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For those grappling with gout, diet management is often a top priority. While there are many known dietary triggers for gout, there is also an array of foods that may help manage this painful condition. One such food is tofu, a staple in many Asian cuisines. But can tofu really help tame your gout? Let's dive in and find out.

Colorful tofu stir-fry dish on a white plate, with a backdrop of fresh soybeans and tofu blocks, symbolizing the topic of tofu's role in managing gout.


Understanding Gout


Gout is a type of inflammatory arthritis that occurs when uric acid accumulates in the blood, leading to the formation of sharp, needle-like crystals in the joints. This accumulation typically results in severe pain, redness, and swelling in the joints, most commonly in the big toe.


The primary cause of gout is the overproduction or under-excretion of uric acid, a waste product created when the body breaks down purines — substances found naturally in our bodies and in certain foods. Some common treatments for gout include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and medications that either reduce uric acid production or increase its excretion.


Diet plays a crucial role in managing gout, with foods high in purines, such as red meat and seafood, being potential triggers. As such, individuals with gout are often advised to limit their intake of high-purine foods to prevent gout flare-ups.


What is Tofu?


Tofu, also known as bean curd, is a food derived from soy. It's made by curdling fresh soya milk, pressing it into a solid block, and then cooling it. This versatile food has been consumed in China for over 2,000 years and is now popular worldwide for its high protein content, variety of textures, and ability to absorb flavors.


Nutritionally, tofu is a powerhouse. It's low in calories but high in protein, making it a popular choice for vegetarians and vegans. It also contains all nine essential amino acids and a good amount of iron, calcium, and other minerals.


Tofu and Its Purine Content


Purines are compounds that are naturally present in our cells and in various foods. When these purines are broken down in our body, they produce uric acid. In individuals with gout, this uric acid can accumulate and crystallize in the joints, causing painful gout attacks.


Tofu, like all soy products, does contain purines. However, its purine content is considerably lower than that of many animal-based proteins. This makes tofu a potentially good choice for people with gout who are seeking to manage their purine intake.


Impact of Tofu on Gout


Several studies have looked at the effect of soy products on gout and uric acid levels. Most of these studies suggest that despite its purine content, tofu does not increase the risk of gout or gout attacks. This is thought to be due to the lower purine content of tofu compared to animal-based proteins and the fact that not all purines are created equal – those in plant-based foods seem to be less readily absorbed by the body.


Moreover, tofu is rich in protein, which can help you feel full and satisfied without resorting to high-purine animal proteins. This could potentially help with weight management, which is important as obesity is a risk factor for gout.


There are, however, some misconceptions about tofu and gout. One is that because tofu is a soy product and soy products contain purines, it should be avoided by those with gout.


As we've seen, the reality is more nuanced, and most people with gout can safely include tofu in their diet. Of course, everyone is different, and what works for one person may not work for another. Therefore, it's always a good idea to consult a healthcare provider or a dietitian for personalized advice.


Incorporating Tofu into a Gout-Friendly Diet


Incorporating tofu into your diet can be relatively simple given its versatility. It can be grilled, baked, scrambled, or added to soups, salads, and stir-fries. When buying tofu, opt for the plain, unprocessed varieties, as some processed tofu products may contain added ingredients that increase their purine content.


Besides tofu, a gout-friendly diet should include a variety of fruits, vegetables, whole grains, and lean proteins. Hydration is also crucial, as it helps the kidneys to eliminate uric acid more effectively. Try to limit your intake of sugary drinks and alcohol, especially beer, as these can increase uric acid levels.


Remember, while diet plays a significant role in managing gout, it's only one piece of the puzzle. Regular exercise, maintaining a healthy weight, and taking prescribed medications are all crucial components of a comprehensive gout management plan.


Conclusion


Tofu, with its high protein content and relatively low purine content, can be a good addition to a gout-friendly diet. However, it's important to remember that everyone's body responds differently, and what works for one person may not work for another.


Gout is a complex condition, and managing it effectively requires a comprehensive approach that includes diet, lifestyle modifications, and medical treatments. If you're considering adding tofu to your diet as part of your gout management plan, discuss it with your healthcare provider or a dietitian to ensure it's the right choice for you.


Have you incorporated tofu into your gout-friendly diet? What other dietary changes have you found helpful in managing gout? Share your experiences, ask questions, or suggest topics for future blog posts. We value your input and look forward to fostering a supportive, informative community.



Related read:


Do you experience joint pain, inflammation, and swelling? Do you avoid certain foods because you're afraid of triggering an attack?


If you're living with gout, you know how debilitating and restrictive it can be. And soy might be one of the foods you're avoiding. But does soy really increase your risk of gout?



What Makes Up a Soybean?


Soybeans are a type of legume that is native to East Asia. They are part of the Fabaceae family, which includes other plants such as peanuts, lentils, and beans. Soybeans are a key ingredient in many Asian cuisines, and they can be used in a variety of dishes.


Soybeans are high in protein and fibre, and they also contain a range of vitamins and minerals. Soybeans are a good source of iron, magnesium, phosphorus, potassium, copper, manganese, and zinc. They also contain vitamin B6, folate, vitamin K, and thiamin.


Does Soy Intake Increase Uric Acid Levels?


Soy is a well-known source of protein, but it's also a common ingredient in many processed foods. There is a widespread belief, that gout sufferers should avoid soy and legume products because they are high in purine.


Uric acid is a waste product produced when the body breaks down purines. Purines are found in many foods, including soy. If uric acid levels become too high, it can lead to gout, kidney stones or can even lead to cardiovascular issues.


Contrary to the popular belief, a Singapore study done of over 50,000 Chinese in the country discovered that those who ate the most soy products had a lower risk of gout than those who ate the least.


In another study conducted in Hong Kong, soy consumption did not increase urate levels among Chinese postmenopausal women with prehypertension or prediabetes.


Purine Rating for Your Favorite Soyfoods!


Soy foods are generally listed as having a moderate amount of purines, ranging from 50 to 100 mg/100 g on purine content lists. The recommended daily amount of purine in the context of gout or hyperuricemia (high uric acid level in the blood) should not exceed 400mg/day.


It is to take note that different soy products may exhibit different purine content:

Soy foods

Rating

Bean curd lees (Okara)

1

Green soybean (edamame)

1

Soymilk

1

Tofu (Kinu)

1

Tofu (Momen, chilled)

1

Deep-fried tofu

2

Fermented soybean (Natto)

3

Soybean (dried)

3

​Freeze-dried tofu

4

Despite the fact that studies have shown that soy does not significantly increase uric acid levels or gout attack incidences. It is generally recommended that people suffering from gout limit their intake of purine-rich foods.


Thus, it is still recommended to consume soy-based products in moderation.


So, if you're eating a diet that consists mostly of soy-based foods, you should aim for 3-4 servings per day. This will help ensure that you're getting all the nutrients your body needs, without overburdening it.

So, How Much Soy Can I Consume?


The amount of soy you can eat depends on the serving size. A serving of tofu, for example, is about ½ cup. A serving of tempeh is about 1/3 cup. And a serving of soy milk is about 1 cup.


So, if you're eating a diet that consists mostly of soy-based foods, you should aim for 3-4 servings per day. This will help ensure that you're getting all the nutrients your body needs, without overburdening it.


Soy Is Okay for Most Gout Patients


Based on the study, soy does not seem to increase your risk of gout. However, if you are already at risk for gout, it is still advisable to have soy foods in moderation.



Related read:

Uric acid is a by-product of the normal function of the liver and is excreted in the urine. Uric acid levels are known to increase with age, and they can also be affected by lifestyle or certain medical conditions.


Uric acid reduction supplements are a popular and affordable way to reduce the risk of gout. However, there is no single best uric acid supplement for everyone. This article compares and shares the information on the most common uric acid supplements available in Malaysia's market.

Comparison uric acid lowering supplement in Malaysia

Table of content:


What Is Uric Acid, and What Does It Do?


Uric acid is a byproduct of the chemical breakdown of purines, which are found in many foods. It is produced when the body metabolizes protein. Uric acid is eliminated from the body through the kidneys and urine.


Uric acid is a natural antioxidant and helps to protect cells from damage. It also helps to break down and remove toxins from the body.


What Causes Uric Acid to Become Dangerous?


When there is too much uric acid in the blood, it can build up and form crystals in the body. High uric acid concentration can lead to uric acid crystals forming in the joints, causing gout.


A high level of the uric acid crystal in long term can also be dangerous for the heart and kidneys. It can cause kidney stones and lead to chronic kidney disease. Uric acid can also make plaque deposits in arteries, increasing the risk of heart attack and stroke.


Uric Acid Levels: What Is Normal?


Normal uric acid levels are different for men and women.

Gender

​Male

Female

Uric acid range

​4.0-8.5 mg/dL or


0.24-0.51 mmol/L

2.7-7.3 mg/dL or


0.16-0.43 mmol/L


Ways To Reduce Uric Acid Naturally Without Drugs


Lifestyle modification
  • Drink plenty of fluids

  • Exercise regularly

  • Lose weight if you're overweight

  • Limit your intake of high-purine foods

  • Avoid alcohol

Taking a supplement to manage uric acid levels


Uric Acid Supplements in Malaysia: The Comparison!


There are several different types of uric acid supplements available in Malaysia. Here are some comparisons of popular uric acid supplements in the market:


Alkalizing salt popular usage in Malaysia for high uric acid

1. Alkalizing salt


Alkalizing salt can help to reduce uric acid levels by alkalizing the body. This means that it helps to balance pH levels and makes the body less acidic.

​Pros:

​Cons:

In powder form. User friendly for those doesn't like to swallow tablets.

High dosage: 1 to 2 sachets, 3-4 times daily

Nice taste.

​According to the prescribing information, may not be suitable for kidney and heart problem patients to take long-term.

​

Current alkalizing salt products available in Malaysia's market:


Celery plant diuretic plant helps to lower uric acid, common usage in Malaysia

2. Celery


Celery is a diuretic that can help to lower uric acid levels in the blood. Diuretics work by increasing the amount of water and sodium that are expelled from the body through urination. This helps to reduce the amount of uric acid in the blood.

​Pros:

​Cons:

​By removing excess uric acid through the urine through its diuretic effects. Some gout patients can get fast gout relief.

Since celery is a natural diuretic. Therefore people with kidney problems should monitor their celery intake, as excessive consumption might put extra strain on their kidneys.

​May be beneficial for high blood pressure patients. Celery contains a phytochemical called phthalides. It relaxes the tissues of the artery walls to increase blood flow and reduce blood pressure.

Some people are allergic to celery. Allergic reactions can range from skin rashes to anaphylaxis.

​

May feel disturbing by frequent toilet visits.

Current celery supplements available in Malaysia's market:

  • Natural Factor celery seed extract

  • Bio-life celery seed extract

  • Blackmore celery

  • Vitahealth celery plus


3. Tart Cherry


Tart cherries are a natural source of anthocyanins, which are potent antioxidants. In addition to their antioxidant properties, anthocyanins have been shown to help reduce inflammation in gout.

​Pros:

Cons:

Available in liquid, powder and capsule form.

The inconsistent result on the effectiveness of tart cherries in reducing the uric acid level in gout patients. This can be due to it helping reduce the inflammation and not really reducing serum uric acid levels.

Some studies show tart cherry aid in better sleep.

​

Current tart cherry supplements available in Malaysia's market:

  • Lakewood pure tart cherry juice

  • Gouch tart cherry plus extract powder & bromelain sachet

  • Solaray, Tart Cherry Fruit Extract


Terminallia bellirica  tannin rich extract able to reduce uric acid levels

4. Terminalia bellerica (Ayuric®)


Terminalia bellerica is a commonly used Ayurvedic herb in India and is one of the components of a very popular product on the market, called Triphala.


Though you may have never heard of Triphala, It’s a staple in traditional Ayurvedic medicine in India that has been used as a healing remedy for over 1,000 years. Some common usage include: heart disease, diabetes, arthritis and premature ageing


Ayuric® is the trade name of a tannin-rich extract, derived from the edible fruit of the Terminalia bellerica tree, it is thought to inhibit xanthine oxidase, an enzyme involved in the synthesis of uric acid.



The study showed that 500 mg Terminalia bellerica extract, taken twice daily, reduced uric acid by a mean of 27.59% in volunteers with elevated levels.


This reduction in uric acid levels allowed 88.8% of those in the extract-treated study arm to achieve the desired uric acid serum levels...with no negative side effects.

Pros:

Cons:

Undergo human clinical study proved its effectiveness in reducing uric acid levels.

​It may take 2-3 months to reach the optimal result.

The study does a comparison with febuxostat, a common uric acid lowering medicine used for gout patients.

​

Identified mechanism of action, its potent tannins appear to inhibit an enzyme (xanthine oxidase) involved in the synthesis of uric acid.


​

​An ayurvedic herb that has been used for over 1000 years with a good safety profile.

​

Current Terminalia bellerica (Ayuric®) supplement available in Malaysia's market:


Conclusion

It is evident that there are many different brands and types of uric acid supplements available in Malaysia. It can be difficult to decide which one to choose. By providing some research and your personal reading of the reviews, it is possible for you to find the right supplement for you.



Related read:



Medical Disclaimer

The contents of this article are not intended to be a substitute for professional medical advice and should not be relied on as health or personal advice. Always seek the guidance of your doctor, pharmacist or other qualified health professional with any questions you may have regarding your health or a medical condition.

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