Can gout be cured by losing weight?

Being overweight increases the risk of developing gout and losing weight reduces the risk of gout. Research suggests that reducing calories and losing weight even without a purine-restricted diet lowers uric acid levels and reduces the number of gout attacks. Diet is very important in gout; certain foods are known to cause attacks. However, a diet that simply eliminates purine-rich foods may not be enough.

According to doctors, a better approach is to adopt a healthy and comprehensive form of eating, such as the DASH diet or the Mediterranean diet. Both limit red meat, sugar and processed foods and focus on fresh fruits and vegetables, some whole grains, and healthy fats such as olive oil. Exercise and weight loss also lower uric acid levels and help prevent gout outbreaks. In a small trial, patients who lost 16 pounds decreased their uric acid levels by 3 points.

You can control gout if you really follow good lifestyle choices, Dr. Fortunately, today gout is one of the most treatable forms of arthritis, some rheumatologists say it can be cured. However, in the case of too many patients with gout, the disease is not treated or is not treated sufficiently. In a recent study, for example, only 37 percent of people with gout were taking allopurinol, a medication to lower uric acid; among gout patients with frequent outbreaks, only half took it.

More recently, experts have started to think about diet differently. Rather than trying to determine which individual foods you should avoid, the important thing is to follow a healthy diet and try to lose weight if you're overweight or obese. Just losing weight can lower uric acid levels. Drinking plenty of fluids is also helpful.

But limit sugary drinks and alcohol, as they can increase uric acid levels. However, the progression of gout is certainly not inevitable, which is close to the best news any patient with gout can hear. This increases the risk of suffering from gout, ten times or more than heavier people, according to Dr. Hyon Choi, gout expert, professor of medicine and director of clinical epidemiology in rheumatology at Massachusetts General Hospital in Boston.

Gout treatment should improve disease outcomes by minimizing outbreaks of gout, inducing long-term resolution of tophos, and more effectively treating comorbidities, many of which are associated with hyperuricemia. The problem, however, is that most people suffering from gout find that losing weight through diet and exercise alone is a challenge, if not impossible, to do. Fortunately, recent clinical data show a positive relationship between gout and weight-loss surgery, which is giving patients with gout renewed hope to combat this painful condition. Rapid weight loss is known to cause uric acid buildup and, after bariatric surgery, a very low calorie diet and rapid weight loss seem to trigger gout attacks.

People with gout can help themselves by adding citrus fruits and other vitamin C-rich foods (such as strawberries and peppers) to their diet. While eating foods that are high in purines can contribute to high levels of uric acid, many experts believe that the role of diet in the development of gout is overemphasized. Another study conducted at the University of Auckland in New Zealand also suggests that patients with gout who are obese could benefit from bariatric surgery, which will control the crystallization of uric acid in the joints, further prevent gout attacks and reduce inflammation caused by weight loss. The big toe is a known site of gout attacks, but gout can affect many different joints throughout the body.

Another feature that can make weight-loss surgery a perfect option for people with obesity who have had problems controlling their diet and have had recurrent gout is the ability to control gout regularly and efficiently. Losing weight alone can lower blood levels of uric acid, as well as the number of gout attacks, preventing hyperuricemia, so it's obvious that if you're overweight and gout, immediately consider losing weight with whatever method you want. .

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