Gout sufferers ask Is very low purine gout diet possible?

All tasty food seems high in purines. Low purine diets seem impossible, or at least boring.

In Is very low purine gout diet possible? I’ll look at foods classed as Very Low Purine. Then we can see how that affects your gout treatment plan.

Recent research in Japan has added a whole load of extra knowledge about purines in food[1]. As a result of that, I will be re-writing my Purine Rich Foods List. But, lots of people are looking for low purine foods. So, I list the names of very low purine foods below. The full lists have details of individual purines, but that’s not relevant to low purine foods.

Very Low Purine Foods

Remember, this research comes from Japan. Therefore, some of these foods might be unfamiliar. Look on it as a chance to try something new. And, if you find a particularly tasty low purine food, please share the recipe in the Gout Forum.

Foods are described as very low purine when their total purine content is less than 50 mg/100g (350 μmol/100g). Other classes are low purine foods, moderate purine foods, high, and very high.

Very Low Purine Cereals

  • Barley
  • Flour
  • Rice

Very Low Purine Beans

  • Almond
  • Broad bean
  • Green-peas (canned)
  • Peanut

Very Low Purine Soybean products

  • Bean curd lees (Okara)
  • Green soybean
  • Soymilk
  • Tofu

Very Low Purine Dried seaweeds

  • Cladosiphon okamuranus (Mozuku)
  • Kombu

Very Low Purine Eggs and Dairy Products

Eggs and milk are zero purine foods. (See Zero Purine Protein below.)

  • Chicken egg
  • Quail egg
  • Cheese
  • Grated cheese
  • Milk
  • Yogurt

Very Low Purine Mushrooms

  • Bunapii
  • Bunashimeji
  • Enokidake
  • Eringi
  • Hatakeshimeji
  • Nameko
  • Shiitake (raw)
  • Tsukuritake
  • Usu-hiratake
  • White aragekikurage
  • Yamabushitake
  • Yanagimatsutake

Very Low Purine Fruit

  • Banana
  • Strawberry

Very Low Purine Vegetables

  • Asparagus (lower part)
  • Avocado
  • Balsam pear (goya)
  • Bamboo shoot (lower part)
  • Bean sprouts
  • Cabbage
  • Carrot
  • Cherry tomato
  • Chinese cabbage
  • Corn
  • Cucumber
  • Garlic
  • Garlic chives (nira)
  • Ginger
  • Gumbo (okura)
  • Japanese ginger (myoga)
  • Japanese leek (negi)
  • Komatsuna
  • Onion
  • Perilla leaves (shiso)
  • Potato
  • Sweet potato
  • Zucchini

Very Low Purine Animal Meat

  • Corned beef
  • Frankfurt sausage
  • Vienna sausage
Very Low Purine Corned Beef Dinner photo
Who knew a Corned Beef Dinner could be Very Low Purine?

Very Low Purine Seafood

Our diligent researchers didn’t find any very low purine fresh fish. But, here are some other very low purine foods from the ocean.

  • Herring roe (Kazunoko)
  • Salmon roe (Ikura)
  • Salmon roe (Sujiko)
  • Sea cucumber
  • Fish sausage
  • Fishcake tube (Chikuwa)
  • Fish product (Hanpen)
  • Fish product (Kamaboko)
  • Fish product (Narutomaki)
  • Fish product (Sasakamaboko)
  • Fish product (Satsuma age)
  • Deep-fried rice cracker
  • Ramen (Japanese noodle)
  • Ramen Soup

Very Low Purine Seasonings

  • Barbecue sauce
  • Honey
  • Mirin
  • White miso
  • Powder soup (Potage)
  • Powder soup (Clam chowder)
  • Soy sauce (Dark color)

Very Low Purine Supplements

  • Chitin, Chitosan
  • Glucosamine
  • Nucleic acid juice
  • Scales and collagen
  • Soy isoflavone
  • Vegetable drink powder from Kale

Please remember that a healthy gout diet is about much more than purines. See What Foods Cause Gout for the other 4 problem food groups.

Also remember, there is no point restricting purine intake if you do not measure the effect on your uric acid levels. There are more very low purine foods at the end of the list in Foods High In Uric Acid. And, I’ve produced a similar list to this in Another Low Purine Foods List.

Do you need personal help with your gout diet? Please, share your questions, experiences, and opinions about very low purine foods in the gout forum.

Leave Very Low Purine Gout Diet to read Gout Blog.

Very Low Purine Comments

GoutPal visitor responses and associated research include:

Zero Purine Protein

Zachary asked for clarification about my statement: “Eggs and milk are zero purine foods.” So I explained that my zero purine protein line came from the report that contains these very low purine foods:

Thus, foods containing small amounts of total purine and those containing mainly adenine and guanine are considered to be beneficial for hyperuricemic patients and those with gout. These include eggs, dairy food, cereals, beans, vegetables, mushrooms, and soybean products. Eggs and dairy products contain almost zero purine. In particular, dairy products are recommended dietary foods for patients with gout. Milk proteins such as casein also reduce uric acid serum concentrations by increasing the excretion of uric acid. A population-based case-control study showed that calcium was inversely associated with plasma urate concentration. The risk of gout has been shown to be low in individuals who consume plenty of dairy products. Indeed, US and British guidelines for gout recommend the consumption of these foods.

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Very Low Purine References

  1. Kaneko, Kiyoko, Yasuo Aoyagi, Tomoko Fukuuchi, Katsunori Inazawa, and Noriko Yamaoka. “Total purine and purine base content of common foodstuffs for facilitating nutritional therapy for gout and hyperuricemia.” Biological and Pharmaceutical Bulletin (2014): b13-00967.

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