Gout and Dietary Supplements

Gout and Dietary Supplements

Where Do Supplements Fit In, In a Gout Diet?

Dietary Supplements are defined by the U.S. Food and Drug Administration under the Dietary Supplement Health and Education Act (DSHEA) of 11994 as “a product taken by mouth that contains a “dietary ingredient” intended to supplement the diet. Dietary ingredients can consist of the following substances: vitamin, mineral, herb or other botanical, concentrate, metabolite, amino acid or an extract. Dietary supplements are typically comprised of natural ingredients which obviously makes them less likely to cause any negative side effects compared to gout medications like allopurinol or colchicine for example.

I take plenty of dietary supplements every single day, from vitamin D, mostly in the winters and because I live in Canada where the sun rarely shines in wintertime, Milk Thistle for my liver, Apple Cider Vinegar to balance pH and avoid heartburn, Digestive Enzymes to aid the digestion process, Tart Cherry Extract to keep uric acid levels healthy ( because we don’t have fresh cherries year-round) and some other supplements that help supplement my gout diet.

And that is the key my dear gout sufferers! Gout diet and food should be first. Supplements should never replace a good healthy gout diet and be a food substitute. Supplements will never replace all of the nutrients and health benefits of whole foods. Think of supplements basically as plugins for your nutrition gaps in your gout diet. Food contains not only vitamins and minerals but fiber, phytochemicals that work together to promote good health that simply cannot be duplicated with a pill or cocktail of supplements!

But when you have a condition like we gout sufferers do and food sometimes falls short and doesn’t include essential nutrients then a supplement can help close the gap and provide the nutrition your body and/or condition like gout requires. Truth is supplements can help prevent deficiencies that can contribute to chronic conditions. Furthermore, plenty of studies have shown the health benefits of supplementing missing nutrients in the diet with dietary supplements. But the key is always to think food first and then supplement the gaps!

Tart Cherry Extract for Gout

What Supplement to Choose for Gout?

At the end you need to take note of your dietary habits and see if you are avoiding any entire food groups. Take dairy for example, if you are not eating any dairy then it’s wise to supplement with a calcium and vitamin D for your shortfall on dairy. We gout sufferers need to supplement on fighting to get those uric acid levels healthy, so naturally a cherry supplement can help maintain healthy uric acid levels for many, some more than others, of course the severity of one’s gout plays a big role as well.

Tart cherries contain powerful antioxidants called anthocyanins which is what gives cherries that distinct red color. In addition, tart cherries are one of the richest sources of anthocyanins 1 and 2, which help to block pro-inflammatory COX-1 and COX-2 enzymes. For more evidence and studies on gout and cherries make sure to read my post on the subject. Cherries have been associated with lower levels of uric acid in studies, as well as a reduced number of gout attacks. There have also been other gout studies examining dietary supplements like vitamin C and skim milk powder that you can check out.

When choosing a supplement there some things to consider. Firstly, try to pick a supplement that has been manufactured in a FDA compliant facility that follows “Current Good Manufacturing Practices”, you may notice the little logo on a bottle “cGMP”, this means that your supplement has been inspected and approved by the FDA. It also means that the supplement has gone through many tests for accuracy, potency and make sure the product is free from any contamination.

When buying supplements it is always best to choose vegetarian capsules made from cellulose instead of gelatin which are actually made from the organs and tissues of animals. Yuk! Besides gelatin can raise uric acid levels since it’s animal-based. Make sure that the supplement bottle clearly indicates the manufacturer name and contact info. Usually the ones that hide their contact info, are hiding something else as well! Make sure the labels are informative and provide accurate information.

Like any prescribed drugs, sometimes dietary supplements can also have side-effects but they are rarely as severe as medications. If you do experience a negative reaction to dietary supplements be sure to stop taking it immediately and contact your doctor. Dietary supplements, which are not regulated by the FDA, are marketed as a solution or preventative measure for a number of disorders including gout, or to supplement nutrients lacking in your diet. To safely receive the health benefits of taking dietary supplements, always consult with a physician before taking any supplement to help avoid negative side effects.

Posted by Spiro Koulouris

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  • Technicsmanz

    Reply Reply February 23, 2017

    Hi Spiro,

    I live in the UK and I have sufferd with what I believe is gout on and off for 2 years, I am male and 63 years old. I have been to my doctor a dozen times over the last two years and every time he tells me that I have not got gout and my blood uric acid are just within the range that they should be, I have also been checked for arthritis as well which was also clear, and yet my hands are sore and swollen alot of the time, hot and burning, and very painfull, a few days after an attact they start to return to almost normal untill the next attack.

    I have changed my diet around quite alot to include more fruit, less carbs, I am tea total as well no alcohol at all, sugary drinks, and I have learned to avoid triggers like chocolate and such stuff and the attacks have got much better and not so often now. Howerver my biggest problem is I am a full time wheelchair user as a result of Polio when I was 2 years old, I do as much exercise as I can manange from my chair, but it is not the same as a good work out but it is all I have got, I am just about to download your E-book for the help and guidance it can give me.

    I would like to try your Tart cherry extract, and the Nutrigout, the problem is Amazon.co.uk do not stock them, is there anyway around this problem by say buying them from Amazon.com whould they ship them to the UK? or is there any other way around this problem? Sick of having flair ups.

    PS: great website, fantasic help, great information, you know more information than my Doc which has helped me loads, but I have much more to learn, one step at a time.

    With Regards

    • Spiro Koulouris

      Reply Reply February 23, 2017

      Thanks for your story!

      Good to see that you are taking action and taking the necessary steps to get your health back on track.

      Yes we do ship in UK via eBay.com, you can order NutriGout and Tart Cherry Extract from there and it should be at your doorstep within 10 days.

      The more you buy the more you save.

      But soon we should be selling on Amazon UK and Europe.

      Have a great day!

  • Paul W.

    Reply Reply January 26, 2017

    Hi Spiro

    I have a few questions.

    It’s been a good while since I’ve had an attack of Gout but it arrived back in anger overnight/today. I’ve not researched much in the last 2 years but I landed on your excellent site today. A brilliant source of everything you need to know about Gout, thank you.

    I’m 36 years old, have suffered Gout for near on 10 years & genuinely thought
    I was on top of it. I’m on 400mg Allopurinol daily and ‘had’ been taking both a Cherry Supplement (Cherry Active) and Celery Seed. I’ve relaxed the Cherry & Celery supplements and believe that this coupled with an excessive festive period has brought on a very severe attack.

    I will go back to my old routine of taking supplements, continue with Allopurinol and perhaps extend to use Nutri Gout + Apple Cider Vinegar supplement. I can’t seem to find Nutri Gout available in the UK. I’ve ordered a couple of bottles from US to try it out. Can you advise when/how/if it’s readily available in the UK??

    I’d also be interested to find out how your recommended Tart Cherry extract compares to Cherry Active? I running low on Cherry Active so will need to order some new ones soon. I may try your recommendation given how helpful I’ve found the website.


    • Spiro Koulouris

      Reply Reply January 26, 2017

      Hi Paul!

      Thank you for your email!

      Yes it is important to watch what you eat as a gout sufferer for life! Gout attack can hit at anytime even with one bad day of eating or night out with friends having a few drinks.

      Supplements are important in supplementing your gout diet. GoutandYou’s Tart Cherry Extract is a highly potent formulation, I can’t speak about Cherry Active though.

      Both NutriGout and Tart Cherry Extract are available from eBay.com and shipping is quick in the UK. Plus the more you buy the more you save on eBay.

      Let me know if you have any other questions

  • S. Lee Butler

    Reply Reply January 23, 2017

    What is your opinion on Vitamin C to lower u levels? I see articles saying it helps, and some say that it doesn’t. Maddening!
    Lee(65 yr old female with this nasty gout for a couple of years)

    • Spiro Koulouris

      Reply Reply January 23, 2017

      Studies have shown it helps and many gout sufferers report a benefit as well. I’d include it in my diet!

  • Giatt

    Reply Reply December 2, 2016


    I am a first time user of NutriGout. How long can I take the recommended dosage?


    • Spiro Koulouris

      Reply Reply December 2, 2016

      Hi Dennis!

      Thank you for your question.

      NutriGout is a dietary supplement. It’s meant to supplement your diet where you are most weak. Which is managing uric acid levels and keeping them healthy. So in essence you want take this indefinitely. You can take 1-2 capsules daily so 1 bottle can last anywhere from 30 to 60 days. I personally will take it for the rest of my life, plus I take Tart Cherry Extract, Apple Cider Vinegar, a digestive supplement, vitamin D.

  • Simon

    Reply Reply November 8, 2016

    Hi Spiro,

    I am a gout sufferer & would like to explore natural remedies before committing to life long daily drugs such as Allopurinol.

    I would like to try nutrigout supplements, I live in Hong Kong & tried purchasing via Amazon, however it states that Amazon does not deliver Nutirgout to Hong Kong.

    Wondering if I can purchase via any other channel ? Any suggestions would be much appreciated.


  • Curtis Coon

    Reply Reply August 20, 2016

    Hey Spiro,

    I just had my first gout attack. as a resuly, I was directed to your website. like you, I’m 5’11” and 225+ pounds, so it appears that we live simialr lives.

    A quick question, the Tart Cherry Extract you endorse, why isn’t it available on Amazon.ca? Any time I have tried to purchase anything on Amazon.com, I’m blocked from having it sent here in the Great White North.

    Your direction would be appreciated.


    • Spiro Koulouris

      Reply Reply August 21, 2016

      Hi Curtis!

      It will be available in couple of weeks via Ebay! Stay tuned!

  • Mitch

    Reply Reply July 10, 2016

    Spiro, just diagnosed with gout. I was on a low carb diet and I will change my diet going forward. I only had one episode. Would you suggest taking a Tart Cherry Supplement daily (if so how much) or wait until an episode were to happen again?

    • Spiro Koulouris

      Reply Reply July 11, 2016

      Hi Mitch!

      Tart Cherry would be a dietary supplement you take help keep uric acid levels healthy, don’t think of it as a cure, it is a food at the end of the day, whether you eat cherries or take tart cherry extract, it has the same health benefit. Advantage of the taking the supplement is obviously more convenient, each capsule has a higher concentration and you skip the sugar intake of consuming cherries. How much you should take all depends on you and you should consult your doctor just in case you are taking any other medication that may affect it.

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