Gout beer or cider

[J.B.Worcester UK]

    Having recovered from my first attack of gout since I was 17 [50 years ago], quickly cured by only 3 of Docs' pills, I have tried to find information on what to eat and drink.
 There are plenty of charts on the web about purines in food and beer etc but none about the level in good old real cider or perry.
       I'm also tired of hearing in the pub that cider is bad for gout since it is too acid - to which I reply it is not uric acid, and the brewers yeast in beer is far worse, also Marmite and sardines are some of the worst.    Surprisingly I find rhubarb and strawberries are OK and wine is better than spirits.     As cider is more like wine than beer is it lower in purines/uric acid?  
                       We cider makers all know cider vinegar is wonderful!!!    What about cider itself?    Wassail   J.B.

[Tim]

Having been wheelchair bound with gout in both ankles, both knees and my toes I can assure you gout is different for everybody, only cure I have found is Febuxostat, that or completely change your diet.

 

Tim in Dorset

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[Andrew Lea]

On 11/02/2014 17:10, J.B.Worcester UK wrote:
>
> There are plenty of charts on the web about purines in food and beer

> etc but *none* about the level in good old real cider or perry.

>
> As cider is more like wine than beer is
> it lower in purines/uric acid?
>

If you read the writings of Charles Radcliffe Cooke, MP for Hereford in
the late 19th century, he was always claiming that nobody in
Herefordshire or Normandy ever suffered from gout or gravel on account
of their cider intake. John Evelyn claimed similar and I have seen some
old French papers do likewise. But it's all what we would call anecdotal
nowadays. Not evidence based.

I don't know any published measurements of purines in apples but they
will be pretty low because they are a fruit not a grain or a meat.
Having said that it is known that fructose (the main sugar in apple
juice) can increase the level of uric acid in humans by influencing the
pathways of pre-existing purine breakdown. But there will be no fructose
in a dry cider and probably even less purines than in the juice.

It's all quite complicated and the role of dietary purines rather like
that of dietary cholesterol (as opposed to the endogenous stuff) is
somewhat in doubt I believe. BTW do you know the cherry juice and gout
story? That does appear to have some good evidence. Google it.

Andrew


--
near Oxford, UK
Wittenham Hill Cider Portal
www.cider.org.uk

[Carl]

JB,

I have found Beef, Eggs, Sardines with Alcohol to be a deadly combination for me!
I also have been hoping that my small backyard orchard of cider apples will be Ok for future consumption?

As Tim mentions a change of diet may be the order of the day.
It is hereditary and you can manage this but not resolve it.
I will be testing the helpfulness of weight loss to see what that may bring to the table as well.

Regards,

Carl

[Headelf]

As a person with Gout I can attest to the efficacy of Dried sour black cherries for flare ups.

I can also as a cider maker tell you that I have never had an attack after drinking cider. One beer though will hurt me though.

I had nought thought to investigate the cider as a gout or rather non gout mechanism. Do try the cherries. A handful on a flare up and then three to five a day as a preventative.

Regards
Tom
Elfs Farm
Sent from my iPhone

[Trevor FitzJohn]

Chart of purine contents of food
http://www.acumedico.com/purine.htm

Trevor FitzJohn
Chairman : Pacific Radiology Ltd
99 Rintoul Street : Newtown : Wellington 6021
PO Box 7168 : Wellington 6242 : New Zealand
Cell + 64 21 483 959
Fax + 64 4 978 5571 (work)
Fax +64 4 385 8037 (home)
Email trevor....@prg.co.nz
Web www.pacificradiology.co.nz

[Trevor FitzJohn]

Finally found a chart with a value for purines in cider. Alas not referenced.
http://www.masmiri.50webs.com/Personal/gout1.htm

Trevor FitzJohn
Chairman : Pacific Radiology Ltd
99 Rintoul Street : Newtown : Wellington 6021
PO Box 7168 : Wellington 6242 : New Zealand
Cell + 64 21 483 959
Fax + 64 4 978 5571 (work)
Fax +64 4 385 8037 (home)
Email trevor....@prg.co.nz
Web www.pacificradiology.co.nz

[John Maiden]

JB,  It better not be the BBC, I can't drink all that we made last year . . . .  .mind you, I'll give it a go. Wassail JM

[Logan K]

I recently started making Turbo Cider as an experiment. Then I read that it can help with gout/arthritis/swelling and things. I used Champaign yeast in my first batch and it came out dry yet tasty. I noticed today that my ankles and feet aren't swollen and walking down the stairs was easier. Then it dawned on me that I'd read some info about it being good for that sort of thing. So I don't know if it's correct. But there is a noticeable difference today. Maybe it's not a reason to keep making cider but definitely not a deterrent considering the numerous other benefits. lol