There is a big difference between making the pain of a current attack go away (dealing with symptoms) and removing the underlying assault that causes you to have high uric acid in the first place. Based on a collection of data points from various studies, researchers, and doctors, as well as my own personal experience, I believe you should reject any notion that you are stuck with gout and medications for the rest of your life. Solving the underlying problem, really curing gout, is my goal — and doing so happens to also mean you are much healthier overall.
Expect the process to cure gout, put it into remission, or whatever you want to call it, to take some time. Gout comes from a chronic assault on your body over years or decades. It won’t be solved overnight.
Here is a step-by-step approach to eliminating gout from your life by moving the biggest levers first. YMMV but if you have a better suggestion on improving the approach I’d love to hear from you.
Step 1: Preparation – Before You Start
- Get a Baseline – Write it Down
- Overall Fat (lbs), Visceral Fat (lbs), Bone Density (g/cm2), and Lean Mass (lbs) from a DEXA Scan or Bod Pod — less optimal is waist to height ratio.
- Select Blood Markers – Uric Acid, HbA1C, Triglycerides:HDL Ratio
- Have Medication on Hand
- If you’ve taken medication for gout in the past then have some on hand, there may be one or two more.
Step 2: A New Definition of Healthy Diet
Get to an optimal diet as fast as you can. I propose this to be one that is animal protein forward, with veggies as a side if you enjoy them. No processed carbs, period. No vegetable or seed oils, period. For now, no fruit. Water, Coffee, or Tea only!
Step 3: Increase Your Strength – Skeletal Muscle
Learn to love a small amount of strength training. Do this at least 3x per week, about 15 minutes per session, focusing on large muscle groups. ( Why Strength Training? )
Explanation of the Approach to Curing Gout
Why these specific steps? First, we want to know we are taking the right steps and seeing progress, hence the baseline. The most impactful lever is really what will seem like a radical diet shift (but its actually simply reverting to what your grandparents ate) yet may cause a temporary gout flare. The animal protein focus drives the essential amino acids needed by your body to repair and rebuild gut, skeletal muscle, and bone density. And finally, that skeletal muscle from strength training allows your body to better absorb dietary glucose (sugar) so the metabolism functions better.
The healing and improvements in metabolism will ultimately result in better kidney and liver function allowing your body to properly handle purines and excrete uric acid. — But don’t take my word for it, have a listen to what Dr. Cywes has to say…