Low purines diet - Eugene Springfield Nephrology

1 Low- purine diet purines are found in many foods, especially organ meats, anchovies, mackerel, and sardines. purines make up 15% of the uric acid found in the body. Too much uric acid can lead to problems, including kidney stones and gout. For this reason, a low purine diet is recommended for people who have kidney stones, gout and sometimes for people who have an organ transplant. The diet is often used with medication to lower uric acid levels. Important points to keep in mind: Avoid high purine foods (see list below). Limit high fat foods Limit or avoid alcohol. (alcohol increases purine production, leading to higher uric acid levels in your blood and urine.). Limit all meat and seafood consumed at a meal to about 3.

2 Ounces. (the size of a deck of cards). Eat enough carbohydrates. (this helps the body get rid of extra uric acid). Drink 8 to 12 cups of fluid every day to reduce kidney stone formation. If you are overweight, lose weight gradually. Rapid weight loss can increase uric acid levels. Most foods with high purine levels are also rich in protein, consequently alternative sources of protein should be included in a low- purine diet . Breads,cereals,rice,and Foods to choose Foods to Avoid pasta 6-11 servings a day. -All enriched -limit high fat breads ie: Serving size= 1 slice bread, breads,rice,and cereals. pancakes, French toast, 1 cup cereal, cup cooked -potatoes biscuits, muffins, and cereal, rice or pasta -limit whole grains, French fries.

3 Wheat germ,bran, and oatmeal. Fruit Foods to choose Foods to avoid 2-4 servings each day All fruit and Juice Limit avocados due to Serving size = 1 medium high fat content. size fresh fruit, cup canned fruit or cup of fruit juice Vegetables Foods to choose Foods to avoid 3 Servings each day Most Avoid cooking your Serving size= 1 cup raw, Limit to 2 servings weekly vegetables with cream cup cooked or of mushrooms, dried sauces, frying, or au chopped peas, dried beans, gratin. asparagus, cauliflower, spinach Milk and Dairy Products Foods to Choose Foods to Avoid 2 servings each day -Skim or low-fat mil Whole milk, cream, and Serving size = 1 cup of -Low-fat yogurt sour cream milk or yogurt -Low fat cheese Meats, Poultry, Fish, and Foods to Choose Foods to Avoid Beans Total of 6 ounces daily.

4 -Beef, lamb, veal, pork, Sweetbreads, anchovies, Serving size= 2-3 oz. poultry, fish, and eggs. sardines,liver,kidneys, cooked. 1 egg, cup brains, meat extracts, cooked beans, 1 oz of herring, scallops, gravies, meat. heart, and mincemeat. Condiments, drinks, and To choose To avoid fats -Herbs and spices -meat gravies, baker s -carbonated drinks, and brewer s yeast, coffee and tea alcohol, and meat stock -soups made with low-fat based soups ( such as milk and veggie based bouillon, broth, and broth consomm ). -limit to 3 teaspoons butter, margarine, oil , and mayonnaise. It is not necessary to avoid all foods with purines in them, only foods highest in purines .