• Why fructose and high insulin are bigger gout triggers than purines
  • How a low-carb or carnivore diet can reduce inflammation and prevent gout attacks
  • What to expect when transitioning into ketosis if you have a gout history
  • How to prevent flares while adapting to keto or carnivore
  • Real case studies of patients who reversed gout while eating red meat
00:00 Red meat and gout: Let’s bust the myth
01:30 Why you should stop blaming steak
02:48 The missing piece: inflammation
03:18 Case studies: healing gout on carnivore
04:01 Insulin resistance and uric acid excretion
04:20 How to avoid gout flares during keto adaptation
05:00 The risks of going in and out of ketosis
05:28  Mechanisms simplified: what actually causes gout
  • psudM
    link
    fedilink
    English
    arrow-up
    2
    ·
    4 days ago

    I have a history of gout. Urate at 0.47 mmol/L just after I stopped taking allopurinol after a few months on carnivore, 0.45 a couple of weeks ago (the reference range is 0.2 to 0.42mmol/L)

    Over the 2⅓ years I have been on carnivore I have had two attacks

    1. At the end of a holiday on a Pacific island after a day with poor access to meat (the resort had run out after hosting a wedding) I ate a sweetened yoghurt on the plane. Fructose.

    2. Just recently I got pretty dehydrated while unwell with a cold and had an attack

    In comparison before going on allopurinol I had about three attacks a year. On allopurinol I had one attack a year. On carnivore I had one attack without the help of sugar in over 2 years

    • jet@hackertalks.comOPM
      link
      fedilink
      English
      arrow-up
      1
      ·
      3 days ago

      Wow, a single yogurt was enough to trigger a flare up!

      • Omnivore : every 4 months
      • Omnivore + Allopurinol: every 12 months
      • Carnivore: every 24 months

      Quite the difference.

      I wonder if the gout frequency would continue to decrease the longer you are on carnivore? If the oxalate crystals in your joints would reduce over time. I haven’t seen anything in the literature about it.

      • psudM
        link
        fedilink
        English
        arrow-up
        2
        ·
        3 days ago

        Next time you post a new bit of gout content, I might give an update :)