08/17/2026
🚨 GOUT ISN’T JUST ABOUT EATING TOO MUCH RED MEAT…
That sudden, excruciating pain in your big toe at 2 AM?
🔥 Red
🔥 Hot
🔥 Swollen
🔥 So tender that even a bedsheet can hurt
That’s what happens when uric acid forms needle-like crystals inside a joint and your immune system launches an intense inflammatory response.
And that brings us to the modern gout epidemic.
🚨 IT’S NOT JUST PURINES.
Yes, high-purine foods can contribute:
🥩 Organ meats
🥩 Some red meats
🦐 Certain seafood
But two other major players often get overlooked:
🍺 ALCOHOL — ESPECIALLY BEER
Beer can deliver purines while alcohol can also interfere with the kidneys’ ability to eliminate uric acid.
🥤 FRUCTOSE
When large amounts of fructose are rapidly metabolized, ATP can be depleted and uric acid production increases.
That makes sugary drinks and foods containing large amounts of added fructose particularly interesting when we’re talking about gout.
And here’s another important piece…
💧 GOUT ISN’T ONLY ABOUT HOW MUCH URIC ACID YOU MAKE.
Your kidneys have to get rid of it.
That means hydration, kidney function, medications, metabolic health, alcohol intake, genetics, and diet can all influence your uric acid level.
So what can potentially help?
☕ COFFEE: Regular coffee consumption has been associated with a lower risk of gout in observational research.
🍒 CHERRIES: Some evidence suggests cherries or cherry products may be associated with fewer gout attacks.
🥛 LOW-FAT DAIRY: May have a uric-acid-lowering effect and is generally associated with lower gout risk.
🍊 VITAMIN C: Can modestly increase uric acid excretion in some people, although supplementation isn’t a substitute for appropriate gout treatment.
But here’s the number I want you to remember:
🎯 6.0 mg/dL
For most people receiving urate-lowering therapy for gout, the goal is to maintain serum uric acid below 6 mg/dL.
Why?
Because controlling uric acid isn’t simply about stopping today’s pain.
Over time, keeping urate low enough allows existing crystals to gradually dissolve and can help prevent future attacks and joint damage.
During an acute attack, treatment may include medications such as NSAIDs, colchicine, or corticosteroids when medically appropriate.
And for recurrent or chronic gout, medications such as allopurinol may be needed to control uric acid long-term.
⚠️ Allopurinol hypersensitivity can rarely be severe, and HLA-B*58:01 testing is recommended before starting it in certain higher-risk populations.
🔥 THE BIG LESSON?
Gout isn’t simply the punishment for eating steak.
It’s a metabolic problem involving uric acid production, kidney excretion, genetics, diet, alcohol, fructose, and inflammation.
If you’ve had gout—or your uric acid keeps creeping upward—don’t just wait for the next painful attack.
Know your number. Understand WHY it’s elevated. Then address the factors driving it.
— Dr. Patrick Ess
Stanly Wellness Center
🏆 Best Chiropractor in Stanly County for 2026