamin C 10mg (16.6% of Daily Value), Rutin 25 mg, L-Arginine 50 mg, Beta Carotene 5,000 units, Black Cherry Concentrate 250 mg, Liver 70 mg, Kidney 40 mg, Adrenal 20 mg, Thymus 20 mg, Parotid 1 mg, Rice Bran 40 mg. Also contains Beet Root 50 mg, Beet Leaf 30 mg, Cranberry 40 mg, Nettle Leaves 40 mg, Red Clover 40 mg, Papaya 40 mg, Alfalfa 30 mg, Tillandsia 30 mg, Rose Hips 25 mg, and Cayenne 5 mg.

Vitamin C in small amounts can be helpful in gout, although doses over 500mg can increase uric acid production. Small amounts of vitamin C and bioflavonoids help lower uric acid levels (Balch & Balch 1997:292). Vitamin C helps detoxify many harmful substances.

Rutin, a bioflavonoid, can have helpful anti-inflammatory effects, and helps protect collagen in joints. With vitamin C, it can help lower uric acid levels.

L-Arginine helps enhance the function of the thymus gland, which manufactures key factors in the immune system. It helps out in liver disorders and helps the liver detoxify ammonia. It aids in weight loss by facilitating the reduction of body fat and increasing muscle mass. It is a component of collagen, aids in building bone, tendon, and connective tissues. Contraindications: Should be avoided during pregnancy and lactation as well as during some viral infections. Amounts over 30 mg daily should be avoided in schizophrenia.

Beta Carotene is a powerful free radical scavenger, helps protect cells, and converts into vitamin A in the liver. It is also found in the herbs in this formula: alfalfa, cayenne, nettle, red clover, and rose hips. Beta carotene helps promote healthy skin and membranes, the body's first line of defense against toxins, and helps guard against heart disease.

Black Cherry helps neutralize uric acid formation.

Liver provides whole gland nutritional support for the liver. Healthy kidney function is important for detoxification of the body. Liver toxicity is one side effect of medications which treat gout, and body toxicity is one cause of secondary gout.

Kidney provides nutritional support for the healthy functioning of the kidneys. Kidney problems are associated factors in gout. Healthy kidneys help eliminate excess uric acid from the system.

Adrenal provides nutritional support for the adrenals, glands which are frequently overstressed in people with gout.

Thymus glandular supports the proper function and repair of the thymus gland. A healthy thymus secretes the hormone thymosin critical for proper immune function and performs other important immune system activities.

Parotid glandular supplies nutritional support for salivary glands, important in producing digestive enzymes and producing chemicals in saliva for first-line defense by the immune system. The parotid is believed by many to tag toxins for removal from the body.

Rice Bran adds bulk to the stool and is helpful in the elimination of toxins, especially toxic metals like lead, which have been implicated in gout.

Beet Root is a strong source of vitamins A and C as well as minerals.

Beet Leaf is even higher in nutrient content. Both enhance digestion and elimination.

Cranberry helps acidify the urine and protect the bladder. Nettle is a diuretic and pain reliever. It has been helpful in arthritis, allergic disorders, kidney problems, and inflammatory conditions. Its sulfur content may help reduce lead toxicity, a possible causative factor in gout. It is used to aid gout, asthma, and tuberculosis.

Red Clover can act as an appetite suppressant, blood purifier, and relaxant. It has been helpful with kidney disorders, liver disease, and weakened immune systems. It contains vitamins A, B-1, B-2, B-3, B-5 (pantothenic acid) B-6, B-12, folic acid, and C. It also contains bioflavonoids, isoflavonoids, zinc, and selenium, among other nutrients. B-5 and vitamin A deficiencies have been linked to gout. Folic acid helps inhibit xanthine oxidase, an enzyme which produces uric acid.

Papaya contains proteolytic enzymes, which have anti-inflammatory effects, and have been shown to decrease swelling and help improve joint mobility.

Alfalfa is a good source of vitamins and minerals that help reduce serum uric acid levels (Balch & Balch 1997: 292). Alfalfa helps detoxify and alkalize the body. It can act as a diuretic, can ease inflammation, can help with bone and joint disorders as well as colon and skin disorders. It contains many vitamins and minerals including vitamins A, C, and E. Vitamin A and E deficiencies have been associated with gout.

Tillandsia has strong absorption properties, is a natural source of enzymes, and is said to have natural healing properties.

Rose Hips are a good source of vitamin C, flavonoids, bioflavonoids, and vitamins A, C, and E, all of which can be helpful in reducing uric acid levels.

Cayenne contains capsaicin which can be helpful in reducing inflammation and pain. Its many vitamins, minerals, and phytonutrients can aid digestion, improve circulation, and help in arthritis, rheumatism, and pain. It helps nourish the heart, kidneys, stomach, and other organs.


Balch JF and PA Balch, Prescription for Nutritional Healing, 2nd Edition, New York: Avery, 1997: "Gout," 291-3.

The Burton Goldberg Group, Alternative Medicine, The Definitive Guide, Fife, Washington: Future Medicine Publishing, Inc., 1995: "Causes of Gout," 532.

Edwards K, DC, DACBN, CCN, "A research report of an isolated case of nutritional supplement intervention in a case of gout," Date of Study: September 2003; Date of Report: October 1, 2003.

Lininger S, Wright J, Austin S, Brown D, Gaby A, The Natural Pharmacy, Rocklin, CA: Prima Health, 1998: "Rheumatoid Arthritis," 115-8; "Remedies for Gout," 353-4.

Mindell E, Earl Mindell's Vitamin Bible, New York: Warner Books, 1991: 62, 143, 304. Weiner MA, Herbs that Heal, Mill Valley, CA: 1994: 244.

The statements in this article have not been evaluated by the FDA. The nutritional information, suggestions, and research provided are not intended to diagnose, treat, cure, or prevent disease and should not be used as a substitute for sound medical advice. Please see your health care professional in all matters pertaining to your physical health.