Nutrition Change HELP!! Gout is killing me with my protein intake

[jrmolina2006 13]

Hello my fellow sleevers,

I was doing so good finally with my Water & Protein intake and now i developed gout in both my feet, It seems like my protein intake is the cause of this, Which leads me to my next question what should I consume on a daily basis.

I'm currently 2 1/2 months out of surgery and im doing great 95 lbs down since pre op.

Bariatric doc has me on 90 grams of protein and im limited to 40-50 carbs daily.... But now that i'm fighting gout i started eating fruits to fight my uric acid but fruits = carbs...... not sure how to beat it or what diet to follow.

Any suggestions ???

[FluffyChix 17,418]

Wish I could help. If it was me, I'd get off the Protein Drinks ASAP to see if it resolves slightly? I think they can be really hard on your body if you have kidney/liver issues at all.

I'd honestly take it back to about 80g per day. Here's the math I used and the chart per Dr. Google:

Let's say you're a medium frame: at 6'2" your "ideal" dream dude weight is in a range of 164-178lbs. Most will never see it. It's a range made by archaic insurance charts. But nevertheless, it's considered your "dew weight". In kg it is 75-81kg. And the Protein prescription for most "normal build men" in normal condition and normal age and activity is anywhere from 0.8g/kg of weight to somewhere around 1.2g/kg of weight, averaging out around 1g/kg of "ideal weight." That is often also expressed in LBM but since we don't know your's, let's just do the math using your theoretical "ideal" weight.

So by this measurement, I'd say that 81g of protein per day is "about" what you could get away with eating right now, until you can get the gout cleared up.

Here's a link for low purine foods:

https://www.healthxchange.sg/food-nutrition/food-tips/gout-diet-uric-acid-check

https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/gout-diet/art-20048524

https://www.healthline.com/health/tips-for-following-low-purine-diet

A theoretical menu would be something like:

B- eggs + low fat Greek yogurt with 1oz of walnuts and maybe a couple of cherries, or blueberries, or a few segments of tangerine.

L- Avocado with 2-3oz of chicken breast (rotisserie) or with a cooked veg like zucchini or well-cooked broccoli

AS-1-2 HB Egg + 1/2oz of pecans

D- Pacific Sockeye Salmon (2-3oz) with steamed green Beans and a spritz of olive oil

BS-1-2 mozzarella cheese sticks or 1/2c of 2% cottage cheese + a strawberry or a couple of blueberries.

I didn't put all that in MFP to see how much protein is involved, it still might be high. I'd plug your protein in at each meal and see what you have. Then you know what to add for your Snacks. Then fill in with any room you have remaining with other stuff--veggies and fruits and some nuts if you tolerate them right now.

Congrats on the losses! Hope you feel better soon!

Edited December 10, 2018 by FluffyChix

[Jazzy1125 1,010]

I am glad somebody has the answers lol I am confused reading this lol

[FluffyChix 17,418]

17 hours ago, Jazzy1125 said:

I am glad somebody has the answers lol I am confused reading this lol

I don't have the answers. But I had a 12lb gain from Protein drinks and a kidney issue for the first go round where uric acid was elevated. So I had to play with getting better...

Sorry to confuse.

[mousecat88 2,281]

Obviously consult your surgeon, but my surgeon said not to even worry about remotely reaching Protein goals for a few months. I am at about 40g a day. I'm female, and much shorter than you so definitely wouldn't cut back that far, lol. But cutting down a good amount I doubt would do much harm.

[Oct517 527]

Hmm. I also experienced gout for a couple days when I first got home from the hospital. I havent had any problems since though.

Sent from my SM-G960U using BariatricPal mobile app

[jrmolina2006 13]

18 hours ago, mousecat88 said:

Obviously consult your surgeon, but my surgeon said not to even worry about remotely reaching Protein goals for a few months. I am at about 40g a day. I'm female, and much shorter than you so definitely wouldn't cut back that far, lol. But cutting down a good amount I doubt would do much harm.

Thanks, yeah i dropped myself down to 60g a day and im eating fruit as well to fight the gout, I really didnt want to take in no sugars but i have to take care of this gout first.

[jrmolina2006 13]

19 hours ago, FluffyChix said:

I don't have the answers. But I had a 12lb gain from Protein Drinks and a kidney issue for the first go round where uric acid was elevated. So I had to play with getting better...

Sorry to confuse.

i tend to go all liquids a few days a week which is usually when i drop the most lbs, usually i just drink my Premier Protein but i think thats what was causing my flare ups.

[Oct517 527]

Wish I could help. If it was me, I'd get off the Protein drinks ASAP to see if it resolves slightly? I think they can be really hard on your body if you have kidney/liver issues at all.
I'd honestly take it back to about 80g per day. Here's the math I used and the chart per Dr. Google: [emoji3]
Let's say you're a medium frame: at 6'2" your "ideal" dream dude weight is in a range of 164-178lbs. Most will never see it. It's a range made by archaic insurance charts. But nevertheless, it's considered your "dew weight". In kg it is 75-81kg. And the protein prescription for most "normal build men" in normal condition and normal age and activity is anywhere from 0.8g/kg of weight to somewhere around 1.2g/kg of weight, averaging out around 1g/kg of "ideal weight." That is often also expressed in LBM but since we don't know your's, let's just do the math using your theoretical "ideal" weight.
So by this measurement, I'd say that 81g of protein per day is "about" what you could get away with eating right now, until you can get the gout cleared up.
Here's a link for low purine foods:
https://www.healthxchange.sg/food-nutrition/food-tips/gout-diet-uric-acid-check
https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/gout-diet/art-20048524
https://www.healthline.com/health/tips-for-following-low-purine-diet
A theoretical menu would be something like:
B- eggs + low fat Greek yogurt with 1oz of walnuts and maybe a couple of cherries, or blueberries, or a few segments of tangerine.
L- Avocado with 2-3oz of chicken breast (rotisserie) or with a cooked veg like zucchini or well-cooked broccoli
AS-1-2 HB Egg + 1/2oz of pecans
D- Pacific Sockeye Salmon (2-3oz) with steamed green Beans and a spritz of olive oil
BS-1-2 mozzarella cheese sticks or 1/2c of 2% cottage cheese + a strawberry or a couple of blueberries.
I didn't put all that in MFP to see how much protein is involved, it still might be high. I'd plug your protein in at each meal and see what you have. Then you know what to add for your Snacks. Then fill in with any room you have remaining with other stuff--veggies and fruits and some nuts if you tolerate them right now.
Congrats on the losses! Hope you feel better soon!

I like this graph. By any chance do you know where I can find the one for females?

Sent from my SM-G960U using BariatricPal mobile app

[jrmolina2006 13]

Thanks for the feedback everyone, still struggling with gout and Protein intake,

I need to get it together lol