Keto and Carnivore’s Biggest Fear: Gout and High Uric Acid
There is nothing as angry and painful as a ‘Gout Attack’ as Benjamin Franklin would say. Gout and high Uric acid is NO joke and …
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February 3, 2026
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"Harmony in Every Heartbeat
There is nothing as angry and painful as a ‘Gout Attack’ as Benjamin Franklin would say. Gout and high Uric acid is NO joke and …
source
Does meat produce more acid than uric acid than fructose corn syrup?
Logical and full of common sense… like a breath of fresh air. Thank You!
Semi-Retired Bob on youtube got rid of his long-term gout problem and avoided surgery by switching to carnivore. https://youtu.be/5uXtQBGbC6A
Good video. My UA is 7.5 at LabCorp. Dr said that was fine. I’m working to lower it.
I have this problem on low carb. I think it's because i over eat animal protein. How can i lower it and stay low carb?
Did you know he's a liver lover? Yep he's a liver lover! Liver lover liver lover liver lover……..
Thank you!
Dr. Please can you make a video about SATURATED FATS and their relationship to URID ACID???? Please, please. I love your videos very informative and fun fun to watch. tk u Doc!!! I am not Keto, but I don't eat sugar of any kind except from fruit which I consume with its fiber. Do my own 🥑 oil, Coconut Oil, Ghee. I fry some of my food in pork fat that I buy directly from the butcher. Eliminated High fructose and regular sugar and refined carbohydrates. NO Oils from the store……
I have symptoms of gout
That was very educating , would like to have some sources ! Doc
great video
Been on keto for 6 months and back struggling with the old enemy gout. UA was 5.3 went on a fast only 36 hrs and went to 6 and bang gout flare. Is there any truth that while you are on keto that the ketones and UA compete for excretion? Is there any truth that as you lose weight your body can release UA stored in fat that is being burned that can cause UA to go higher? Thank you for your work.
Why do you keep popping up on here
My uric acid was 18 at 6 months into carnivore. Asymptomatic of any complications and felt great (also no trace of kidney stones as I had kidney ultrasounds done within that time). Urologist recommend I stop immediately. I see a urologist for elevated creatinine (1.2-1.3 on average) but cystatin C is normal (0.8). I can't get an answer from any of the pro carnivore docs regarding their experience on the matter, such as how long Uric acid typically stays elevated on carnivore. I really enjoyed carnivore – best I ever felt – not fearful of it being short term gains with long term losses.
If UA “rockets” from ketosis, when does it come down?
I’ve been low carb for four years, UA stable 5-5.5 during that time. Recently I went keto and upped meat intake, and UA went up to 6.1. I was confused why this happened because all other metabolic markers are getting better, now I know it might be ketosis, and higher meat intake. I want to stay in ketosis though, so maybe I’ll eat less meat again.
You forget to name prolongued fasting. Both of the times I had gout was due to a more than a 3 week fasting period of time. I reached very high levels of uric acid (around 10), specially the first time. Very bad stuff, really. I managed to down it to 6 but it took me months. The second time wasn’t that bad, but still
I used to tend toward gout when I was on keto and/or carnavore. My gout triggers were beef and sometimes pork, so I limit those meats to a couple times a week and the gout stays away. I end up eating a lot of ground chicken.
Just went off pescatarian keto and started vegan 2 months ago, and having a gout attack now for 2 weeks! I eat no sugar except a few berries, but eating high carbs ie potato, rice, etc. While on keto, my gout attacks were pretty infrequent and short-lived. I might have to go back to keto. Fyi, uric acid was 8.8…
I had some gout, and certainly uric acid pooling in joints causing pain. Since carnivore (5mths), i have zero issues with these. I went off coffee about a month in, because it wasn't doing it for me anymore. I have cured all my chronic illness, including inflammation and arthritis. Carnivore is astonishing. I also have lost 60lbs in that 5mths.
Eating meat does not cause gout attacks. The only diet that works for me is carnivore. Going on anything else will give me flare-ups. You need uric acid and foods that trigger inflammation in order to get an attack. Guess what? Sugar does that.
Dr. Karl. you must have very healthy eyes with all the vitamin A you take.
I was vegetarian over 40 years. Then became severely ill and began eating meat, which improved my health some. Last year I had a severe attack of gout, which persists. Life long tee totaler, and never once in my life ate shellfish, liver, organ meats. I went ketovore with about 15-20 gm carbs per day in berries, fresh greens, and cheese, and still have gout. I drink a cup of fresh ground coffee every day. I tried full carnivore but I have severe meat aversion and I am working with that. Four months ago I was diagnosed with pre-diabetes and I take metformin. None of this makes any sense. I have lost 52 pounds in the last 8 months due to cutting out all carbs and sugar. I have such severe inflammation, that upon rising, it takes me hours to be able to walk normally due to pain. Strange and frustrating. My doctors cannot help me and I refuse to take more drugs.
Yes I like these topics that you devolved deeper in to.
I have a few observations for someone that may help them. I discovered my life long, chronic, left foot back of heel and bottom of foot pain, and two time "spontaneous broken bone" of the 3rd metatarsal of my right foot was in fact gout. My podiatrist diagnosed the heel pain as plantar fasciitis, and he Xray "confirmed" partial fracture of the foot bone due to "low Vitamin D levels" despite my statement that I had no prior injury, and just "woke up" in the morning with the "fractured" foot.
How did I correlate these to gout? I had a medical emergency in Thailand which caused me to not eat for a week. After being discharged from the hospital, two days later I woke up with my right big toe hot, swollen, inflamed and feeling just like the prior fractures. I returned to the ER, explained my history of spontaneous fractures, and the admitting nurse said 100% you have gout, it's not broken. Well two Xrays later, blood test that confirmed Uric acid level of 16 (more than double the high!!!!), a shot of something, and some colchicine and allopurinol, and not only did the big toe pain go away, my chronic plantar fasciitis disappeared too! Damn! I should have gotten a second opinion all those years ago……
Anyway, because I'm a retired Molecular Biologist, I went to try to figure out what happened. Turns out that kidneys preferentially secrete ketone bodies over uric acid. Thus having higher levels of ketone in blood, due to the unintentional 7 day water fast, uric acid levels will also increase. Throw in the comorbidity of stage 3 kidney disease, high blood pressure, and antidiuretic drugs, and wham it only took a week to drive a major gout attack after years of semi serious chronic pain. 6 years later, and while I'll have an occasional gout attack, I've never had the "plantar fasciitis" symptoms again. 30 years of sometimes unbearable pain gone.
I know the videos a year old I just saw it I have very high uric acid I've been on keto for more than a year about 60 lb never really ate sugar Don't drink alcohol and my uric acid is still high I can't drink coffee it gives me heartburn any other suggestions I do eat red meat daily
Lots of talk about what we eat (purines) that result in higher levels of UA. What I didn't hear you discuss (unless I missed it), is that your body manufactures UA even when you have not consumed foods that contain purines. Like at a 2:1 ratio versus what you eat. There are many good things about UA that your body requires. What's more, you didn't talk about the reasons why your body would produce more UA than it needs and why your kidneys are not properly expelling it in the urine. The fact is, no one knows with certainty what causes gout. I suspect there is more to this and from my research (BTW, I suffer from gout flareups) I don't think this video covers it. Regardless, thank you for the time you took to produce this video.
it is so lovely place, where is it filmed?
My uric acid is 9, and I have not had a single gout attack ever since I started on my ketovore diet. It seems that elevated UA alone does not necessarily cause gout. Perhaps, my ketovore diet has made my body to be much less inflammatory and prevented the gout flare-up.
Thank u so helpful