Keto and Carnivore's Biggest Fear: Gout and High Uric Acid

There is nothing as angry and painful as a 'Gout Attack' as Benjamin Franklin would say. Gout and high Uric acid is NO joke and there's plenty you can do about it. Certainly knowing how to keep your UA (uric acid) down is a start. Let's learn how.

Disclaimer:This video is not meant to diagnose, treat, or mitigate any medical condition. It is merely for personal educational use only.—————————COME SAY HI!!! ——————————
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[RobertTaylortaytorhead]

I went on a starch diet because I had gout the symptoms went way down but it's still there. I went on keto and after about 6 months no more gout.

[johnallen]

I had some gout, and certainly uric acid pooling in joints causing pain. Since carnivore (5mths), i have zero issues with these. I went off coffee about a month in, because it wasn't doing it for me anymore. I have cured all my chronic illness, including inflammation and arthritis. Carnivore is astonishing. I also have lost 60lbs in that 5mths.

[glassdaft]

This is fascinating, thank you. Your analysis is very worthwhile and I appreciate it greatly as I try to navigate my way to a genuine healthy eating lifestyle. Having being obese and dropping 70lbs last year following a Keto/ low carb lifestyle finding a forever path in maintenance is my primary focus. It’s easy get get swept up with flashy presentations however I really appreciate your measured approach.
Absolutely loving the outside shots too.

[pomanprod]

High Uric acid will also lead to kidney stones. I switched to keto 5 years ago and within 2 years got kidney stones. Looked up keto research for epileptic kids and this was their experience within 6 months of strict keto for epilepsy. Fix was to increase intake of water with 2000 mg (2g) of potassium citrate. I usually take 2-3 g of potassium citrate plus 1 g of magnesium citrate in 2-3 liters of water each day. Also reduced my meat intake which was just about every meal for my one-meal-a-day pattern.

[lynnknight]

Great location there .... much enjoyed your sharing it while I enjoy my cup of coffee. Keto five years, no gout here, thankfully.

[hailygirllivingston]

Love this...thanks for going where few others go!

[eclecticmemes]

I have a few observations for someone that may help them. I discovered my life long, chronic, left foot back of heel and bottom of foot pain, and two time "spontaneous broken bone" of the 3rd metatarsal of my right foot was in fact gout. My podiatrist diagnosed the heel pain as plantar fasciitis, and he Xray "confirmed" partial fracture of the foot bone due to "low Vitamin D levels" despite my statement that I had no prior injury, and just "woke up" in the morning with the "fractured" foot.

How did I correlate these to gout? I had a medical emergency in Thailand which caused me to not eat for a week. After being discharged from the hospital, two days later I woke up with my right big toe hot, swollen, inflamed and feeling just like the prior fractures. I returned to the ER, explained my history of spontaneous fractures, and the admitting nurse said 100% you have gout, it's not broken. Well two Xrays later, blood test that confirmed Uric acid level of 16 (more than double the high!!!!), a shot of something, and some colchicine and allopurinol, and not only did the big toe pain go away, my chronic plantar fasciitis disappeared too! Damn! I should have gotten a second opinion all those years


Anyway, because I'm a retired Molecular Biologist, I went to try to figure out what happened. Turns out that kidneys preferentially secrete ketone bodies over uric acid. Thus having higher levels of ketone in blood, due to the unintentional 7 day water fast, uric acid levels will also increase. Throw in the comorbidity of stage 3 kidney disease, high blood pressure, and antidiuretic drugs, and wham it only took a week to drive a major gout attack after years of semi serious chronic pain. 6 years later, and while I'll have an occasional gout attack, I've never had the "plantar fasciitis" symptoms again. 30 years of sometimes unbearable pain gone.

[EMANYMSYNOT]

Logical and full of common sense... like a breath of fresh air. Thank You!

[Sherlock_nohtreal]

My uric acid was 18 at 6 months into carnivore. Asymptomatic of any complications and felt great (also no trace of kidney stones as I had kidney ultrasounds done within that time). Urologist recommend I stop immediately. I see a urologist for elevated creatinine (1.2-1.3 on average) but cystatin C is normal (0.8). I can't get an answer from any of the pro carnivore docs regarding their experience on the matter, such as how long Uric acid typically stays elevated on carnivore. I really enjoyed carnivore - best I ever felt - not fearful of it being short term gains with long term losses.

[petercyr]

I was on keto way before my attack and my UA was measured. I also measure at home with a UASure II. I have found that extended fasting raises it about .5 mg/dl . I have gotten a dramatic reduction in UA with just 100 mg allopurinol and 500 mg quecertin. From around 8 into the low 4s. I believe the main cause of high UA is consumed fructose. On keto, not an issue so it allows the medicine to work at a low dose. The other ingredient for gout is inflammation. Keto is naturally anti inflammatory so that is a major factor.

[biorythmicshifter]

Isn’t one of the primary things to look at is this is essentially acidosis. Eating any acid ash diet will compound the issue. Realistically wouldn’t the best way to deal with any level of acidosis is to consume a diet high is electrolytes for hydration, basically a raw plant food especially fruit?…I personally know a few people that suffer from extreme gout and their diets are all similar. I transitioned to a whole food plant based diet and I don’t have any of the issues my friend do. Dr. Morse brings up some very valid points concerning this exact issue and he successfully resolves this issue for countless patients he treats. If it makes sense I’ll try it and so far getting away from animal protein has been a godsend. Just expressing my journey, not saying it’s “better” just another approach…

[CornCod]

I used to tend toward gout when I was on keto and/or carnavore. My gout triggers were beef and sometimes pork, so I limit those meats to a couple times a week and the gout stays away. I end up eating a lot of ground chicken.

[AmericanRoads]

My uric acid is 9, and I have not had a single gout attack ever since I started on my ketovore diet. It seems that elevated UA alone does not necessarily cause gout. Perhaps, my ketovore diet has made my body to be much less inflammatory and prevented the gout flare-up.

[sadsees]

Hi dr
Shall i take Allopurinol, as i have exhausted everythings you mentioned but my UA still at 6

[cheerio]

Yes I like these topics that you devolved deeper in to.

[PaceyPimp]

I have this problem on low carb. I think it's because i over eat animal protein. How can i lower it and stay low carb?

[lizisler]

I ate so much meat I ended up with high B blood levels. But not gout or uric acide. The reason is I kept on my anti-inflammatory diet. Lots of things like alcohol and pro inflammatory foods contribute to it.

[Fian_so]

That was very educating, would like to have some sources ! Doc

[briancaine]

Good video. My UA is 7.5 at LabCorp. Dr said that was fine. I’m working to lower it.

[mikel]

Lots of talk about what we eat (purines) that result in higher levels of UA. What I didn't hear you discuss (unless I missed it), is that your body manufactures UA even when you have not consumed foods that contain purines. Like at a 2:1 ratio versus what you eat. There are many good things about UA that your body requires. What's more, you didn't talk about the reasons why your body would produce more UA than it needs and why your kidneys are not properly expelling it in the urine. The fact is, no one knows with certainty what causes gout. I suspect there is more to this and from my research (BTW, I suffer from gout flareups) I don't think this video covers it. Regardless, thank you for the time you took to produce this video.