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Gout

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Posted by: Cold Iron

Does anyone have experience with this?

I just had another flare up and this $%#$ is straight up annoying.
I know it is mostly hereditary but I am trying to figure out whats trigging it and I have a pretty good idea now
from the last instance it was
- oats
- creatine
- chicken
- Tomatoes
- dark meats
- DOMS
- stress
- booze

It seems like all the good protein foods atleast partly trigger gout, as well as my fav supp, creatine and also DOMS. So basically everything in the bb'ing lifestyle. So I ask, does anyone have this and how did u adjust your diet and such to continue working out?

I figure I will try up my water intake, cut protein a bit...ditch the creatine, cut the drinking ...and then when its been under control for a while, try and see if i can add creatine back in to the mix when i have control of all the other variables.

Any other tips/thoughts welcome

ty


Posted by: bandaidwoman

what is your uric acid level?


Posted by: maniclion

Wow it's Doc Bandaid how have you been?


How much booze? I bet thats one of the biggest factors, you need to increase your potassium intake.


Posted by: Cold Iron

Quote:
Originally Posted by bandaidwoman
what is your uric acid level?
This was from a blood test from about a year ago and Kimber's comment. I have nothing current, perhaps another test is in order.
Quote:
Originally Posted by Kimber
UA: 482 |200 - 400|
Uric Acid; again, kidney function, typically associated with gout when largely elevated (yours isn't), its a waste product
The only concern with all this IMHO is that you have elevation of 2 tests of kidney function. Is your BUN normal? Personally, I'd get the test repeated in a few months to compare but your numbers are very close to "normal" so alone they aren't statistically significant, just something to watch.
IMO this is mainly a genetic thing, as my dad experiences problems with this


Posted by: Cold Iron

Quote:
Originally Posted by maniclion
Wow it's Doc Bandaid how have you been?


How much booze? I bet thats one of the biggest factors, you need to increase your potassium intake.
I eat a lot of bananas

booze...not that much and not nearly as much as I used to. Once a month i'd say....but when I drink, I don't drink socially


Posted by: bandaidwoman

Quote:
Originally Posted by Cold Iron
This was from a blood test from about a year ago and Kimber's comment. I have nothing current, perhaps another test is in order.


IMO this is mainly a genetic thing, as my dad experiences problems with this

True, if your renal functionis normal, you are either overproducing the uric acid or undersecreting uric acid on the kidney level.

I am used to monitoring uric acid levels in mg/dl, so not sure what the equivalence of your blood level is and I tried looking for a conversion chart

. The rule of thumb is that we treat uric acid levels above 8.5mg/dl very aggressively. Above this level you are at higher risk for gouty nephropathy(intrinsic damage to kidneys due to the gout) , develepment of tophaceous gout in later years (which is as destructive as rheumatoid on the joints ) and high uric acid levels are associated with congestive heart failure and other heart deleterious cardiac effects. Your diet seems reasonable and your athletic pursuits would make me not want you to go more extreme in your diet. If you are having more than three gout attacks a year a rheumatologist usually recommends allopurinol (treats over producers as well as undersecreters). We no longer consider it the "nuisance" arthritis since its effect on so many organs have been underestimated for too long.


Posted by: bandaidwoman

Quote:
Originally Posted by maniclion
Wow it's Doc Bandaid how have you been?


e.
was puttting in 90 hours a week due to taking up the load from another partner that had to move to north carolina for family reasons. just hired another one and I am back training for my 24 hours of adrenaline later this year.


Posted by: Vieope

Quote:
Originally Posted by bandaidwoman
True, if your renal functionis normal, you are either overproducing the uric acid or undersecreting uric acid on the kidney level.

I am used to monitoring uric acid levels in mg/dl, so not sure what the equivalence of your blood level is and I tried looking for a conversion chart

. The rule of thumb is that we treat uric acid levels above 8.5mg/dl very aggressively. Above this level you are at higher risk for gouty nephropathy(intrinsic damage to kidneys due to the gout) , develepment of tophaceous gout in later years (which is as destructive as rheumatoid on the joints ) and high uric acid levels are associated with congestive heart failure and other heart deleterious cardiac effects. Your diet seems reasonable and your athletic pursuits would make me not want you to go more extreme in your diet. If you are having more than three gout attacks a year a rheumatologist usually recommends allopurinol (treats over producers as well as undersecreters). We no longer consider it the "nuisance" arthritis since its effect on so many organs have been underestimated for too long.

I totally agree! I would go further and explain the rotation theory of the uric acid but bandaidwoman might not be able to comprehend this kind of advanced knowledge.


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Gout


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