Are Tomatoes Bad For Gout?

Gout, a painful form of arthritis that is easily triggered by certain foods and alcohol, affects more than nine million Americans. A gout flare-up, if left untreated, may cause irreversible joint damage. So, if you’ve been diagnosed with gout or suspect you have it, it’s critical to understand which foods may cause flare-ups.

Most people associate gout with fat-laden meats. While red meat and organ meats may cause flare-ups, other seemingly healthy foods, such as tomatoes, may also cause gout flare-ups in some people.

We all eat tomatoes, we either eat them fresh in a salad, God knows I love my Greek salad, or we either eat them as a sauce, paste, juice, and ketchup! Tomato is a popular vegetable; some say it’s a fruit since it contains seeds.

At the end of the day, tomatoes contain a rich source of antioxidants and are high in vitamin C and lycopene. Lycopene is a naturally occurring chemical that gives fruits and vegetables a red color watermelon, apricots, or pink grapefruits. In addition, tomatoes carry a lot of water.

There is a misconception amongst certain gout sufferers that tomatoes cause gout attacks. This is simply not true if you closely examine the ingredients. Tomatoes are 90% water and water is important for us gout sufferers.

Next, tomatoes are a low-purine food, and all my readers should know by now that foods that are high in purines may trigger a gout attack. What else? Tomatoes are low in sugar and carbs as well.

Heck, they’re even very low in calories. 100 grams only has 18 calories! Furthermore, 100 grams of tomatoes have 237 mg of potassium! So where do people get the idea that tomatoes are bad for us?

It’s true when tomatoes are cooked, they do become slightly acidic in the body once they are metabolized. However, it’s not anything significant that will cause any serious harm to your health.

For example, when cooking them, tomatoes release more lycopene which is very beneficial for so many other health conditions. If you eat them fresh as I do in my Greek salad, then you’ll experience less acidity.

Tomatoes are part of the “nightshades” food family which includes potatoes, peppers, and eggplant to which many people are allergic. Due to this fact, many people believe that these vegetables increase inflammation and arthritis pain although there is no research that has proven this.

This is where you must discern what is right from wrong and use some good ol’ common sense!

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Why Does Gout Occur?

Gout is an arthritis-related condition that may be very painful. The body breaks down the chemical purine, which is found in some foods and in your body, to create uric acid. High blood uric acid levels may result in crystals forming around the joints, which will irritate the area and hurt.

Reduced consumption of foods high in purines may help some people manage flare-ups even though diet has little effect on the body’s overall purine and uric acid levels.

Tomatoes May Be Low in Purines But…

Although they contain little purine, tomatoes have been linked in some studies to gout flare-ups. Tomatoes were the fourth-most frequently reported trigger food in a study of more than 2,000 people without gout, where 20% of the participants reported that they were trigger food.

It’s unclear why eating tomatoes makes some people’s gout flare up.

According to some scientists, tomatoes may stimulate or increase the production of uric acid in some people due to their high glutamate content—an amino acid that is frequently present in foods high in purines. Genetics most likely influences who responds this way to tomatoes.

Gout and Tomatoes

Tomatoes were once thought to be healthy food, suitable for those suffering from gout until reports from those suffering from the condition claimed the food triggers symptoms. Some studies suggest a link between eating tomatoes and higher levels of uric acid, which is known to cause gout.

The science, however, is inconclusive. Genetics, rather than tomatoes or other foods, appear to play a much larger role in gout triggers. 6 Foods that may trigger gout in one person may not affect another in the same way, making food trigger research difficult to determine.

People with gout were previously advised to avoid foods high in purines, which the body breaks down to form uric acid. However, food does not account for a large portion of the uric acid found in the blood.

Even if you cut back on uric acid-forming foods, you won’t notice a significant difference in your symptoms because diet only accounts for about 10% of uric acid in your blood. The most effective way to help control gout attacks is to maintain a healthy body weight.

The benefits of tomatoes for a gout-friendly diet

Tomatoes are a healthy food that may help gout sufferers. According to some studies, eating tomatoes before a meal may help you lose weight, reduce your body fat percentage, lower your cholesterol, and blood sugar levels, and even lower your uric acid levels.

Tomatoes, particularly tomato juice, are high in vitamin C and lycopene, which help to reduce inflammation. Tomato juice is frequently fortified with extra vitamin C.

Because it is a concentrated form of tomatoes, it contains a higher concentration of lycopene than eating the food raw. Drinking tomato juice has been shown to increase antioxidant levels while decreasing cholesterol.

Because gout is an inflammatory condition, reducing inflammation in the body with lycopene-rich tomatoes may help to alleviate symptoms.

The potential drawbacks of tomato consumption

Gout patients are at risk of having high uric acid levels in their blood. Because diet may affect uric acid levels in the blood, it is critical to be aware of the foods that trigger you. Tomatoes are one food that many people with gout associate with flare-ups.

Glutamate and phenolic acid are two substances that tomatoes may contain that cause gout. Tomatoes may be worth avoiding if you feel they contribute to flare-ups even though both are only present in trace amounts and some people claim they cause their gout symptoms to flare.

If you think tomatoes are to blame, it’s important to be aware of foods like ketchup, BBQ and pasta sauces, and vegetable juices that have high tomato concentrations.

Benefits of Tomatoes

Tomatoes, despite popular belief, are fruits. Having said that, they are typically consumed and prepared similarly to vegetables.

When fully grown, tomatoes are typically red, but they can also be yellow, orange, green, or purple. Additionally, there are numerous tomato subspecies with various forms and tastes.

According to research, tomatoes can be consumed in a variety of ways, including fresh, cooked, and juiced, and they may help prevent chronic diseases and support an active lifestyle.

Could benefit brain health

Alzheimer’s disease affects 10% of adults 65 and older in the United States (AD). The disease, which affects memory, thinking, and behavior, is a type of dementia with no cure and worsens over time.

While more research on the link between tomatoes and Alzheimer’s disease is needed, studies have suggested that antioxidants found in tomatoes, such as lycopene, may protect against neurodegenerative diseases like Alzheimer’s.

One study found that participants aged 70 and up who consumed a lot of lycopene had a slower decline in cognitive function over four years (Collins, 2022).

More human research, specifically on adults aged 60 to 65, is required to better understand the true relationship between tomatoes’ potential protective benefits and AD and other neurodegenerative diseases such as Parkinson’s disease.

Could aid in the treatment of the metabolic syndrome

A group of conditions known as metabolic syndrome increases the risk of heart disease, diabetes, stroke, and other serious health problems. It requires the fulfillment of three or more of the following requirements:

  • an enormous waistline.
  • elevated blood pressure
  • elevated blood sugar.
  • high blood fats or triglycerides.
  • Low levels of “good”

Metabolic syndrome is present in about one in three US adults. According to research, lycopene status, or the amount of lycopene in the blood, or lycopene consumption, may be connected to favorable modifications to the metabolic syndrome’s parts.

Promotes heart health

The leading cause of death for adults in the US, heart disease, has been linked to a diet high in tomatoes. According to a review of 25 previously published studies, consuming a lot of lycopene and having high levels of antioxidants in the blood cut the risk of heart disease by 14%.

Another study on healthy individuals examined the impact of a single serving of raw tomatoes, tomato sauce, or tomato sauce combined with olive oil on risk-related metrics for heart disease.

All three doses increased HDL cholesterol and anti-inflammatory levels while lowering blood triglycerides and cholesterol. Because olive oil increased lycopene absorption, tomato sauce plus olive oil had the greatest impact.

Helps regulate the digestive system

Constipation may result from insufficient fluid and fiber. Both nutrients are present in tomatoes, which have a whopping four and a half ounces of liquid and 1.5 grams of fiber per the whole tomato.

Tomatoes’ high-water content and dietary fiber content are known to promote hydration and healthy bowel movements. Tomatoes are high in both soluble and insoluble dietary fibers.

Insoluble fiber adds bulk to the stool while soluble fiber retains water to create a gel-like texture during digestion. Both modifications result in waste that is easier to dispose of.

Tomato fibers, specifically cellulose, hemicelluloses, and pectins, are resistant to digestion in the large intestine and aid in the formation of healthy stool.

May help reduce the risk of Type-2 Diabetes

In the United States, 14.7% of adults have type 2 diabetes, and 38% have prediabetes, which occurs when blood sugar levels are too high but not high enough to be diagnosed as type 2 diabetes.

According to some studies, lycopene’s antioxidant properties aid in the prevention of type 2 diabetes. This is because it protects cells from damage, reduces inflammation, and strengthens the body’s defense mechanisms. The fiber in tomatoes may also help protect against diabetes.

Helps mitigate the risk of cancer

Two antioxidants found in tomatoes, lycopene, and beta-carotene, have been shown to have anticancer properties. They accomplish this in part by protecting cells from the type of DNA damage that may lead to cancer development and by causing cancer cells to die off.

Several studies have found that men who consume more tomatoes, especially cooked tomatoes, have a lower risk of prostate cancer. Overall, eating non-starchy vegetables like tomatoes has been linked to a lower risk of estrogen receptor-negative breast tumors as well as colon, rectum, lung, stomach, and upper aerodigestive tract cancer (like the mouth, throat, and nasal sinuses).

Helps with exercise recovery

Exercise may cause protein damage in the body, and studies show that the antioxidants in tomatoes may help mitigate the effects. In one study of athletes, taking 3.5 ounces of tomato juice for two months after exercise improved recovery.

In another study, 15 healthy non-athletes rode a bicycle for 20 minutes after drinking 5 ounces of tomato juice for five weeks, followed by five weeks without tomato juice and five weeks with the juice.

Blood samples revealed that when tomato juice was consumed, blood markers associated with exercise-induced damage were significantly lower.

May help strengthen the immune system

Tomato juice’s beta-carotene and vitamin C may support the immune system. According to one study, tomato juice significantly increased the number of immune cells, particularly a class of cells known as natural killer cells that are known to fight off viruses.

Could promote male fertility

One 12-week study compared the effects of 190 grams (almost 7 ounces) of tomato juice per day to an antioxidant capsule or a placebo in male infertility patients.

Tomato juice significantly increased blood lycopene levels in men and sperm movement, an indicator of fertility, when compared to the control (placebo) group. However, no significant improvements were seen with the antioxidant capsule.

Are Tomatoes a Gout Trigger or a Low-Purine Food?

Tomatoes have long been thought to be a gout-friendly, nutrient-dense food, but new research suggests that they may raise uric acid levels, which may cause gout. The study is based on self-reporting, and more research is needed to determine whether tomatoes are a gout trigger.

Tomatoes have numerous health benefits and are a low-calorie, tasty food that is recommended for most people, but it is always a good idea to gather all of the facts before making a diet decision.

Tomatoes Have a Low PH

The issue with tomatoes is that they have a low pH and that is probably why they are such a popular gout trigger. To complicate matters further, the pH in tomatoes varies depending on the variety of the tomato and how it has been processed.

Here is the approximate pH value of different processed tomatoes:

  • vine-ripened 4.42-4.65
  • juice 4.10-4.60
  • canned 3.50-4.70
  • puree 4.30-4.47
  • paste 3.50-4.70
  • strained 4.32-4.58
  • Cherry tomatoes 4.00-4.50
  • Beefsteak 4.60-5.00
  • Roma and Vita Gold 5.10
  • Super Marzano 5.20
  • cream of tomato soup 4.62

As you can see tomatoes generally have a pH level of under 5 so which makes this food very acidic which is not good for gout sufferers.

There is a study that proves tomatoes decrease uric acid levels involving “Gazpacho” soup which is a vegetable soup but consists of at least 50% tomatoes. The proof lies in this study, make sure to check it out, it claims to lower uric acid by 1-1.2 mg/dl for those who ate the soup daily!

For Gazpacho soup recipes, make sure to check out Gout and You’s Pinterest page.

In August 2015, a new University of Otago study from New Zealand claims that tomatoes are indeed a gout trigger. A survey of New Zealanders who suffer from gout asked which foods caused their trigger and tomatoes were listed as a trigger 20.2% of the time.

It was ranked as the fourth most commonly mentioned trigger behind alcohol, seafood, and red meat. This data was then pooled and analyzed from three long-running US studies to compare.

The data showed that consuming tomatoes is linked to higher uric acid levels in the blood.

Here is a quote from one of the study’s researchers:

“Whilst our data cannot support the claim that tomato consumption is a trigger of gout attacks, we provide support for the hypothesis that tomato consumption may trigger gout attacks through increasing serum urate.”

There is speculation that since tomatoes are high in a compound called glutamate which may “stimulate or amplify the synthesis of urate by acting as a nitrogen donor in the purine synthesis pathway,” they suggested that this may be the root cause.

The researchers did state that further research is needed to determine this relationship between gout triggers and tomatoes.

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Tomatoes May Aggravate Gout Symptoms

The Department of Biochemistry at the University of Otago in New Zealand’s researchers discovered that many gout sufferers think tomatoes are one of the foods that cause gout.

2,051 New Zealanders with clinically confirmed gout were polled by the researchers. 71% of those surveyed acknowledged having one or more food triggers. Twenty percent of these cases listed tomatoes as a trigger.

The authors pooled and analyzed data from 12,720 male and female participants in three ongoing US health studies after concluding that tomatoes are a frequently mentioned trigger food.

This information demonstrated a connection between tomato consumption and higher blood levels of uric acid, which is the primary underlying cause of gout.

The researchers stated that their study was not designed to prove that tomatoes cause gout attacks. The findings do, however, indicate that this food may alter uric acid levels to a degree comparable to other commonly accepted gout-trigger foods.

The researcher went on to say that the most important thing people with gout may do to prevent attacks is to take a drug that reduces uric acid levels, such as Allopurinol.

How Can You Tell If Tomatoes Set Off Your Symptoms?

To see if tomatoes are a trigger for you, try cutting out all tomato products for a few weeks and seeing if your symptoms improve. Keeping a detailed record of what you eat over time may help you determine which foods are triggering you.

Keep a food diary and fill it out daily with the information below:

  • Everything you eat at each meal and snack, including beverages and condiments.
  • How much water do you consume?
  • What you slept like the night before.
  • Your state of mind throughout the day.
  • Your body’s pain areas and levels throughout the day
  • Your level of energy or fatigue throughout the day.
  • What kind of physical activity and exercise do you do?
  • All the medications and supplements you use.

Look for patterns that could be related to your diet or something else. Showing this record to your healthcare provider may also aid in the discovery of underlying triggers.

When Should You See a Doctor?

Gout attacks are unpredictable and usually affect only one joint at a time, such as the big toe. Other joints that are commonly affected include the other toes, the ankle, and the knee. A flare’s symptoms are usually obvious and include:

  • The pain is excruciating.
  • Tenderness and heat.
  • The range of motion is restricted.
  • Inflammation
  • Swelling
  • Redness

If you experience any of the above symptoms, seek medical attention as soon as possible. Gout symptoms that are left untreated may lead to worsening pain, more frequent episodes, or permanent joint damage.

Conclusion

Although tomatoes are very nutritious and suitable for most gout patients, tomatoes should be consumed as part of an overall balanced diet. Don’t go eating tomatoes at all hours of the day or night because I wrote about their numerous health benefits.

Finally, a word of caution: try and read the labels of food products containing tomatoes and see how much sodium is in them. Also check the levels of sugar since salt and sugar may wreak havoc on your health and may increase gout risk as well!

Posted by Spiro Koulouris

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    41 replies to "Gout and Tomatoes"

    • James Demello

      What about adding baking soda to the tomatoes soup to raise the PH level and make it less acidic?

    • Passa Caglia

      Thank you for your article! I love tomatoes, my Italian heritage includes lots of tomato dishes. I really like tomato soup and wonder if in your opinion that is not a good thing to keep in one’s diet. I have just been discovered to have gout. This is the first time, in my 80 years of life, for it to have shown up! Currently I am on on the Colchicine medication!

    • Candy

      I can’t believe that this link between gout and tomatoes has been known for so long and we just found out about it. My husband got hit very young at only 30 and has suffered from frequent and severe attacks for 14 years. They always get worse in the Summer. (Which happens to be when he loves to eat all of the fresh tomatoes from the garden. )Last month I was watching a video on a health supplement and the dr. mentioned tomatoes causing gout flares. In 14 years we’ve never been warned about tomatoes or seen them on any list. It was the height of tomato season in our garden and my husband had been eating them on everything and limping around in pain. I told him about the tomatoes and he stopped eating all tomato products. He’s walking better than he has in avery long time!

    • N. Waters

      Absolutely untrue! Tomatoes cause a severe flare in gout. My father OD’d on tomatoes from his garden and the response was quick and severe. If you have gout, I highly recommend staying away completely or eating low amounts.

    • Alexander

      Dear Spiro,

      I decided to leave a comment because of my concerns about your advice regarding tomatoes. You wrote: “There is a misconception amongst certain gout sufferers that tomatoes actually cause gout attacks. This is simply not true if you closely examine the ingredients”.

      I was diagnosed with gout more than 10 years ago and suffered from multiple gout attacks for many years until I was advised approximately 5 years ago to exclude tomatoes from my diet and after that gout attacks stopped. However, since I love tomatoes, on occasions I could not restrain myself from buying them. Every time (!) buying and eating several cherry tomatoes provoked an attack (happened at least twice a year during the last 5 years). The same happened when I eat conserved tomatoes in their own juice or add too much ketchup to food. Interestingly, big tomatoes such as beef tomatoes have only a minimal effect. For me as a scientist (biologist), my “experiments” clearly show that certain tomatoes are really bad for me. If tomatoes are not a problem for other sufferers it can only mean that gout can have different causes (This is not unusual for many other diseases – that is why one disease may respond to different medicines in different patients).

      Red wine also is a strong trigger for me but it is broadly known and not disputed – I do not drink it. I also strongly suspect that consumption of liver pate, which I love, causes problems. There are also some other weak triggers which may give some soreness (for example beef) but not real flare. Again, I am not saying this is the case for everyone.

      I would advise that everyone who has gout should try to do a simple check: stop eating tomatoes/ ketchup (also avoid alcohol, beef and liver– without doing that the experiment may not work) and see what result is. I am sure some (not all!) suffers will find it beneficial. If however you love tomatoes too much and cannot stop eating them, try to do your experiment differently: eat several cherry tomatoes or a lot of ketchup when you are free from flare – see whether this will trigger an attack. My GP (doctor) said 5 years ago that tomatoes definitely cannot be a trigger, but in fact they should recommend gout sufferers to start doing checks on themselves. Luckily – gout is the type of disease for which its triggers can be systematically checked! Many other diseases are not suitable for this!. If tomatoes are not triggers – there could be other ingredients in food that you can discover are problematic. It seems that gout is a diet-dependent condition!

      The recent scientific study that you mentioned in your blog in favour of support for tomato consumption as trigger of gout flares is convincing for me:
      https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-015-0661-8

      In summary, although exclusion of tomatoes from diet will not help everyone, it can be extremely beneficial for some gout sufferers. Because exclusion of tomatoes is not a remedy for everyone it is probably because of that it is mainly overlooked by medical profession.

      P.S. For about half a year I have not had an attack. Yesterday I and my family were at a burger place and I could not resist adding ketchup (when gout does not come back for a long time, I tend to think that I am completely cured). Today I am limping and have to start a course of indomethacin as I do every time when I have eaten tomatoes. I have been angry with myself and decided to look if there are any changes in people’s perception about tomatoes regarding gout. That is how I found your site – it came as a top line for “gout and tomatoes” search.

      • Jeff

        I eat tomatoes of different variety fairly often, even stewed tomatoes. In fact, I eat a lot of things that someone who suffers from gout is told not to and over the past 2 years I have had no attacks. I even binge drink on occassion. What I avoid are things like ketchup or most things with added or refined sugars. When I do consume them, I do so sparingly. That, along with proper hydration have been the primary key for me.

        I’m less concerned with uric acid levels by themselves. That number is meaningless unless you pair it with the uric acid execretion rate. You can still get an attack with a low uric acid level, if your body is not excerting it quickly enough. Of course, this means that higher levels of uric acid increase the risk, because you have a lower bandwidth to play around with. Which is why I have found proper hydration to be paramount.

        There’s no cure for gout, so never delude yourself into thinking that. It’s a constant balancing act between levels in and levels out. Too much gout advice is focused solely on avoiding input, but increasing output is equally important.

      • Passa Caglia

        Thank you!

      • James Demello

        Ketchup is full of sugar. Sugar definitely triggers gout attacks.

    • Geoff Gregory

      Hi Spiro,

      We live in Australia and my wife got onto your site to assist me with gout management.
      I have to say that your website is the most definitive on the treatment and management of gout that I have ever accessed – it’s excellent.
      Too often when we visit our doctors (also called GPs or General Practitioners) we are told the same old message – avoid tomatoes, sardines and alcohol – a much too simplistic message.

      It wasn’t until I had done my own research that I found out that sugar was one of the most overlooked toxins for gout sufferers along with a diet high in meat.

      Thank you for your hard work and fantastic website.

      Cheers, Geoff and Maria

    • Wardie Ward

      I cured my gout attacks by ceasing to eat animal proteins, and in particular fish and chicken were high trigger foods for me. Recently I started drinking tomato juice daily and for the first time in ages my toe joint began to hurt and walking was painful. I don’t take meds, so I drank cherry juice until the pain subsided and stopped tomato juice drinks

    • Andrew Rosenthal

      The importance of eating organic as much as you can cannot be stressed enough. Does it make any sense to eat food that is sprayed with pesticides above ground and soaked in chemical fertilizer below? Think about it…

    • Raj

      Is cooked tomatoes better than raw when it comes to gout prevention? Like in a curry?

      • Spiro Koulouris

        Yes cooked is better! The thermal processing enhances the nutritional value of tomatoes by increasing the bioaccessible lycopene content and total antioxidant activity.

        • Tony

          I buy canned or sometimes passata and make my own curries from scratch – when I do this, my gout attacks seem to be far less common. Of course my curries typically include garlic ginger turmeric fenugreek chillies and coriander, so they might actually be a great food for gout.

          Note I think this only applies if you make your own. You can control what goes in.

    • Boogie

      In my case. I can enjoy tomato without seeds.

    • Andrew Price

      Hi… can I just say that for a start… Tomatoes are not a vegetable, and secondly, they are indeed a proven trigger for me… Particularly tinned tomatoes and sauces like passata

      • Tony

        Well they’re not for me.

        Do you eat tomatoes on their own? How much testing have you done?

    • martin

      I totally agree with this. About 10 years ago I had a number of bad gout attacks. I started having tomato on toast for breakfast and have not had one since. I am not on any medication.

    • Ken

      For me personally your article is totally wrong. I have suffered from gout for many years and have leaned through much personal experimentING that eliminating tomatoes has prevented any further gout attacks. anytime I have anything to do with tomatoes in any form and immediate gout atrack within 24 hours.

      Proof is in the pudding so to speak. So I think you may be doing a dis-service to some of your readers to suggest there is absolutely no link between tomatoes and gout. Also, for every one of your articles I can find 10 that say there is a link..
      I never stopped eating tomatoes because of articles, I just happened to experiment on my on food intake and found the link.

      Ken

      • Spiro Koulouris

        Hi Ken!

        Sure you can be the exception to the rule, it is not 100% true for everybody, it never really is, everybody is different and so are you. But the majority of the evidence points to tomatoes being bad for gout sufferers, the scientific proof is there.

    • Bill

      I get a gout flareup around Aug – Sept every year and was wondering why, finally I see a link between my garden tomatoes ripening and eating too many of them around this time, thanks for the info. Small amounts don’t seem to bother but eating them every day does.

    • Elizabeth Walsh

      My late husband suffered from gout & I’d read somewhere that tomatoes can make it worse. The nurse at our doctors surgery said, as you have, that they are ok. So when he was able to go out again he bought two big beef tomatoes, made a sandwich with one of them & the day after came down with gout again. He never touched another tomato again & never had another attack of gout either.

    • Deanna

      For the past couple of weeks I have been consuming a lot of tomatoes, as a big slice of tomato in a sandwich plus a lot of tomato in my salad. Believing it would be good for a diet as I am overweight a lot. The other day my toe started acting up and swelled. As I am prone to gout I am thinking that too many tomatoes is bad for me. I always drink a small glass of pure cherry juice a day but that didn’t help me so I had to get medication and am now recuperating.

      • Spiro Koulouris

        Hi Deanna!

        I noticed that too one summer, I was eating Greek salads every day cause the tomatoes are so much tastier in summer and got a gout attack. No wonder why it’s listed as one of the top 5 gout triggers by gout sufferers. That is one vegetable too watch for and eat sparingly.

    • JJ

      How about Kumatoes? I understand they are higher in fructose. Does anyone have any experience with eating Kumato and dealing with gout?

    • Andrew

      Hi Spiro

      how about tomatoe paste, i was wondering if i can have Bolognese sauce, i know tomatoe paste a main ingredient as well as beef mence which is a red meat and one to avoid, is lean beef mence ok to have, what about the herbs that are use can they trigger gout, so what i am asking is safe to have Bolognese sauce once a while, like the ones from a resturant.

      thank you

      kind regards

      Andrew

      • Spiro Koulouris

        Hi Andrew!

        Ya you can have your Bolognese sauce once in a while as long as you don’t have it 3 times in a day for example, it’s not the healthiest food but if you really like it, then have it once in a while but make sure your other meal doesn’t include meat since Bolognese already has meat in it. Get what I mean?

    • Andrew

      i like chicken and eat it a fair bit, i mainly eat meat once a day.

      i have gout and would like to know is 6 ounches of chicken ok every day for dinner with vegetables

      another question, is basa fish bad for gout, i mainly eat fish which isnt battered or crumb due to my gout, is basa good or bad for gout

      • Spiro Koulouris

        Hi Andrew!

        Nothing wrong with some basa fish, it’s a scales fish, best way to eat fish is either grilled, baked or steamed.

    • safaa

      Dear Spiro,

      I stumbled across your website and it is really useful thank you.
      I would like to ask if you know if gout sufferers can have quorn in their diet? in the UK this is used as a meat substitute.
      any advice on this would be great thanks.

      • Spiro Koulouris

        As for corn, it won’t cause any gout attacks, it is a vegetable after all. I know there is all that controversy with Monsanto’s GMO corn, but I don’t know enough and haven’t it researched it enough as of yet to have any strong opinion on that subjectmatter.

      • Amit

        Quorn is actually a good way to replace your meats and in no way does it effect your gout.

        • Spiro Koulouris

          Yes it is a great meat substitute Amit! Thanks for the tip!

          • Andrew

            Is any quorn product good for gout, or is there some you need to avoid

    • Graham Feeney

      Dear Spiro
      I was wondering if you you could tell me if tomato can trigger a gout attack. I have not had a problem for quite a few months and recently ate some home grown tomatoes, you know, the ones that have a taste.
      My toe started to play up a couple of days later and I put it down to the tomatoes, although I am probably wrong and thought I would put the question to you.
      I take 100 mg of Allopurinol daily and that is working OK. I also started taking vitamin C but it caused me diahorrea and so I stopped that. If you could find the time I would be grateful if you could answer the question about tomatoes. Thank you.

      Kind regards

      Graham Feeney

      • Spiro Koulouris

        Hi Graham!

        With tomatoes you have to watch out, many gout sufferers list it in their top 5 foods that can trigger a gout attack, so it does seem to affect many and we don’t know why exactly yet but there is a theory. Some recent news has brought this fact about tomatoes and I eat them occasionally. Also read my post on Gout and Tomatoes to learn more, I point to a recent study.

        Thanks for your question.

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