Uric Acid Management
We know that uric acid causes gout, and we've seen that diet can minimize overproduction and under-secretion. As well as diet, another approach is to look at directly reducing the level in your blood using drugs or dietary supplements. Once again, there is a great deal of information about various substances that can reduce uric acid levels in the blood, and once again there is no simple solution. Products and potions that work perfectly well for one person can often have no effect, or adverse effects on another. You should also bear in mind that some substances can increase levels - commonly diuretics and low doses of aspirin. You need to be aware that managing acceptable blood levels is not as simple as reducing purine intake, restricting production or increasing excretion. As well as uric acid derived from your diet, your body can produce it from consuming body tissue when starved or exerted. Also, gout sufferers have a build up of crystallized acid in and around the joints. These can be re-dissolved as levels in the blood fall, causing another acute gout attack as the crystals start to break down. The situation is further complicated by interactions between different foods or gout treatments and the fact that some treatments, e.g. aspirin have different effects in low doses than they do in high doses. (A recent study into aspirin and uric acid now suggests that this may not be the case.) The best approach is to learn about different treatments and foods by browsing the GoutPal website. You then need to study your own situation and preferences and try different approaches. Often a combination of adjusting your diet and careful use of one or two gout treatments is all you need to keep yourself pain free. You need a balanced approach to diet, lifestyle and treatments to manage acid levels effectively. If you have read everything on this website and still cannot deal with your particular situation, just ask GoutPal for advice.
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