Gout & Keto: This Is How I Measure Uric Acid!

[@maxthehumandog]

love this video Thank you Dr Pete. my uric acid has been 10.9 to 11 I have gone gluten-free and have started the process of eating better. It is amazing the garbage they add to our food. lost 40 lbs but i just bought the tester you showed so i can keep an eye on my gout levels

[@onesam2go]

Where did you buy the meter?

[@josephcernansky1794]

From one scientist to another...BRAVO!!! Love your logbook of lab data. I am enjoying learning more about the physiology of the human health and nutrition. A completely different realm of science than my background. Stuff that was never really taught in schools. But, with the internet so much info is available is finally easily accessible....but the bad part is that there is so much info available!! Sorting through the weeds can be daunting. I have to joke that now that I have found out that everything is bad for us humans, we should stop eating anything, stop drinking anything, including the water, and don't breathe the air, it's polluted too!!

[@vincizara]

Writing records on your notebook is still the best

[@DrPetesKetoKlub]

I agree. I'm using a log/journal myself.

[@jcgotidoc140]

I agree, so im going to do this to i was diagnosed with high uric acid few days

[@mikefinley6708]

Dr. Pete--- the video was superb!! Exactly what I needed to know. Thank you for such a thoughtful and competent presentation.

[@DrPetesKetoKlub]

Thank you for your support!

[@khaldounsamman9128]

I have a 9.2 uric acid level. The reason I got it tested is that I had a recent gout flare that lasted 3.5 weeks (1 week of extreme pain and the rest moderate). I can still feel it lightly. But since I only get a gout flare up 2 times a year, the doctor said he'd like to first try anti inflammation prescription (25mg Indomethacin) which I take at the time of a gout attack. But I want to go to the root of it, so thank you for the research. I ordered David Perlmutter's book, Drop Acid, to gain a bigger picture. I will also begin taking Quercetin supplements that you suggested in other videos.

[@DrPetesKetoKlub]

Its important to be really consistent in the lifestyle including the supplements.

[@jcgotidoc140]

Thank you for the information

[@PhilStarr-d9f]

excellent presentation

[@sagesse38]

Thank you, really appreciated!

[@paulyoung3504]

Excellent video. Is your gout still in remission Dr Pete?

[@DrPetesKetoKlub]

Yes. Things are going well!

[@DrPetesKetoKlub]

join us: www.drpetesgoutintensive.com, Jan. 21, 2023

[@bigmurr725]

Thanks Dr. Pete for all you great info !

[@nemonemo6285]

Perfect. Thank you.

[@bibbop5250]

Well done. Great advice!. I will look in to finding one of those meters. He must not be Canadian. Last thing you want to do here is waste your time in our socialized healthcare system by going and talking to a dr about your gout. They have one answer only and its take these pills for the rest of your life. Even after blood tests they wont touch diets, exercise, organs, guts, insulin, you name it. Anyone looking for that need a naturopath dr

[@word-is-bond7901]

Appreciate your work. I’m learning a lot. I got my first gout attack last month and was lab tested at 7.7 during the attack. I got my levels down to 6.4-6.6. I took quercetin and a Cherry/celery seed supplement and my levels surprisingly rose to 8.9 4 hours later. Did you ever get an attack from your spikes? Thanks gain for all your information you put out!

[@DrPetesKetoKlub]

I never had spikes when my UA was elevated above 8 mg/dL. I've had spikes when my UA was not consistent. Like a series of spikes with lows to 8 mg/dL. I had the most new flares when I went on allopurinol. My flare on allopurinol was UA 4.5 mg/dL. I honestly think that flux matters. Getting a consistent value of UA and holding the line is key.

[@word-is-bond7901]

That makes sense that a large swing in either direction will likely trigger more attacks. I will definitely keep that in mind. Thanks!

[@mikeszcz5264]

@@DrPetesKetoKlub My worst flare up was on allopurinal never will go on again around 15 years ago. Also had ordered on amazon 2 days ago before seeing this video seems simple to track👍👍👍

[@janiceclark7568]

Great video

[@stevenpfeiffer1543]

Could you show us how you take your blood pressure

[@DrPetesKetoKlub]

I will make another video where I demo all the relvant biomarkers. In the mean time consider joining my gout intensive because one part will be a demo in real time how to measure BP, weight, glucose, ketones, and UA. And all the nuts and bolts behind gout remission: sign up here: www.drpetesgoutremission.com. Olease, I'd love to have you!

[@JamesAnderson-sn6fp]

Dr. Pete…thanks for the illuminating video. Question…I know everyone is different but after eating a purine rich meal….how soon do your purines affect your Uric acid levels..

[@DrPetesKetoKlub]

Mine usually rise within an hour of eating.

[@thelimeusa5525]

Great video…I’m just starting the testing process for UA and Glucose.

[@DrPetesKetoKlub]

Awesome! I suggest a glucose meter that also measures ketones. Two in one. This way you can monitor your progression in keto-adaption. Rock on!

[@AngelArsFoundation]

Get the book called 'Drop Acid' by Dr.David Perlmutter MD. It goes into much more detail about Uric Acid than most doctors know, or will tell you about.

[@DrPetesKetoKlub]

Have it. Read it. Reading again.

[@enriquealbadelacorte1490]

Me too one steak a day and my gout went away...one streak and NOTHING more ..well sneak juice obviously 🤪

[@luisrosario3732]

Dr. Pete, I have been on a diet of no beef, salami, shrimp and this has help me control my gout for the past 8 months. My uric acid went from 7.8 to 5.7. I basically eat now chicken, salmon or king fish or red snapper maybe once a week. Basically my main protein is chicken and fish and alot of salads to include cucumbers. I also snack on cheese (Edam cheese or Gouda cheese) and nuts (cashews, almonds). However I recently spoke to my Podiatrist and she said that cheese and nuts can cause gout. But I had looked these snacks up and read their are of low purines and even recommended for gout. Can you tell me your input on this. Is cheese and nuts bad for gout. Thank you.

[@peterdelannoy]

People have different sensitivities to food types. Nuts are pretty high in carbs and if you eat a large volume of them then you can have enough of a glucose effect to open fructose-uric acid pathway that produces UA so the podiatrist is correct. The cheese drives an umami effect and some types of cheese can be high in carbs. Some people can eat cheese without a gout effect but we tend to limit volume and eat hard cheeses that are low in carbs..

[@TheChilator]

Brilliant thank you ❤

[@Peter-hg2oc]

I’d also put the data into a spreadsheet, should give you some more info at a glance without having to flip through a heap of pages.

[@petercyr3508]

Update: got Quest result. 7.3 mg/dl. UASure II said 7.0 and 6.9 right before blood draw . Did 2 tests. Meter has been saying 5.1 to 7.7 since I got it Feb 26 over 10 tests.

[@DrPetesKetoKlub]

Looks good with the accuracy!

[@robinlillian9471]

Can you have high uric acid levels if you don't have gout? Uric acid is also implicated in insulin resistance.

[@DrPetesKetoKlub]

Yes. 43 million US are hyperuricemic (high uric acid) and most are asymptomatic for gout.

[@Jillian15]

​@@DrPetesKetoKlub that's why I often go into keytone acidosis.

[@Zues64]

what supplements, if any, are you taking daily to lower your uric acid level? 5.5 is an optimal target from my research.

[@DrPetesKetoKlub]

I updated the show notes and you can find my supplements there. I take tart cherry and quercetin. I have seen UA lowering with both of these. 1000mg tart cherry and 500 mg quercetin per day. My average UA is 5.5.

[@privatesuzie4071]

@@DrPetesKetoKlub are you still on allopurinol? 7/2/22

[@kennycorbett]

If you’re taking your UA level daily. What time would be best to do this and record for a dr.

[@DrPetesKetoKlub]

I would take fasting UA right away in the morning. UA is highest in the morning and lowest in the afternoon. Taking it in the morning before food or drink should give you a reasonably constant number.

[@joheitert4408]

Thank you for your video

[@sushisushi_915]

thanks sir, I'm about to buy this device, may i know if does this device save memory or not? im buying other brand device that comes w a package of 100 strip ,does it mean that it can use only 100x? or i can buy another 100 stripes and use it on the device? sorry for dumb question i have no one to ask and doing research on youtube

[@onesam2go]

Where do you get the meter?

[@kash6175]

What do you think of probencid I have the uasure. Meter within 3 weeks of taking 2x 500mg uric acid level dropped to 5.4 from 10.5 In past blood tests for years always 8 to 10 range.

[@DrPetesKetoKlub]

way to go!

[@winnguyen443]

I don’t have gout my friend , but there is a lot of hubbub about fructose and it’s relation to uric acid. Uric acid levels supposedly can affect our long term body and brain health I guess. Who knew? Thanks for the info bro!

[@NikosNikou]

i was doing low carb & intermittent fasting ( 1 day pre week no food & 3 days per 2 months). Lost 25 kg. No alcohol, no sugar. Yet gout visited me 2 times in 2 years. My UA is stable above 7, reached up to 10. What should i do ? i dont want to go back to carbs, i dont want to stop IF , but i also dont want to have high levels of UA. Whats the best option ?

[@DrPetesKetoKlub]

I am not a doctor and this is not medical advice. I would make sure to be absolutely consistent with your lifestyle. Make sure that you are keto-adapted. Then, because of the issues surrounding allopurinol, I would experiment with tart cherry and quercetin. Meal timing and sleep can help as well. I have links to the supplements in my show notes. Also, I've produced some videos on these issues.

[@NikosNikou]

@@DrPetesKetoKlub thank you very much for your answer. I will look up all you mention and get back 2 u. Is there any other way to communicate faster than yt?

[@DrPetesKetoKlub]

@@NikosNikou [e-mail]; www.drpeteandt.com

[@manuhernz2745]

Is it better to test while fasted in the morning? does it matter the time of the day?

[@DrPetesKetoKlub]

I generally test morning fasting because this is when UA should be highest. However, late afternoon at a time that is most likely not effected by a meal could be fine as well. The point is, that if you are going to measure only one value per day then be consistent because UA varies with your biological clock.

[@manuhernz2745]

@@DrPetesKetoKlub Tested a 7.5 about a 14 hour fasted state in the morning. I will retest again in a week. Thank you for the quick response :_)

[@jrob67]

Dr. Pete - how much have you found uric acid levels to range in the course of a day? In a week? Was just diagnosed with gout and high uric acid and through lifestyle, diet, and supplement changes, am curious how much and over what time period I can alter my uric acid levels. I realize mileage varies from person to person, but what was your experience when starting in terms of my questions? Thanks.

[@DrPetesKetoKlub]

UA tends to be highest in the morning and lowest in the late afternoon. UA varies inversely with nitric oxide which tends to be lowest in the morning and highest in the late afternoon. In me, the daily trend as the day progresses is 1-2 mg/dL before treatment with allopurinol , tart cherry, quercetin. now the trend is smaller, my average is ~5.5 mg/dL. Before treatment, the average was 7-8 mg/dL. At the beginning of low carb UA was 8-9 mg/dL with spikes to 10-11 mg/dL. After keto-adaption UA was 7-8 mg/dL. In my case keto-adaption was about 1 year. The first thing to do is eliminate sugar and alcohol. Then consider cutting carbs. Also, looking at your metabolic profile to evaluate for presence of diabetes markers or cardiovascular disease.

[@jrob67]

@@DrPetesKetoKlub Very helpful. Thank you for the detailed reply.

[@dontworrybehappy929]

With the meter costing $80 and a box of test strips costing $30, do you know of any coupon or discount code?

[@DrPetesKetoKlub]

Looking into it.

[@DrPetesKetoKlub]

Here is a code for 10% off: DRPETE3963

[@faisal-ca]

I had gout in the past and keep things in check taking herbal remedies. Planning on buying UA meter. This video was helpful. I am 46 and have recently starting doing BP, Glucose and planning on getting Cholesterol and UA meters. I follow higher protein diet with moderate fats and low carbs. Are the results from this UA meter consistent ?

[@DrPetesKetoKlub]

Great job on your lifestyle! There are other reports that elevating protein on LCHF helps bring down UA. The UASure meter has provided consistent results for me and usually is within 1 mg/dL of blood work in the lab.

[@DrPetesKetoKlub]

I get consistent results and trust the meter. There can be a 1 mg/dL difference between the meter and lab results.

[@blacksun496]

What are the herbs you use to keep things in check?

[@faisal-ca]

@@blacksun496 I take 1 capsule of White Mulberry leaf extract (Product name: Urica from company AOR), after every meal. I also take take 1 cherry capsule before going to sleep. Its tart cherry capsule from Life Extension. I also consume about 250 mg of Vitamin C daily along with Zinc. If I am not working out I don't need them. I think excessive muscle break down causes uric acid to go up since it produces more dead cells which releases more uric acid in the body.

[@blacksun496]

@@faisal-ca wow that is some good info. Now I know why I get a flare up after every workout day, thought it was something I ate. Thank you.

[@EugenioSchmuck-k2k]

Medhurst Knolls

[@wakawaka1976]

Can you use blood from your forearms?

[@DrPetesKetoKlub]

I don't kknow. You can try it. Just be consistent. You are after trends.

[@thesunnyroad]

What’s the name of the netter? It will be helpful to have an Amazon’s link!

[@DrPetesKetoKlub]

UASure and can be found at: uasure.com. They have a new meter that just came out.

[@mikegrand4181]

Have you read "Drop Acid" by Dr. Perlmutter? Have you tried quercetin, vitamin c or luteolin? If so, what were the results?

[@AngelArsFoundation]

It's a great book and most doctors simply don't know the detail that this book provides.

[@Hopeforbetter_59]

I have used quercitin and vit c daily and I have been having regular flares. I have HBP been on meds at least 20 yrs, so I don’t want to use allopurinol. I did a lot of IF and I read that it can cause elevated uric acid. I am on low carb bc I also have to watch my glucose level. It is difficult to manage but I keep reading any info I can get.

[@mikegrand4181]

@@Hopeforbetter_59 Have you tried eliminating gluten?

[@Hopeforbetter_59]

I don’t use gluten. I will follow through on the purchase of the book to get more info and hopefully get the help I need to manage this disease.

[@mikegrand4181]

@@Hopeforbetter_59 When you say you don't use gluten, it makes me think you may not completely understand gluten. Before spending any money on books, please study gluten. You can do it from youtube videos and the internet. Learn all the major foods containing gluten. Find out all the food additives like MSG that have gluten. You want to completely eliminate gluten. Once you do that, you will have reduced the inflammation in your body. I had to eliminate gluten, all sugar, all alcohol and all lectins. The net result was a loss of 100 lbs., no joint pain, no auto immune conditions, no inflammation, lower blood pressure, and a whole bunch of other benefits.

[@essiejones6104]

Where can you get the tester

[@DrPetesKetoKlub]

If you go to www.drpeteandt.com and navigate to our product page you will find the link to the UASure uric acid meters there.

[@Mustangchef]

How did you get your blood to out of control?

[@DrPetesKetoKlub]

Can you clarify your question?

[@Mustangchef]

@@DrPetesKetoKlub Ya, i was wondering what it was you did or didn’t do that brought on your high levels . Like were you a french fry fan? Sweet tooth all your life? Scotch ? Were you way over weight and did little exercise? Just curious, not looking to be antagonistic. Thanks.

[@DrPetesKetoKlub]

3 beers per night. High carb all meals. Chocolate before bed.

[@Mustangchef]

@@DrPetesKetoKlub Oh feels good to laugh. Thats a good one. Rich!

[@petercyr3508]

Anyone compare meter to lab test? 1mg/dl is like 25%. Not very accurate. I suspect they are being conservative. I just got the UASure II. Readings are consistent 5.6 to 5.9. Getting first ever lab test next week and will see how it compares. I am going to do a beer test and a sugar/fructose test when I get the nerve.

[@DrPetesKetoKlub]

Yes. 20% is pretty standard on finger sticking meters. However, quite often my UASure is very close to the lab result. Let us know how your blood work compares. Also, don't forget that trends are the most important aspect of this. Let us know how the beer and fructose/sugar experiment turns out!

[@pedro6248]

how did it compare?

[@DrPetesKetoKlub]

@@pedro6248 my results are usually within 1 mg/dL.

[@VijayantiPappu]

Dr pete I have a question to ask you.

[@DrPetesKetoKlub]

hit me at [e-mail] or [e-mail]

[@vistagraphsnet]

Above 8 is abnormal Would have been nice to show what you did to lower it. As 5.5 is optimal and < 7 is normal, did your doctor say for you to do?

[@DrPetesKetoKlub]

To lower UA I have: been keto adapted. Eliminated alcohol, hyperglycemia, and fructose. 200 mg allopurinol, quercetin, and tart cherry. My average UA is now 5.5. I am trending off allopurinol. I follow the science on this. My doctor has been willing to work with me on the allopurinol but has little advice in regard to lifestyle.

[@garrymajor7528]

Wine is fine but beer is not as has too much purine ,you can by Japanese beer with no or low purine but don’t know the brands but have a friend living there so will find out

[@dataphoenix8004]

7.6 thats high, can you say which brand you use

[@DrPetesKetoKlub]

UAsure. You can purchase off amazon.

[@AngelArsFoundation]

7.6 is very high. I would remove as much fructose from the diet as possible and shoot for a reading closer to 5.5. kzbin.info/www/bejne/d6fEnYehlJynq8U

[@MikeVicueroa-s6v]

Reagan Rue

[@JaimeDileo-w4l]

Kyler Club

[@kronk358]

A salesman. Whats more trustworthy than that?

[@DrPetesKetoKlub]

This video was in response to requests by my subscribers. At the time other UA instruments were just coming on to Amazon. In the past UASure was the only option in North America. Other units are available now and may be lower cost. I do not make anything from UASure. I advocate for meters because I believe that we should take control of our own health and only getting an UA value once a year from your GP doesn't tell you much. Moreover, by metering you can evaluate the foods that you eat directly which provides actionable data you can use to lower UA.