The gout foods table for fish covers key foods in the Finfish and Shellfish Products group from the USDA food database.

Note that I don’t include purines in this list. Because they are not part of the USDA database that I use for a gout-friendly foundation diet. So you should establish a healthy foundation diet first. Then you and your doctor can agree how to get your uric acid to a safe level. Once that’s in place, you might get marginal uric acid benefits by changing some fish for lower purine seafood. In which case, the low purine fish list and the moderate purine fish list will help you.

Also, note that those lists are followed by seafood lists. But there is no very low purine fish list. However, you can use the very low purine seafood list.

Fish You Can Eat With Gout

Before you use the tables, it is important to understand how they work. Please read my Gout Foods Tables Introduction. You also need to read the Gout Foods guidelines to understand the right approach to gout diet. In a nutshell, you need to start from a generally healthy diet. Do not worry about purines or other things that you may have heard about certain food or drink. Adopt a healthy diet first, then, if you have a gout treatment plan, tweak the diet to match that plan. Your gout treatment plan does not need to be based on medicines. It is your goals for managing uric acid and painful inflammation that matter. Gout diet might be all you need, or you might need support from gout medicines. Whichever way you go, it must start with a healthy diet.

There is no single fixed plan for a healthy diet. You have to choose what is right for you. Plans based on Harvard nutrition guidelines, Meditteranean diet, and alkalizing diet are three good choices, but there are others. If you need help choosing a healthy eating plan for gout, ask in the forum. Whichever plan you choose, fish is an important source of protein. Generally speaking, seafood is better than red meat. The gout foods table for fish will help you choose foods that best balance your favorite foods with healthy nutrition.

Fish, as a source of protein, should never be more than a quarter of what you eat. Fish based meals should be balanced by equal quantities of whole grains, and twice as much fruit and veg. The proportions will vary according to your diet plan. Here is what Harvard guidelines say about protein:

Choose fish, poultry, beans, and nuts; limit red meat and cheese; avoid bacon, cold cuts, and other processed meats.

Gout Foods Table for Fish

Long Description 100 Kcal Serve(g) Vitamin C (mg) PRAL Score Iron (mg) GoutPal Index
Octopus, common, raw 29 17 2 1.5 3.5
GoutPal Imaginary Standard 100 Kcal Serving 100 3 -2 0.9 1.9
Fish, fish portions and sticks, frozen, preheated 36 0 3 0.3 -1.4
Fish, trout, rainbow, farmed, raw 71 2 7 0.2 -2.1
Fish, catfish, channel, farmed, raw 84 0 7 0.2 -2.8
Fish, herring, Atlantic, kippered 46 0 6 0.7 -3.0
Fish, salmon, pink, raw 79 0 9 0.3 -4.0
Crustaceans, crab, blue, cooked, moist heat 120 4 12 0.6 -4.1
Octopus, common, cooked, moist heat 61 13 5 5.8 -4.2
Fish, tilapia, raw 104 0 9 0.6 -4.3
Mollusks, clam, mixed species, canned, drained solids 70 0 6 1.9 -4.6
Average Finfish and Shellfish Products (Key Foods) 102 1 10 1.5 -5.1
Crustaceans, shrimp, mixed species, canned 100 4 13 2.1 -6.4
Fish, tuna, light, canned in water, drained solids 116 0 12 1.9 -6.8
Fish, flatfish (flounder and sole species), raw 143 0 16 0.3 -6.9
Crustaceans, shrimp, mixed species, raw 141 0 17 0.3 -7.4
Mollusks, clam, mixed species, raw 116 0 15 1.9 -8.2
Mollusks, oyster, eastern, wild, raw 196 0 4 9.0 -9.9

Low Purine Monkfish with Gout-Friendly Ratatouille
Low Purine Monkfish with Gout-Friendly Ratatouille

The table is sorted in GoutPal Index order, where my Index is based on the best of all relevant nutrients. Do not worry that all fish, except raw octopus are lower than the Standard. This is expected. You need a variety of foods with some lower than Standard, and some higher. As long as your average for all food is not too low, you have a healthy diet.

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