The Keto – Carnivore Curse: Gout – 3 Things You must Do to Avoid it!
To understand Gout you absolutely need to understand it’s relationship to Uric acid. High levels of UA is a biomarker for risk of …
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"Harmony in Every Heartbeat
November 22, 2024
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Just now watching this. So much good information. But my suggestion would be to have more time for those of us who are slower readers to try to take in your slides. Or is there a place where we can go to access them at our leisure?
I have been watching many doctors on YouTube and have been learning "a lot," from each and every one of them, but Dr. Goldkamp has taught me so much in this episode. I really appreciate him. Thank you so much Dr Goldkamp!
That is complete complete rubbish, red meat doesn;t cause gout, it is sugar, specifically fructose and certain carbs too. I went carnivore a few months ago and my gout has almost gone, it returns a little when I eat too much sugar.
Dr Karl is absolutely correct, One week into carnivore I got gout in my right knee, after 4-6 weeks I got gout in my left knee. I suffered terrible pain for a few weeks, the more water i drank the better the gout in the knees got. Now almost 3 months into carnivore my gout is almost gone, just a little left in my right knee. I have never had gout before I started carnivore.
I went carnivore to cure my gout. Suger is the culprit. Pain free for 2 years.
Very good video. Excellent level of detail. Went carnivore after a microscopic colitis diag. Cured the coliits flare with carnivore but then ended up in the hospital last night with the "toe" thinking it was cellulitis since being in river water a few days ago. On another antibiotic but more thinking it's gout. I've had gout one other time going keto and it wasn't nearly as bad as carnivore (it passed). I chose carnivore this time because of salicylate sensitivity on an MRT food sensitivity panel. I really feel backed into a corner. I had started introducing some low-sal fruits after watching Paul Saladino and wondering if my fatigue levels could be from the extreme low levels of carbs. The lowest I'd been on with a keto diet was 20g. The fruit didn't help my energy and the toe flared up around the same time. Taking fruit back out and will jack up the omega 3. Wish I could just do keto but salicylates and oxalates are a concern.
For God sake can someone confirm that it's safe to eat organs and beef during gout? I just had already 2 attacks within 1 month!!! And I started carnivore 2 weeks ago.
Can someone tell me when this disaster hell gonna end after changing my diet to carnivore?
Also, people do not drink nearly enough water throughout the day
Confused as ever! I expected a conclusion like: "do this, not that". Not Happening yet…
Do you take patients who are doing carnivore and suffering from gout?
Funny I have been Keto first and Carnivore for several years…..NEVER had any gout! Don't eat any organ meat and consume chicken, fish and lamb as well as beef.
Check the polyol pathway.
My Uric acid level is 9, but I don’t have any gout symptoms. My A1c just went down to 5.7 and I’ve been mostly eating low carbs. My doctor prescribed allopurinol.Should I take it?
“Harvest time “? Are we historically talking about just the last 10,000 years because I don’t think we had harvest time during the 350,000 year Ice Age where we evolved.
Iron overload/hemochromotisis causes UA to elevate. UA protects your body from too much Fe that's were the gout comes from with keto/ carnivore-too much iron- meat, meat, meat-for the body to process fast enough
UA comes in to protect bingo gout attack. Chelate the iron out with Tumeric with black pepper, resveratrol, quercetin, stinging nettle these a lot. The rest of what he's talking about is wrong or for S.A.D. eaters but mostly off base. Prurines from all those sources??? Come on, it's iron from all those sources. The body is not used to it
Thank you soooo much doc. You have just saved another life a with this video and explained all of the questions i had for years those EVEN the doctors i have questioned in my medical journey. Thak you thanl you thank you and GOD BLESS YOU !
I wonder why I got gout from carnivore even though I was taking high quality omega 3.
before carnivore I would have gout attacks but infrequently. The first 6 weeks on carnivore no symtoms and them it started but I could ward it off with drinking lots of water. I was diabetic before and lost 50 pounds to date and without metformin, had an A1C of 5.4 after 3 full months on carnivore. after the initial 6 weeks I could feel gout symtoms coming on and stopped all alcohol in October. In February just before vacation and during a stressful period my worse gout attack arrived. flushed it out by drinking water in Cuba. On a fellow carnivores sugguestion I started taking gylcine powder and have gone a month still drinking lots of water without any symtoms. I should note I was on a 'water pill' for BP which I have stopped because my BP got too low. Any thughts on glycine for gout?
I have gout and have been carnivore for 3 months. I never drink soda, eat fruit, etc. Ribeyes and eggs. Still not going away. Had my Uric acid tested today at the lab and it went up from 7.2 to 7.4. I’m bummed.
Take your gout medication daily dont skip it. Allopurinol and colchicine
Why do most people leaves out Omega 3 ALA? It is the essential fatty acid! Salmon, flaxseed oil, walnuts. I drink flaxseed oil. Its wonderful stuff!
Vitamin A may not be toxic! In my studies I've found that antioxidants are synergistic. Fromthe start of the chain to out are Vit E, A, D, C. Vit C, waters soluble flushes all the junk. If you take A and not enough D & C, now the chain is broken and you get toxicity. Think we ever get a proper study to back up the theory? Probably not in my lifetime.
Fruit is high fructose.
Never had high uric acid level on any test and I have had about 25 tests in the last 20 years. I’m carnivore and eat zero carbs. I have gout often with severe flareups about every 2 years. So it’s something else. It’s not purines. I drink no alcohol, ever.
Awesome thank you
He does not mention allopurinol as the most common treatment for gout.
Thank you, Dr. Goldkamp. I've been on a ketogenic diet for just over a year, and continue to experience periodic gout flares (just had 2 almost simultaneously in foot and wrist). These tend to be milder now than over the first few months of keto (as you've noted here), as for the last several flares I've treated the symptoms with colchicine and NSAIDS, intakes which I try to limit as much as possible, such as limiting to 1 day taking each — this has worked well to quickly reduce pain and swelling. I note that the AMA "normal" range for seral uric acid is 3.5 – 7.2 mg/dL, much greater for the "normal" maximum level than you and other online doctors are recommending based upon recent medical science literature, and in some cases your personal experiences. Despite my latest lab results indicating I'm about 6.7 mg/dL, I continue to have gout flares. Thus, I'll continue to need to educate my primary care physician that the lab results can be misleading in corresponding to the accepted "normals." I'm hoping that in sticking (for the rest of my years) to keto that I'll eventually achieve the "sweet spot" for my seral UA and eliminate the gout glares, and eliminate the need for allopurinol, colchicine, and NSAIDs as gout treatments (all have deleterious effects on liver, kidney health). Having already eliminated sugar, especially fructose, drastically cut carbs, eliminated seed oils and alcohol consumption, generally resulting in elimination of type 2 diabetes, in weight loss, reduced fasting glucose, etc., my goal now is to eliminate gout flares and the need for the standard pharmaceutical treatments for symptoms, as well as avoiding the development of dementia/Alzheimer's. I appreciate the invaluable education!
I went ketovore, stopped eating & drinking fructose, stopped taking my Gout meds and haven’t seen gout since then.
Great video! I would be more concerned about plaquing my arteries slowly due to high apo-b fromncarnivore and risk a crippling heart attack 30 years later when I am elderly and can least afford it Short term gain for crippling long term pain. Not for me! That’s like smoking cigarettes only to have the cumulative life time exposure catch up to use. Or like selling your soul to the Devil for short term gain, only to have him collect later. Having said that, I have nothing any diet that gets people off the SAD(Standard American Diet Of Ultraprocessed Highly Pallatable Foods). Most anecdotal info from people who got miraculous benefits from keto, vegan, or carnivore comes from them giving up the c*ap foods altogether. Kind of like an alcoholic who regains health from giving up alcohol and replacing it with water. Water is healthier than alcohol, but the success was more from giving up the alcohol altogether not because the water was some newly discovered fountain of youth, lol
I went on Keto and IF after I put on weight during Covid lockdown. It was wonderful, I lost loads of weight, and all my joint pain disappeared. Then I got gout for the first time ever. Went to get tested and the results showed ‘low uric acid levels’, and as I was NOT eating anything that would cause high uric acid levels this made sense. But the doctor declared that I don’t have gout (but I absolutely do) but she was just looking at my uric acid levels and saying they are low. I’m an example of someone who has low uric acid and GOUT, therefore I concur that there appears to be NO link between URIC acid levels and GOUT. It’s wonderful to see this brilliant doctor explain the complicated issue of uric acid. Simply brilliant!
outstanding presentation! i hope you keep them coming.. i grew up on a farm, had kidney stones at 21, gout at 30 and have not touched HFCS for more than a decade, dont eat junk food but drank gallons of tea.. i decided my A1C was too high and wanted to fast in hopes of burning visceral fat.. now have had the worst gout flare of my life in three joints with the flare moving from joint to joint every few days.. the sad part is i had gotten my BGL to run 70s and ketones 4.5 but UA shot to 11.5.. I wonder if allopurinol is the answer to try to move back to ketosis… im also going to look for that omega 3 to saturated fat data you provided.. luckily in the mean time i have lots of freerange chickens to get those 1:1 eggs…
Superb clarity, thanks !
This video is gold for a person that got thier first labs back after starting keto.
Consistently, Dr. Karl, new info that's just what I need. As detailed in another comment, I'm dealing with gout attacks after an injury and starting to eat right/lose weight. The gout finally released me from its grip about a week ago, just as you said, right at the 90 day mark. (I'm just about to break through the 30 lb. weight loss mark)
I haven't quite grokked your seasonal discussion just yet, but I wanted to mention that that is a big part of why I'm not quite down with the carnivore thing. Evolutionarily speaking, I think that we are intended to get fat in the summer in preparation for the lean winter months. (primarily speaking of European and Euro-diaspora peoples here – equatorial populations would quite likely be very different). Certainly, constant concentrated carbs are not part of nature's plan. So, as so often turns out to be case, nature has the right answers.
Hi,
Very interesting video. I am a bit confused when you talk about fat; perhaps it is because I am lacking a bit (or lot 🙂) of English language comprehension; I was told about omega 6 to 3 ratio but i had never thought that animal saturated fat was an omega 6 as i am thinking to understand what you said.
I have ended up here frustrated with the lack of discussion about this because for me the switch to carnivore has actually triggered some crippling inflammation. I have never had a gout-like attack but the last two weeks have been alarming. It is slowly passing but has left me scrambling for answers. I had no problem switching to strict carnivore. I saw benefits quickly and had no desire or temptation to cheat. Two weeks in and I had what felt like carpal tunnel in both wrists. Very painful but resolved within about a week. I reached out into the community, and perhaps I was looking in the wrong places, but could not seem to find info on inflammatory responses TO carnivore. Everything seemed geared to how well carnivore reduced inflammation. Two weeks ago after two and a half months on carnivore, I had a major body-wide inflammation response. Hands, wrists, feet, shoulders, leaving me in a very sorry state with a lot of uncertainty about what in my carnivore diet was out of whack. Given all the benefits I have seen, I would rather adjust and tough it out till better days if I can find some relief and a go-forward plan. It does make me wonder though how many people trying carnivore hit this wall and abandon the idea because they cannot find this type of valuable information.
I cut out most of the carbs and my gout was totally gone. I eat red meat and shellfish all the time now and have a beer or 2 a couple days a week with no problems. Now grain and refined sugar free except for the beers.
I used to have two flare up a month… My whole foot getting absolutly swoll and painfull…
I started the carnivore diet and intermittent fasting when a flare up began and it cut it short… Painless by the end of day, unswollen 36hours after…
Gout the curse of keto diet?
Bullshit…