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I've heard beer is really bad for you if you have gout. Is this really true? Why?

Gout is a metabolic problem of too much uric acid in the blood. Urate crystals form in the joints causing painful swelling. Tophi (crystal stones) can also form in the cartilage, bones, and other places throughout the body. Tophi can break through the skin. The crystals look like a white or yellowish-white, chalky substance.

Serum urate levels are increased with there is an excess amount of purine in the body. Purines are found in high concentration in meat and meat products, especially internal organs such as liver and kidney.

Other dietary risk factors for excess purine in the body include fructose from high-fructose corn syrup and alcohol. Alcohol and fructose speed up the breakdown and release of purine in the body. Beer has both ethanol and high levels of purine. It increases the amount of uric acid production. Wine and hard liquor (in moderation) do not appear to increase the risk of gout.


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