Most important questions about Gout

Gout is a condition that results in crystallization of a salt uric acid (sodium-urate) in tissues, especially in the joints. We have provided a detailed explanation below that addresses the most common questions patients have about this condition.

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1.- Is it possible to have a gout attack with normal levels of uric acid?

Yes, it can happen in as many as 50% of patients. The amount of uric acid in blood at the time the inflammatory attack occurred is not always indicative of the amount of urate crystals that have accumulated in the joints. Patients with gouty symptoms may have normal levels of uric acids. However, there are cases where patients have no symptoms and those with severe gouty symptoms. Gout can be diagnosed even if a blood test shows a normal level of uric acid.

2. Is it gout if blood tests show high levels of uric acid?

Gout and hyperuricaemia are two distinct concepts. High levels of uric acids in the blood are called hyperuricaemia. It is defined as a level above 6.8 mg/dL (7mg/dL by convention) which is the point at which it crystallizes. Gout is when there are urate crystals within the tissues (joints and kidneys). Gout is a condition that affects one in ten people who have high levels of uric acid. However, chronic hyperuricaemia can often be accompanied by gout. High blood uric acid levels on a regular basis could indicate that we are not able to remove it properly, that our production is higher than normal, or both. Crystalline deposits can develop over time, which can cause various symptoms, such as joint, kidney, and other problems. or the formation of lesions beneath the skin called tophi (aggregates crystals).

3.- What are the symptoms of gout?

Most common is inflammation at the first metatarsophalangeal joints, i.e. The joint connecting the big toe to your foot. This is a very severe and painful condition that usually occurs at night. It can also cause erythema, or reddening of the skin around the joint. Although the initial symptoms may be mild and brief, gout attacks can become more severe and persistent if there is no treatment.

4.- Does gout attack only the big toe?

No. No. Gout can also cause inflammation of other joints, such as the knee and elbow (especially the olecranial Bursa which “cushions the back” of the elbow), wrist, and others.

5.- Can certain foods or drinks cause gout?

Gout can be caused by diet, even though it is important. More than 90% of cases are due to a problem with the kidneys eliminating uric acid. It is not recommended to consume foods high in purines, such as beer (with or without alcohol), high-proof alcoholic beverages and sweetened drinks (soft drink), etc. Red meat, game, seafood, and oily fish (sardines and anchovies) are all good options. Gout patients may experience joint pain from tomatoes, although a moderate intake of tomatoes is not likely to cause any problems. However, animal proteins can produce more purines than those made from vegetable proteins. Drinking 1-2 litres of water per day is recommended, especially if you have urate kidney stones. Skimmed milk products, cherries, and foods rich in vitamin C, as well as moderate coffee consumption, are also good options. However, obesity and overweight should be avoided.

6.- When should I visit the doctor?

Joint inflammation and recurrent pain, particularly in the big toe or instep, can be a sign of joint inflammation. If your uric acids levels have been rising over time or are exceptionally high (e.g. 9 or more), you may want to consult your doctor. If you have hyperuricaemia or a history of gout, it may be worth consulting your doctor.

7.- Can colchicine and traditional anti-inflammatory drugs be used to treat gout?

No. No. Gout treatment must be completed with the prescribed medication. This is not a quick fix. It takes months or years of work depending on each patient. Only constant medication under the supervision of a doctor and healthy lifestyle habits can eliminate the accumulation of uric acids crystals.

8.- Is it possible to cure gout by changing your diet and abstaining from alcohol?

The majority of cases, the answer is “no”. The majority of cases are not solved by reducing salt intake. However, patients with arterial hypertension will need to take daily antihypertensive medications. Gout patients often require the assistance of drugs. Gout sufferers have been accumulating urate in their bodies for many years, without even realizing it. Although diet can help, this is not enough to dissolve the uric acid. Gout can be treated with medication that reduces or increases the elimination of purines, such as allopurinol and febuxostat.

9.- Can there be inflammatory attacks with medication to dissolve urate crystallines?

It may seem odd and unexpected, but this can often happen in gout patients if drugs like allopurinol or febuxostat are not given the proper anti-inflammatory prophylaxis. Patients mistakenly believe they are more dangerous than beneficial. It is important to include a preventive treatment for gout attacks in the first month (or 6-12 months depending on your type of gout), when drugs such as allopurinol, febuxostat or benzbromarone are introduced. This includes a low-dose anti-inflammatory like naproxen (or corticoids in some cases), since there is a higher risk of joint problems in the first months as the crystal deposits begin to dissolve.

10.- Are high levels of uric acid and gout really dangerous?

Gout is more than just a painful joint that becomes inflamed or inflamed occasionally. Gout can cause systemic inflammation and not just joint inflammation. It can also affect vital organs like the kidney. Gout and hyperuricaemia are closely linked to the metabolic syndrome. It is common to see a variety of traditional risk factors for gout, including obesity, high cholesterol, triglyceride levels and insulin resistance. These factors can all be mutually reinforcing and put patients at high or moderate cardiovascular risk. It is important to pay the same attention to blood uric acids as to glucose and lipid levels.


How to Lose 25 Kilograms with REDUSLIM?

It is important to put in long-term effort to lose 25kg. You can achieve this goal by carefully planning your meals and engaging in physical activity. Your lifestyle should be incorporated into your plan. You will be able to implement your plan over the required time, which could take several months. To lose 25kg safely and healthy will take time. You should aim to lose 0.5 to 1kg per week. It is best to start slowly changing your diet and exercising regularly. This is the best way to reach such a difficult goal.

Change your diet

1. Consult a qualified dietician

This goal of losing 25kg can take many months. A dietician can help you select a long-term diet that is safe, effective, and sustainable.

A qualified dietitian is a nutrition expert first and foremost. A qualified dietitian is an expert in nutrition and can help you lose weight. He or she can help you create a meal plan and diet that will gradually help you lose weight.

Your dietician will also hold you accountable for following the prescribed diet. They will also encourage you to get back on the right track if you feel like you’re losing your confidence or lack in discipline.

Ask your doctor or search online for specialist dieticians.

You may need to lose more than 25kg if you have a obesity-related disease such as diabetes or high bloodpressure. During this process, your dietitian will monitor your health.

2. Take Food Supplement

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3. Keep a food diary

Numerous studies have demonstrated that keeping a food log helps you lose weight and maintain a healthy weight. By keeping track of the ingredients in your meals, your diary can help you monitor your progress.

Before you make any diet changes, start writing down your daily diary. This will help you determine the changes that you need to make to your diet. Keep a list of foods that you want to eliminate from your diet, and what foods you should eat. You should also note any nutritional deficiencies.

Keep track of your meals, snacks, and beverages when you begin a new diet. To ensure that you’re sticking to your plan, make sure to review your diary each day.

4. Cut 500 calories from your daily diet

You will need to reduce the amount of calories you eat each day if you want to lose weight. You can reduce calories and lose weight by controlling how much you eat.

Experts recommend that you reduce your daily intake by 500 calories to shed 0.5-1 kg each week.

To account for the effects of exercise on your body, if you are planning to exercise every day for at least an hour, then you should use a lower number, like 300 or 400 calories.

At all costs, do not eat less than 1,200 calories a day. Even if you are trying to lose weight, it is important to not fall below this number. You could end up losing more weight, your nutrient intake, and even your lean muscle mass.

5. Get enough protein

Cut calories and eat enough protein. Protein is vital for weight loss.

You will often feel hungry if you reduce your calorie intake and increase your physical activity. This feeling can be reduced by ensuring you eat enough protein.

You feel fuller and faster when you eat protein.

You should eat one to two portions of protein each meal or snack in order to meet your daily protein needs. Each serving should contain approximately 9-12 cl.

Lean protein is also a good choice, since it has less calories and fat. They will help you to stay within your daily calorie limit.

These proteins include eggs, poultry, eggs lean beef, pork and legumes as well as seafood, tofu, and seafood.

6. One fruit or vegetable should be eaten per meal

It is a good idea to include fruits and vegetables in your diet if you want to lose weight. You should aim to eat one fruit, one vegetable or two vegetables per day.