What should you eat — and avoid — if you have gout? In this video, double board-certified rheumatologist Dr. Diana Girnita walks through the gout diet in practical terms: the foods most likely to trigger an attack, the foods that help lower uric acid, and how to build an eating pattern you can actually stick to.
Diet alone won’t cure gout, but the wrong foods can absolutely trigger a flare — and the right ones support your treatment. Dr. Girnita gives you a rheumatologist’s advice on the worst offenders, the best choices, and the practical swaps that make a gout-friendly diet sustainable.
QUESTIONS THIS VIDEO ANSWERS:
❓ What foods should you avoid with gout? → High-purine foods such as organ meats, certain seafood, and red meat, plus beer, spirits, and sugary drinks made with high-fructose corn syrup.
❓ What foods help lower uric acid? → Cherries, low-fat dairy, coffee, vitamin C-rich foods, vegetables, whole grains, and plenty of water.
❓ Can you drink alcohol with gout? → Beer and spirits raise uric acid and are common flare triggers; limiting or avoiding them is one of the most effective dietary changes.
❓ Does diet replace gout medication? → No — diet lowers your risk of flares, but most people also need uric-acid-lowering therapy to reach target levels.
COVERED: how food affects uric acid • the highest-purine foods to avoid • alcohol and gout • sugary drinks and fructose • the best foods to eat • cherries and the research behind them • hydration • practical everyday swaps • what diet can and can’t do on its own.
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👩🏻⚕️ ABOUT DR. DIANA GIRNITA, MD, PhD
Dr. Diana Girnita is a double board-certified physician in rheumatology and internal medicine. She earned a PhD in immunology and completed a postdoctoral fellowship at Harvard University, an immunology fellowship at the University of Pittsburgh, and a rheumatology fellowship at the University of Cincinnati. She also completed Nutrition Science training at Stanford University and a Mindfulness course at the University of Massachusetts. Dr. Girnita is the founder & CEO of Rheumatologist OnCall, a telemedicine practice focused on broadening access to rheumatology care and offering patients an integrative-medicine approach. She helps patients understand autoimmune disease and arthritis and builds personalized treatment plans that combine the right medication with proper nutrition, exercise, and stress management. As she reminds her patients: “You have a disease, but YOU are not the disease.”
⚠️ MEDICAL DISCLAIMER
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. All content — including text, graphics, images, and information — is for general educational purposes only and does not replace a medical consultation. Any comments or recommendations made in the comment section by anyone other than Rheumatologist OnCall do not reflect our opinion or recommendation.
#goutdiet #gout #uricacid #foodstoavoid #arthritis #rheumatologist #purines
#GoutDiet #WorstVsBestFoods #GoutManagement #HealthyDiet #GoutPrevention
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I do not accept your diet change suggestions. I'd rather cut off my feet.
Thank you for informative video. It would be useful to explain why uric acid causes a problem in some people, why is cannot be excreted etc. What foods support kidney function to help excrete uric acid? What foods help restore proper kidney function?
I was eating 90% carnivore and had no gout. I changed to Mediterranean, spinach and salads and green vegetables and got gout.
Thank you.
I don’t eat meat and don’t drink sodas and I still developed too much Utica accid – can you tell me why?
Carnivore diets with high fat and protein or vegetarian diets with very low fat both seem to work! Mixing them together seems to be the problem. Ancestry may be a key here? I’ve noticed many folks with north European origins do well on carnivore, while Mediterranean folks can enjoy pastas and breads without much meat and maintain good health. I envy southern Europeans! 😅
Meat does not cause gout. Anybody who has suffered from gout and has gone on to the carnivore diet has been finally free of gout.
Spinach is actually very high in purines. When I eat it I always have gout flare ups.
Thanks from Australia
Well; since the orange Putin puppet clown has caused prices to skyrocket; seafoods and red meats are unaffordable!😊
Thank you dr learn a lot from you about gout
Kidney beans
Thank you ma'am
I call them "goutbreaks". I have to sleep on the "gouch" during a goutbreak.
Good Video Doc 😊
So in a nutshell, all the yummy stuff (steaks, shrimp, crab) are a no-no while all the boring stuff good. 🤨
foods that trigger my gout are, oats, lentils ,beans, asparagus, spinach, mushrooms, artichoke, meat, fish, seafood, meat broths. I am fine if i avoid these.
And i do well eating vegetarian, avocado, salads , cabbage, broccoli,
dairy, Lindt or Ghirardeli 85 percent dark chocolate , sugar free , crystal lite, corn flakes, premier protein shakes, beyond beef,(meatless), unmeat lucheon vegetarian canned meat, Oscar Myer un hot dog, (meatless ) and i eat Gardein meatless fish fillets, and meatless meatballs, oven baked french fries, tarter sauce, mayo, condiments, olives, pickles, tofurky meatless lunch meat ,
I eat ramen, jasmine rice, basmati rice, i avoid brown rices. I eat pasta, but not wwhole wheat , meatless pasta sauces, and vegetarian bouillion. I eat eggs, potato, tortillas, and sour dough breads, white not wheat and i eat fretos, corn chips , occasional potato chips, and even cheetos. salsa.
ect I avoid cakes, icing, ice cream unless i make a sugar free version at home, like banana nice cream.
Thank you for your dedication. May I ask you please, what is the most accurate system of home monitoring uric acid levels, in your expert experience? Thank you again.
High intake of asparagus definitely caused my first ever gout event. So bummed. It one of my faves.
Can protein shakes increase purin levels? Is protein shakes good for gout sufferers
Hi mam
Uric acid 7.6
I can use protein powder, age 41,80 kg, 5.11
Dear⚕️Doc, #spinach is high in #toxic and #antinutrient #oxalate or #oxalic acid leading to #stone and crystal formation in all of the organs of the body: skin rashes, depression, IBS, and arthritis, etc. God bless 💜
Thanks Doc
For me.. no matter how I avoided high-purine foods, I always get flare-ups few days before my monthly period. I even drink cherries-turmeric supplements but all in vain. Any advice..
CELERY and CELERY SEEDS
Mam, I am 20 years old and I am suffering from gout problem as I am having pain and swelling in my pair of fingers. I haven't got the test done yet.
Thank you
Thank you very much, This was helpful. I grew up with crazy stomach acid, mainly in the mornings and grew up eating a lot of stuff with hotsauce, I love it.
My issues the past few years though is breathing problems, feeling like there’s pressure in my diaphragm.
I wonder if I have damaged my esophagus, but I’m not sure. I hope I can reverse these issues with eating healthy and cutting out red meat, liquor, etc.
Hi doctor, I'm struggling with gout. Do you think fruit can cause gout attacks? Do you think raw honey from a local farm can cause it? I stopped eating red meat everyday. I am taking desiccated organ meat supplements from heart and soil. Do you think those are causing gout?
useful video…natural herbal formulation of Dashmularisht by Planet Ayurveda is an excellent Ayurvedic herbal formulation that is very helpful in Gout management and other body conditions.
Dr. Gurnita,
Thank you for this video, which contains a great amount of valuable information is such a short time.
This information will help me greatly.
Frank