hi to all
kindly wanna ask advise regarding my prob
currently been suffering from hyperuricemia, or in easy words, cause of gout
last time adding up egg to daily intake, but now stops due to gout attacks always come
now the attacks not frequently happen since protein intake reduce
but my body not building la, just maintain
so go to gym to burn calories and maintain the existing muscle

so, any advise if i want to continue building muscle?
or no chance at all

I'm sure the doctors have given you allopurinol for your gout if it's not self diagnosed.

So with the allopurinol, and regular follow up, taking protein shouldn't be a problem. What did your doctor say about having hyperuricemia and training?

---

Added on October 10, 2009, 1:44 amQuote from Oxford Handbook of Clinical Medicine 7th Edition page 535:

"A large prospective study (n=47150) showed an increased risk of gout with high meat (especially beef, pork and lamb) and seafood, but not with consumption of purine rich vegetables or protein. A lower risk was seen with high consumption of low fat dairy products."

This means from a diet point of view, protein doesn't cause hyperurecemia, consumption of beef, pork and lamb increases the risk of having gout.

There are many other causes of hyperuricemia, so you need to check with your doctor.

But, increase in uric acid is also caused by muscle death, so by doing exercise and not maintaining your positive nitrogen intake, you'll lose muscle, will that lead to hyperuricemia I'm not so sure.

This post has been edited by Florian: Oct 10 2009, 01:47 AM

yes, currently doctor prescribe me the allopurinol
i'm taking it once a day
but seems the gout does not get away
in every month at least one time my gout will be coming

i already check my uric acid by blood test
before taking protein in bigger value, by taking eggs, half cooked
the normal uric acid is below 428, and mine is 480, around that la
but after engage with protein taking, skyrocket to 560

the doctor advise, i dont know la which one to follow
some says protein can take, some say cannot at all, need to reduce
but as far as i know, i seldom take seafood or beef, u know that seafood and beef is expensive than chicken or fish
but still gout coming in

i just engage with the gym training earlier this year
last year when i'm diagnosed have a gout, doctor ask me to reduce body weight
now i already lose a lot, but still gout occur

now i'm stuck already

p/s: what do u mean by nitrogen intake, how is that

This post has been edited by laut: Oct 10 2009, 11:45 AM

Bekam is the best cure for gout.. but it's malay's tradisional way.. don't know if you want to try it

What is your current dose of allopurinol? Have you ever asked the doctor to increase the dose since it's recurring?

about the dose
dont know la
but 1 unit per day la

does allopurinol have any side effect

---

Added on October 10, 2009, 1:23 pmu sure ah
as i know bekam can suck out ditry blood
last time i want to donate blood so that fresh blood build in my body
but the doctor cannot let me donate
afraid if the blood receiver allergic to allopurinol

This post has been edited by laut: Oct 10 2009, 01:23 PM

Ask your doctor about the dose on your next follow up, and tell him there are recurrent attacks despite the allopurinol.

---

Added on October 10, 2009, 1:23 pm
u sure ah
as i know bekam can suck out ditry blood
last time i want to donate blood so that fresh blood build in my body
but the doctor cannot let me donate
afraid if the blood receiver allergic to allopurinol

[/quote]

Ya , but that if you want to , my father got gout and after he do bekam ok already..

Gout can be controlled by some lifestyle changes.
Improving your diet, drinking plenty of water and taking nutritional supplements can go along way to control gout.

You are already doing exercises and also under medication.

Some foods to avoid.
Extracted from the Star.


I suggest you add a quality supplement that will provide the full range of nutrients you need to counteract damage caused by free radicals.
It may help you to have better control of your gout.

For a guide on how to choose a quality supplement you can visit my Squidoo lens.

www.squidoo.com/nomorerunnynose

how bout changing from animal based protein to vegetable protein like soybean, will it help?
does the vegetable protein content same as animal protein

The base component you're after is protein. Filter all the nonsense soy has, and it's back to the basic building block. Protein. I highly doubt it'll be much different, but I suppose someone with more knowledge about this can contribute better.

Just did a quick read, animal based protein has all 9 essential amino acids while vegetable based protein lack one or more of the essential proteins. So you gotta make sure that whatever vegetable protein ur getting is supplemented by another source that has the missing amino acid(s).

Interesting to note that 1/2 cup of tofu has 10g or protein which is pretty high since they're not very filling and you can eat a lot of it. 170g of chicken meat has ~43g of protein. That's quite a lot of chicken. Therefore drinking/eating soy/tofu can help ALOT.

Read about "Hexane" and the production of tofu. Tofu's made from soy. Might give you a reason to stop using tofu.



http://en.wikipedia.org/wiki/Hexane

I personally dislike tofu because its so tasteless. However, if my mom does cook tofu, she usually makes it herself. She's health educated to a certain extent.

This post has been edited by pizzaboy: Oct 11 2009, 10:17 PM

there's so many arguments to processed food and other 'normal' foods.
My friend is a nutritionist who has written a book and has a lot of knowledge on foods, processing etc and the things I hear about our everyday food is quite alarming. She recommends everyone to go organic (even so, only from trusted and verified companies) but sometimes its just too costly and troublesome.

So sometimes just hantam only lah unless u can avoid.

Did she tell you about farm raised animals? Sucks doesn't it?
Which book did she write? I'm not aware of any Malaysians writing any particularly good book about nutrition.

Sometimes it's a question of cost. These organic stuff are just too expensive sometimes. Best option? Have your own cow, and feed it grass.... slaughter it when it's time. Then keep the meat frozen. Caveman baby!

For human consumption, soybeans must be cooked with "wet" heat in order to destroy the trypsin inhibitors (serine protease inhibitors). It is not advisable to eat raw soybeans.

Soybeans are considered by many agencies to be a source of complete protein.[5] A complete protein is one that contains significant amounts of all the essential amino acids that must be provided to the human body because of the body's inability to synthesize them. For this reason, soy is a good source of protein, amongst many others, for vegetarians and vegans or for people who cannot afford meat. According to the US Food and Drug Administration:

Soy protein products can be good substitutes for animal products because, unlike some other beans, soy offers a 'complete' protein profile. ... Soy protein products can replace animal-based foods—which also have complete proteins but tend to contain more fat, especially saturated fat—without requiring major adjustments elsewhere in the diet.[5]

However, as with many dietary health claims, there are opposing viewpoints on the health benefits of soybeans.[6][7]

The gold standard for measuring protein quality, since 1990, is the Protein Digestibility Corrected Amino Acid Score (PDCAAS) and by this criterion soy protein is the nutritional equivalent of meat, eggs, and casein for human growth and health. Soybean protein isolate has a biological value of 74, whole soybeans 96, soybean milk 91, and eggs 97.[8]

Soy protein is essentially identical to that of other legume seeds.[9] Moreover, it has the highest yield per square meter of growing area, and is the least expensive source of dietary protein.

this is what i got from wiki
seems soy can be the subs from meat, for vegetarians

That's good news for you then.
There's a brand called Shaklee that has a soy protein drink with 50% weight in protein.
Do check it out.

To manage your gout well is not just to change your animal protein to vegetable protein.
We need certain nutrients found only in animal protein like lysine to help repair damage.

Gout occurs from foods with high purine content,the body is creating too much uric acid or the body's inability to excrete uric acid fast enough.

Just eating more tofu instead may not solve your problem as you are only treating the symptoms.

The damage is caused by free radicals which comes from stress, pollution, own body process.

To combat free radicals is to take aggressive supplementation.

People with gout have shown improvement doing this.
quality multivitamin/mineral/antioxidant
Bio Omega 3
Grape seed extract.