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weight.com backslash NL

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to learn more and to reserve your

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spot today. Thanks for

1:07

listening to Dishing Up Nutrition and enjoy the

1:09

show. Welcome

1:11

to Dishing Up Nutrition brought

1:13

to you by Nutritional

1:23

Weight and Wellness. We

1:25

are a small Minnesota company with

1:27

the big goal of spreading the

1:30

real food message and helping

1:32

people draw the connection between what they

1:34

eat and how they feel. We

1:37

also provide real life solutions

1:39

to healthier living through eating

1:41

real food. My

1:43

name is Leah Kleintroek and I'm

1:45

a registered and licensed dietician. I

1:48

am here today with the one and

1:50

only Teresa Wagner, who is also one

1:52

of our fabulous registered dieticians. And

1:55

today we have yet another show for

1:57

you that we have not comprehensively covered.

2:00

in the 20 years we've been on the

2:02

air. Teresa, I thought for sure the

2:04

last show we did together on losing

2:07

body fat and gaining muscle and perimenopause

2:09

was gonna be our last unchartered frontier,

2:11

but alas, I was wrong. So

2:14

Teresa, do you wanna kick us

2:16

off? Should we keep our listeners

2:18

in suspense a little longer or are you ready to

2:20

dive in? I'm not really one

2:23

for drawing things out or keeping secrets.

2:26

Today we're gonna focus this podcast

2:28

on tips for eating to support

2:30

our body if we have gout

2:33

or to prevent it. Before we

2:35

push full steam ahead into the show today,

2:37

I want to remind and encourage listeners out

2:39

there that we would love to know what's

2:41

on your mind and what things

2:43

you find the most helpful. If you

2:45

have nutrition related topics that you would

2:47

like us to cover, topics

2:50

you want us to refresh or do some

2:52

more investigative work on, just please

2:54

let us know. And

2:56

the best way to do this is by

2:59

posting a comment in our private Dishing Up

3:01

Nutrition Facebook page or by

3:03

leaving a brief voicemail message at 952-641-5233.

3:11

I'll bet there are at least a few

3:13

more topics out there that we have not

3:15

thought of or that we are due to

3:18

do an update on. But for now, let's

3:20

get back to the

3:22

topic at hand, gout. Yes,

3:24

gout. This isn't

3:26

something I see super commonly in

3:28

clinical practice, but when I have,

3:31

or when I've talked to clients who

3:33

have experienced a gout attack or a

3:36

flare, I understand this

3:38

is a very serious and painful

3:40

condition. Just an interesting

3:42

little tidbit as I was doing some background

3:44

research for the show. I

3:46

read that gout used to be

3:48

called the disease of kings and

3:51

king of diseases. I

3:53

thought that was an interesting saying. It

3:55

is, and my guess is because kings

3:58

had access to foods and beverages. that

4:00

the common people did not. Absolutely.

4:03

And probably unlimited access. Yes, exactly,

4:05

yes. There definitely was a connotation

4:07

that went along with that with

4:09

gout. So this is all to

4:11

say that gout has been around

4:13

for a very long time. This

4:15

is an old and ancient type

4:17

of disease. And

4:20

nowadays it is the most common

4:22

cause of inflammatory arthritis in the

4:24

United States. In the

4:26

US it's estimated that three to 4%

4:29

of the adult population will experience

4:31

gout at some point. Gout

4:34

is a kind of arthritis

4:36

where uric acid or

4:39

urate crystals get deposited in

4:42

joints or tendons and some of

4:45

the surrounding tissues. And then the

4:47

body has an inflammatory

4:49

reaction to those crystals.

4:53

85 to 90% of gout flares

4:55

occur in the lower extremities. So

4:57

think feet, think ankles or knees.

5:01

And it will usually only hit one joint

5:03

at a time. Now,

5:05

when I think about gout, I always think

5:07

about it being more in the big toe.

5:10

This is what the literature bears out as well.

5:14

50% of first time gout attacks will be

5:16

in the big toe. And

5:18

if you unfortunately are the person who is

5:20

going to get multiple gout attacks, chances are

5:23

there's a 90% chance that

5:25

at least one of those attacks will be in

5:27

the big toe. So that is a very common

5:29

site where this pops up. Leah, when we were

5:31

talking about naming this show, I wanted to name

5:33

it gout. It's a pain in the toe. Toe,

5:38

yeah, I love that. I think that would have

5:40

been very creative also, but you were overridden on

5:42

that apparently. Yeah, that big

5:44

toe, very common for that gout

5:46

to settle in. And oftentimes though

5:49

that big toe, it'll swell up,

5:51

it'll turn red, get warm and

5:53

become very painful. And usually

5:55

again, like this happens very quickly over the course

5:57

of even about 24 hours. And

6:01

as I was doing some more reading, I

6:03

was reading just some like anecdotal accounts of

6:05

people who have had gout. And there are

6:07

some out there that say even like a

6:10

light blanket or even clothing touching that effective

6:12

joint can just be too much to bear

6:14

when they're in that kind of gout attack

6:16

or a gout flare. If that sounds so

6:19

intense. And just to think that just something

6:21

that's so lightly touching or even soft and

6:23

touching would cause that sort

6:25

of an intense reaction. And

6:27

honestly, it sounds like it can really just take

6:30

you out fairly quickly. So if a blanket is

6:32

going to hurt your toe, how do you manage

6:34

the rest of your day? Yeah. I

6:36

can only imagine that once people have

6:39

one gout attack, they'd want to avoid

6:41

another at all costs. Or

6:44

if someone has seen a loved one

6:46

or a friend or a coworker experience

6:48

a gout attack, they'd probably

6:51

say, I'd rather not go down that path if I

6:53

can do anything to help it. The

6:56

good news is that there are things that

6:58

you can do to reduce your risk of

7:00

getting gout that are within your control. And

7:02

we are going to talk about some of

7:04

those things today. Of

7:07

course, there are some things you

7:09

don't have control over like getting

7:11

older, being biologically male

7:13

or going through menopause if you're

7:15

a woman. If

7:17

your kidneys have been damaged

7:20

from say trauma or longstanding

7:22

diabetes, you have

7:24

a higher risk of gout because you

7:26

can't get rid of that uric acid

7:28

effectively. You might have

7:31

to be on medications that can increase your

7:33

risk for gout like a diuretic for blood

7:35

pressure. Sometimes people just call that a water

7:37

pill. You might be

7:39

on a low dose aspirin or

7:41

levodopa, which is a Parkinson's medication.

7:44

But our job is to take a look at

7:46

nutrition related factors that can play a role and

7:49

that you can dial

7:51

into in order to

7:53

suit your individual situation.

7:55

Yeah, absolutely. So

7:58

if you get gout, the treat.

8:00

Treatment is actually pretty straightforward. We

8:02

have to lower uric acid in

8:04

the bloodstream. In

8:06

the United States, the medication most

8:09

commonly prescribed for this is called

8:11

allopurinol. But we're

8:13

about to talk about lifestyle factors

8:15

that can also achieve that same

8:17

thing. If we have

8:19

lower uric acid levels in the blood,

8:21

the lower the chance that those crystals

8:24

form and then get lodged into those

8:26

susceptible joints, like the big toe or

8:28

the heel is another area. So

8:31

the question becomes, how do we

8:33

lower uric acid? So

8:35

we either have to try to

8:37

lower the body's production of uric

8:39

acid, or we try to help

8:41

the body clear out uric acid

8:43

better. So

8:46

if you think about it like with

8:48

a bathtub analogy, if we have a

8:50

bathtub overflowing with water, we can help

8:52

reduce how much water is coming into

8:54

the tub. And we can do that

8:56

by turning the faucet down or you turn it off

8:59

completely. And we

9:01

can help the water go down the drain

9:03

better. So making sure that drain is big

9:05

enough for that. There aren't any hair clogs

9:07

in that drain. So I don't know if

9:09

that's a common problem in your household, Teresa,

9:11

but that's something we have to pay attention

9:13

to. Yes, we have three

9:15

girls in our house, two with long hair. And

9:19

that's a great visual, though, Leah, with that idea

9:21

of, OK, if this bathtub is overflowing, how do

9:23

we stop it from overflowing? We'll

9:26

turn off the faucet and open up that

9:28

drain. Definitely. So

9:30

that first question is, how might we

9:32

turn down the faucet or reduce how

9:35

much uric acid is coming into our

9:37

tub? This is

9:39

where people who have had gout might

9:41

have been counseled to avoid purine-rich

9:44

foods and beverages. This

9:46

would be things like liver and

9:49

other organ meats, shellfish, red meat,

9:51

and beer. Purines,

9:53

there are these little nitrogen-based compounds

9:55

that make up a part of

9:57

our DNA. Purines break.

9:59

break down into uric acid so

10:02

it makes logical sense that if

10:04

we eat or drink less purines,

10:07

that may lead to less uric acid

10:09

in the blood. Now,

10:12

I say may because

10:14

it's often not as simple

10:16

as staying away from these

10:18

high purine foods. Actually,

10:20

according to Dr. David Perlmutter,

10:22

who is a board certified

10:24

neurologist who wrote a book about

10:27

uric acid a few years ago called

10:29

Drop Acid, the majority

10:32

of purines in the body come from

10:34

the normal wear and tear and breakdown

10:36

of cells and tissues of the body.

10:39

And many of these high

10:41

purine foods have other redeeming

10:43

nutritional qualities to them. We

10:46

can't really argue so much for the beer, but

10:49

red meat and seafood are

10:51

powerhouses for nutrients like protein,

10:53

iron, zinc, selenium, and so

10:55

much more. So

10:57

we do have foods that are higher in

10:59

purines, which will technically break

11:01

down to more uric acid in the

11:03

body. However, there are

11:06

also foods and beverages that

11:08

increase how much and how

11:10

quickly we break down these

11:12

purines. The two

11:14

big entities here are alcohol

11:17

and fructose and

11:19

especially foods and drinks with high

11:21

fructose corn syrup. Alcohol

11:24

and fructose increase the

11:26

breakdown of purines and

11:28

thus increase uric acid

11:30

levels. That was a lot of

11:33

information there, Teresa. And we will, I promise

11:35

listeners will back up and dive a little

11:37

bit more into some of that stuff and

11:39

do a deeper delve there. But

11:41

I do wanna share that I do have a perfect

11:43

example of this. When I

11:45

first started as a dietician with nutritional weight

11:47

and wellness, so then we're talking six to

11:50

seven years ago now, I

11:52

met with a client who had already

11:54

been seeing one of our other counselors

11:56

for chronic gout flares. And

11:59

he was a younger, guy. He was

12:01

in his early 40s or so, athletic,

12:03

not that typical picture of somebody who

12:05

gets gout. And I

12:07

don't remember for him if there was much of

12:10

a family history of gout, but

12:12

his big risk factors was he was

12:14

a huge beer drinker and a soda

12:17

drinker. So we think lots

12:19

of alcohol, lots of yeast

12:21

from the beer. So it's that yeast

12:23

component that's the high purine part of

12:26

that and lots of

12:28

high fructose corn syrup coming in the

12:30

form of those sodas. So

12:32

we have some more high purine stuff

12:34

coming in, but he also had the

12:36

alcohol and the fructose part, which means

12:39

he was just tearing through those purines,

12:41

mad and breaking them down and his

12:43

body was not able to keep up

12:45

with that pace. So the previous

12:47

dietician that he had worked with had

12:49

already honestly done most of the legwork

12:51

for me. She had already

12:53

worked really hard getting him off those beverages

12:56

and helping him balance out his food choices

12:58

better. So by the time

13:00

I saw him, I was just making

13:02

some small tweaks and recommendations to make

13:04

sure that he felt confident that he

13:07

could stay the course with these recommendations.

13:09

And I just remember he was so

13:11

ecstatic to be out of pain, to

13:14

not have to rely on the gout

13:16

medications anymore, and that he didn't

13:18

feel worried about having another flare at that

13:20

point. And then on top of that, he had lost

13:22

something like 15 to 20 pounds. So

13:24

it was a win all around for him. Yeah,

13:27

that's such a great example, Leah. I feel like

13:29

just and what a relief to know that you're

13:31

not going to be in that kind of intense

13:33

pain. Yeah, yeah.

13:35

So for him, we sussed out what those big

13:37

players were for him. And does that mean he

13:40

could never have a beer ever again? No, but

13:43

it means that like the habits that he

13:45

was having of doing, I

13:47

think it was there was beer league softball in there

13:49

and just some of the lifestyle habits that we had

13:51

to take a look at and be like, okay, is

13:53

it worth it that again, we might run into another

13:55

flare. Right. And I think that's a good example of

13:58

it's what we do consistently. versus

14:00

what we do on the exception. And

14:03

if we're consistently having high fructose

14:05

corn syrup based drinks or lots

14:07

of beer, if we're consistent

14:09

with that, then we might get that result.

14:11

But if it's just once in a while

14:13

and you're having a beer, it's probably not

14:15

going to cause a gallop flare. Yep, that's

14:17

a huge point there, absolutely. Yeah,

14:20

so that was definitely a fun one to

14:22

see and experience. And I did, I wanted

14:24

to reiterate another point that you had made,

14:27

Teresa, is that when we are

14:29

looking at the approach of reducing

14:31

purines and thus, so again, reducing

14:33

uric acid in the body by

14:36

cutting out or reducing high

14:38

purine foods, we first

14:40

look at the foods that are harming the

14:42

situation and they're not doing

14:45

anything to add to our nutritional profile.

14:47

So they're not doing anything to help

14:49

things. So again, thinking like

14:51

red meat, liver or organ

14:53

meats, those types of things, they might

14:55

be higher in purines, but they have

14:58

other qualities that actually make them important

15:00

components in our bodies with protein, with

15:02

some of those micronutrients. But

15:04

if we look at beer, if we look

15:06

at alcohol, if we look at high fructose

15:08

corn syrup, those things are doing harm and

15:10

they're not doing any good. So

15:13

why not start with those first? Those

15:16

are like the big things. If we're looking at priorities,

15:18

that's how I would categorize it in my brain. Think

15:21

about high fructose corn syrup, for example, where

15:23

are we finding that? So for my one

15:25

client, soda was a big one. Energy

15:28

drinks is another one. And

15:31

we've highlighted a lot of these before

15:33

our ultra processed foods. So things like

15:36

candies, sweets, pastries and

15:38

baked goods, but even

15:40

things like sweetened yogurts and

15:43

mixed fruit cups and ketchup and barbecue

15:46

sauces. So like high fructose corn syrup

15:48

can really sneak in a lot of

15:50

places. You just got to look at

15:52

those ingredients lists closely. And

15:55

it may plainly say high fructose corn syrup

15:57

on that list, but you also may see.

15:59

see just the term fructose

16:01

or you might see just corn

16:04

syrup or corn syrup solids. You

16:06

might even see something like isoglucose. So

16:08

there could be a lot of these

16:10

sneaky terms for the same type of

16:13

thing, a sweetener that's fructose based. That's

16:15

right, Leah. There are so many

16:17

different names for fructose. It's

16:20

a really sneaky sweetener. I

16:23

also want to highlight that when we're talking about

16:25

fructose being a compound we want to avoid for

16:27

gout, we're not talking about

16:30

plain whole fruit. Fruit

16:33

and actually some vegetables have

16:35

naturally occurring fructose, some

16:37

more than others, but they also

16:40

have fiber which slows down how

16:42

quickly that fructose gets into your

16:44

system and thus impacts your acid.

16:47

And we're going to

16:49

talk about that just a little bit more when we

16:51

come back. You are listening to

16:53

Dishing Up Nutrition brought to you by Nutrition,

16:56

Awake, and Wellness. I am

16:58

Teresa Wagner along with Leah Kline-Schroet

17:00

and we are your hosts for

17:02

this episode covering all things gout

17:05

and nutrition. We'll be

17:07

back after a short break. Hey

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listeners, it's Brittany from Nutrition, Awake,

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we are back with your weekly Dishing

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Up Nutrition episode. Before

19:07

we went to break, we were

19:09

talking about refined fructose,

19:11

high fructose corn syrup, how that

19:13

can be a big aggravator for

19:16

gout. It hides in a lot

19:18

of things so we need to really look at

19:20

our ingredients list closely and actually one

19:22

that Teresa pointed out in our break

19:24

that I thought was worth mentioning as

19:26

well because it's had its moment in

19:29

the spotlight several years ago is agave

19:31

nectar. That's one that tends

19:33

to have more of that health halo around

19:35

it but agave nectar is actually 90% fructose

19:38

so you are getting a really high

19:40

fructose load using agave nectar

19:42

as a type of sweetener. So not that

19:44

you can't have agave nectar ever but it

19:46

would be something that you don't want to

19:49

sweeten every little thing that you're using in

19:51

the kitchen with because you are adding to

19:53

that fructose load. Yeah and I think just

19:56

for reference high fructose corn syrup is 60%

19:58

fructose. Whereas

20:00

the gave nectar, like you said, 90%. Yep,

20:04

yeah, very high fructose. But

20:06

that also, let's dive into fructose a

20:08

little bit more, Teresa, because not all

20:10

fructose is created equal. It doesn't mean

20:12

like we have to stay away from

20:14

all fructose ever again, never

20:17

to touch our lips again, because fructose

20:19

occurs naturally in some foods. Yeah, it

20:21

does. It's natural in fruit, for example,

20:23

and probably how fruit got its name

20:25

from fructose. That would make sense. Or

20:27

maybe the sugar got its name from

20:29

fruit. I don't know. Love to

20:31

do a history of sugar naming. Yep. But

20:34

fruit and some vegetables have naturally

20:36

occurring fructose, some more

20:39

than others, but they also

20:41

have fiber, which slows down how

20:43

quickly the fructose gets into your

20:46

system and thus impacts

20:48

uric acid. Whole

20:50

fruits and vegetables also have vitamin

20:52

C and natural flavonoids

20:55

and polyphenols that help

20:57

the body break down and get rid

20:59

of the uric acid. In

21:02

other words, eating an apple

21:04

with the peel on is

21:06

a much different scenario than drinking

21:08

an apple juice or an apple

21:10

flavored beverage that contains high fructose

21:12

corn syrup. With these

21:14

apple drinks, you're losing out on the

21:16

fiber and those beneficial plant compounds, and

21:19

maybe the vitamin C also. So

21:23

in using your earlier analogy, Leah,

21:25

you are turning the faucet up,

21:27

filling the tub quicker, while

21:30

also plugging the drain on that

21:32

bathtub, or your

21:34

body, right? Your body is going

21:37

to start to overflow with that

21:39

uric acid. Yeah, that's

21:41

an important point. I'll

21:43

add a finishing touch to that as well.

21:45

So if you're gonna eat that apple, also

21:47

eat it with some peanut butter or have

21:50

a hard boiled egg on the

21:52

side, because that will also

21:54

help slow down the absorption

21:56

of fructose from that apple.

22:00

But let's circle back to that idea

22:02

of vitamin C, because vitamin C, that's

22:04

a very common micronutrient. Most people know

22:06

about it, especially for the immune system.

22:09

But it has a really important role

22:11

in gout also. There is long-standing

22:14

research to show that vitamin C

22:17

can help decrease uric acid levels and

22:19

help reduce the risk of gout. So

22:21

back to the bathtub, we talked about

22:24

the things we can do to turn

22:26

that faucet down. That

22:28

was reducing the beer, the alcohol, the

22:30

high-fructose corn syrup, and some of those

22:33

ultra-processed foods. Vitamin

22:35

C is one thing that helps the water

22:37

drain out of our tub easier. So now

22:39

we're looking at the other side of the

22:42

equation. Vitamin C helps

22:44

our kidneys get rid of uric acid.

22:48

We find vitamin C mostly

22:51

in our fruits and our vegetables.

22:53

So again, here's that we're

22:55

looking at what are the redeeming qualities

22:57

of food, and then what are some

22:59

of the maybe not so redeeming qualities

23:01

of these foods. So yes,

23:04

fruits and vegetables are going to

23:06

contain some natural fructose, but

23:08

they also contain compounds that help our

23:10

bodies get rid of that uric acid

23:13

easier. So again, here's foods where there

23:15

are a lot of benefits to eating

23:17

it, even if there might be some

23:19

technical small minuses along the way. Yep,

23:21

that's a great point. We

23:24

do want our clients to still be striving

23:26

to get at least one cup of vegetables

23:28

with every meal, including breakfast

23:30

and including some fruit in their

23:32

day, like berries or kiwi at

23:35

a snack. Supplementing with

23:37

vitamin C can also be

23:39

a nice insurance policy, a

23:42

2021 meta-analysis study published

23:44

in the journal of complementary

23:46

therapies in medicine, showed

23:49

that people who supplemented with anywhere from 200

23:51

to 1000 milligrams of vitamin C per day,

23:56

significantly lowered their serum uric acid.

23:58

level. Yes, again, we've talked about

24:01

those higher levels of vitamin C

24:03

like that, especially for immune support

24:05

before. And let's

24:07

just for fun, do some comparisons

24:09

of vitamin C between different foods

24:11

because we do want food first,

24:13

of course. So a cup of

24:15

red bell peppers, and this could

24:17

also be yellow peppers, orange peppers.

24:19

We're talking about the bell pepper

24:21

family. So one cup of that

24:24

is 74 milligrams of vitamin C.

24:26

A kiwi is

24:28

64 milligrams of vitamin C. So

24:30

that's just one packaged up little

24:32

goodie of vitamin C right there.

24:36

You can have one cup of broccoli,

24:38

481 milligrams of

24:40

vitamin C. A cup of

24:42

strawberries, which they're still in season right now, is

24:44

85 milligrams of vitamin

24:46

C. So really, like, you

24:49

can, again, if we're plugging in some of

24:51

these fruits and vegetables throughout our day, including

24:53

breakfast, so we're getting started right away in

24:55

the morning, like, we can really get into

24:57

those hundreds of milligrams of vitamin C just

25:00

by eating real foods. It's another

25:02

example of real food for

25:04

real health and less gout. Yes, and

25:06

they're all such delicious ideas. Every one

25:09

of those, I love the idea of

25:11

this. You mentioned polyphenols

25:13

and flavonoids and those important plant compounds

25:15

a few minutes ago. I want

25:18

to highlight one of those

25:20

polyphenols called quercetin. Quercetin, like

25:23

vitamin C, is well known

25:25

to lower uric acid levels

25:27

and is also a compound

25:29

that helps fight inflammation. Both

25:32

important things when we are talking

25:34

about gout. We

25:36

naturally find quercetin near the

25:38

peel or the surface of

25:40

plants like apples, berries, onions,

25:42

broccoli, and leafy green vegetables.

25:45

But here's the thing that I found

25:48

the most interesting about quercetin. Quercetin

25:50

works on the same enzyme

25:53

that the medication alopurinol

25:55

does. We mentioned

25:57

earlier that alopurinol is the medication

26:00

used in the United States

26:02

to treat and prevent gout

26:04

attacks. So, corsetin is nature's

26:07

allopurinol. The research points to

26:09

500 milligrams per

26:11

day of corsetin being a

26:14

good dose to help decrease

26:16

uric acid levels. Yeah,

26:19

yeah, corsetin is something I knew

26:22

nothing about before I worked at

26:24

nutritional weight and wellness, but it

26:26

is so helpful for a lot

26:28

of different things. Many of

26:30

our listeners might know it for some

26:32

of its antihistamine benefits, and

26:34

it is in one of the most

26:37

popular supplements that we sell called Dehist

26:39

from Orthomolecular. It is a seasonal

26:41

allergy product, and

26:44

corsetin is also in a new

26:46

product from the same company

26:48

Orthomolecular. They released it, and we

26:50

are just starting to carry it

26:52

and get it and getting it

26:54

on board for gout sufferers, and

26:56

that product is called UAX Pro.

26:59

So, UAX Pro contains 500 milligrams

27:02

of vitamin C, 500

27:05

milligrams of corsetin, and

27:08

a few other ingredients known to

27:10

be helpful in reducing uric acid

27:13

levels. There's a compound called Luteolin

27:15

in there, tart cherry extract, there's

27:17

some apple extract and celery seed

27:20

extract. Tart cherry

27:22

extract and tart cherry juice is likely

27:24

one thing that people have probably heard

27:26

about when it comes to treating gout.

27:29

The anthocyanins in tart cherry

27:31

juice, which are just

27:33

another little plant compound known

27:36

to decrease oxidative stress, decrease

27:38

uric acid levels, and support

27:40

the kidneys. Drinking

27:42

eight ounces of tart cherry juice

27:44

per day may be helpful for

27:47

gout prevention, although more

27:49

research is needed in this area. And I

27:52

just want to say with any of the

27:54

juices, always look at the sugar level. Absolutely.

27:56

Look to see, I mean, if it's tart

27:58

cherry juice, it should be taste tart.

28:00

Yep. It shouldn't taste sweet. Yeah. It's

28:02

probably not going to be the easiest

28:04

thing to get down in the world.

28:06

So yeah, absolutely. And yeah, as

28:09

I was reading through some of the research with

28:11

this, I found studies that say, yep, this can

28:13

be a helpful tool for gout. And then I

28:15

saw some research that said maybe not so much.

28:17

So again, like there's more that needs to be

28:20

done there. But if we're thinking even

28:22

a couple of ounces of tart cherry juice

28:24

every day for some of those plant compounds,

28:26

again, relatively harmless,

28:29

maybe helpful. It's something that

28:31

you can easily slide into your routine. So

28:34

to keep it simple, yes, ortho

28:37

molecular created this supplement to include

28:39

as many of those beneficial compounds

28:41

as possible to lower

28:44

your acid levels and to

28:46

help just lower inflammation in

28:48

general. The serving size is three

28:50

capsules, but people who are in a

28:53

gout flare may want to up that

28:55

a little bit and take two capsules

28:57

twice or even three times per day.

29:00

Maintenance may look more like one or

29:02

two or three capsules total per day.

29:04

So again, you can increase or decrease

29:06

based on wherever you are with

29:09

gout. Yeah, I'm excited to have the

29:11

supplement in our arsenal. Anything that helps

29:13

our clients get out of pain quicker

29:15

and stay out of pain long-term, it's

29:18

always worth it. Absolutely. I'm

29:21

happy that a lot of the ingredients

29:23

in this product also reduce inflammation in

29:25

addition to lowering the uric acid levels.

29:28

One thing we didn't spend time on earlier in the show is

29:30

that yes, high

29:33

uric acid levels are needed for

29:35

a gout attack, but high

29:38

uric acid on its own is

29:40

not sufficient to trigger an

29:42

attack. There also needs

29:44

to be a component of inflammation in the

29:47

picture where the immune system

29:49

mounts some kind of response to the

29:51

high uric acid and the crystal deposits

29:53

in the joints. So

29:55

if we can establish and maintain lifestyle

29:58

habits that keep our inflammation level, low

30:00

or that fight inflammation, we

30:03

stand a better chance of avoiding

30:05

a gout encounter. Yeah,

30:07

I agree. We need to sleep

30:09

well, move our bodies, have a

30:12

supportive community around us, spend time

30:14

outside. And when it

30:16

comes to nutrition, a great place to

30:19

start is eating real food

30:21

in balance and

30:23

getting rid of the stuff where the ingredients

30:26

lists are a paragraph long and it looks

30:28

like a science experiment. These

30:30

are just natural or easy beginning

30:32

steps to lower some of those

30:34

inflammation levels. We've done

30:36

many shows in the past about how

30:39

this way of eating is anti-inflammatory.

30:43

For gout specifically, you'll want to

30:46

tread lightly also with alcohol and

30:48

high fructose corn syrup, which

30:50

this time of year, I'll often hear from

30:53

clients, this is patio season, this is cabin

30:55

going season, this is out on the boat

30:57

and out on the dock kind of season.

30:59

So some of those beverages, this is a

31:01

time of year where that can be very

31:04

tricky. So this is a

31:06

time where you do want to be

31:08

intentional or mindful or have some thoughts

31:10

about how am I going to navigate,

31:12

especially some of the alcohol and sugary

31:14

drinks aspect of things when I'm

31:16

in those social situations, because it is a part

31:18

a lot of times of how we socialize. And

31:21

if you have gout, it might be a really

31:24

easy consideration to take as far

31:27

as do I want

31:29

to be able to be on the boat,

31:31

out on the dock, on the patio, and

31:33

relaxing and having a good time with my

31:35

friends. Is this particular beverage, is it worth

31:37

it? Is this particular food, is it worth

31:39

it? Because it might take

31:41

me up completely. Yep, absolutely. And I know I

31:44

do want to take a moment to unplug

31:46

our Nutrition for Weight Loss Foundation series that

31:48

we have a new round of that coming

31:50

up in July. I believe

31:52

the starting date is July 9th. We have

31:54

a couple of virtual rounds going. This

31:57

is a topic that gets covered a lot of

31:59

times for weight loss. I know you

32:01

know this Teresa because you teach it also. But

32:03

how again it covers that anti-inflammatory

32:06

eating plan and it

32:08

gives so many great tips and

32:10

ideas, the instructors but also other

32:12

students of how do we navigate

32:14

some of those beverages and how do we navigate

32:16

the social situations when we do have illnesses

32:19

or we do have things that are going on

32:21

with our health but that food might actually impact.

32:23

So I do want to throw that out there

32:25

if anybody is looking for additional guidance or for

32:27

some of that group support look into our nutrition

32:30

for weight loss foundation series that we have coming

32:32

up at the beginning of July. So we

32:35

have our anti-inflammatory eating plan and

32:38

as we mentioned there are a couple of

32:40

supplements that may be helpful targeted supplements like

32:42

vitamin C and corsetin and

32:44

tart cherry extract or drinking a

32:47

little tart cherry juice and we

32:49

have that UAX supplement now that

32:51

kind of combines all those great

32:53

things into one combination. So

32:56

of course we're here to help in any way we

32:58

can. I hope this information in

33:00

this show is giving people just

33:02

some avenues to pursue and to

33:04

consider especially if you or

33:07

a loved one needs a helping hand along

33:09

the way and in making some of these

33:11

changes. Hopefully this show

33:13

had some of that information but if you

33:16

do need that extra little push or

33:18

that to have that group experience to

33:21

walk along with you don't hesitate to

33:23

connect with us and start that discussion.

33:25

Our phone number is 651-699-3438 and there's a whole

33:27

host of resources

33:34

about anti-inflammatory eating on

33:36

our website weightandwellness.com. Our

33:39

goal at nutritional weight and wellness

33:41

is to provide each and every

33:43

person with practical real life solutions

33:46

for everyday health through eating real

33:48

food. It's a simple yet

33:50

powerful message. Eating real food

33:52

is life changing. Thank you

33:55

for listening and if you enjoyed this

33:57

show please head over to iTunes or

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your favorite podcast. app to leave

34:01

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34:03

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