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Hidden Danger: 5 ‘Healthy Foods’ That Can Worsen Gout

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A bowl of oatmeal, fresh apple slices, and a tall glass of water may sound like the perfect breakfast combo—nutritious, easy, and wholesome. But according to recent expert advice, your well-intentioned morning meal might set you up for some unwanted pain.

Health specialists now warn that many foods commonly labeled as “good for you” can worsen gout, a painful form of arthritis that causes sudden swelling and joint discomfort. Gout occurs when uric acid—a substance formed by purines in foods—builds up excessively in the bloodstream, triggering inflammation and severe joint pain.

Dominika Blonska, a UK-based health and wellness expert, says many people wrongly assume only rich, meat-heavy diets trigger gout flare-ups. She explains that some of our favorite “healthy” staples can be stealth purine carriers, quietly pushing uric acid levels higher.

Here are five foods that are considered healthy; you might want to reconsider if gout or high uric acid levels are concerns:

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1. Those trendy leafy greens

Spinach and asparagus have earned a health-halo status for their abundance of vitamins and antioxidants. But these popular veggies are also packed with purines, the very compound that can spike uric acid production.

Regular green smoothies or spinach salads might not be your best choice if you have gout. Instead, Blonska suggests swapping these purine-heavy greens for broccoli, lettuce, cucumbers, bell peppers, or zucchini—all lower-purine alternatives loaded with anti-inflammatory nutrients.

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2. Sweet fruits and juices

Fruit feels like a safe bet, but not all fruits are equally beneficial if you’re prone to gout. Grapes and apples, for instance, contain high amounts of fructose. Once consumed, fructose rapidly converts into energy and uric acid, fueling potential flare-ups.

Fruit juices are an even riskier bet. Without the fiber in whole fruits, the fructose in juice hits your bloodstream fast, causing quick spikes in uric acid.

The smarter choice? Stick to lower-fructose fruits like blueberries, grapefruit, and kiwi. Grapefruit packs a bonus of vitamin C, known for its uric acid-reducing properties, while kiwi provides valuable hydration and fiber.

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3. Whole grains may not be harmless

Your daily bowl of oatmeal may seem innocent enough, but whole grains such as oatmeal, barley, and wheat bran contain notable levels of purines. A diet heavy in these grains could increase the risk of gout attacks without you realizing it.

Nutrition experts suggest diversifying your breakfast menu to keep purine intake balanced and reduce your risk of painful flare-ups.

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4. Watch those plant-based proteins

Lentils, chickpeas, tofu, and meat substitutes are gaining popularity thanks to vegan trends and the quest for healthier eating habits. However, many of these protein-rich plant foods are also loaded with purines.

You might unknowingly raise your uric acid levels if you rely heavily on these meat alternatives. Blonska recommends varying your protein sources rather than relying exclusively on beans and lentils to avoid this.

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Shutterstock

5. Non-alcoholic beer—still not your friend

Think you’re safe choosing a non-alcoholic brew? Think again. Even though these drinks skip the alcohol, they’re still brewed with malt and yeast, naturally high in purines. Yeast contains nucleic acids that your body converts directly into purines, raising your risk for gout.

Instead, stick to safer options like herbal teas or unsweetened sparkling waters—both hydrating and harmless to your joints.

Gout can easily become a chronic condition if left unmanaged, with sudden painful attacks that can seriously impact your lifestyle and long-term joint health.

Healthy eating is essential, but looking beyond the “health food” label and understanding how foods interact with your body is equally vital. Regarding nutrition, knowledge is power and could be the key to keeping gout at bay.

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