By now, you’ve probably been hearing that a low purine diet for gout is the way to go right? I’m glad you’re here because this is only partially true; it needs greater clarification.

Everywhere you look for information about this pain in your big toe, it all points to the concept that you need to be on a low purine diet for gout…but why? And even more important, what does a low purine diet REALLY look like?

Low Purine Diet – What It Is

WARNING: The low purine diet for gout that I am about to give you is NOT what your doctor and every other gout website on the internet is going to tell you. (but then, that’s why you’re here right?)

The best low purine diet is described really well by Michael Pollan, in his simple little book, “Food Rules”. It goes like this:

  • Eat Food,
  • Mostly Plants,
  • Not Too Much.

Too easy? Let me explain.


“Eat Food”

…means eat REAL food…not “edible food-like substances”. Edible food-like substances are what you put in your mouth at every fast food restaurant. Fresh organically grown vegetables and fruits are real food. A 4oz grass-fed Filet Mignon is real food. A slice of freshly baked, organic multi-grain bread is NOT real food, because it is highly processed.

The real-est foods are “single ingredient” foods – like an apple or a carrot or a chicken breast.

“Mostly Plants”

…means that we need a lot of fiber, carbohydrates and water-soluble vitamins and minerals on a daily basis. The rule of thumb is to eat plants that still have water or moisture in them.

Like everything on the planet, when the water is gone, so it the “life”. Eat living foods…or at least foods that haven’t been dead for too long.

“Not Too Much”

…means exactly what it says. Our understanding of food today is so…screwed up! We’ve been programmed and conditioned by the media to think that just because we can chew it and swallow it, its food! And the more of it the better! This is criminal.

A successful low purine diet for gout starts with eating less. The best way to do this is to prepare/cook your own food at home as much as possible and avoid restaurants altogether.

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Hello Bert,

I followed the four hour recipe to help the pain. It worked but took a lot longer and I ended up doing the bs and acv for two day.  Since then, it has all disappeared.  I had never heard of gout in the elbow. That was my second bout of gout. In the big toe and the elbow.  Horrible.  I do want to get rid of it completely.  I believe that exercise and diet are probably the key factors.  I can’t buy it yet, but I do want to.  Thank you Bert for helping me get rid of the pain, I did not want to take any pills again.


. . .

The REAL Low Purine Diet for Gout

There are two diet ideas that have enormous popularity and I, The Gout Killer, combine them to make, the REAL low purine diet for dealing with gout symptoms and getting the lasting gout relief you need.

They are:

  • The Acid/Alkaline Diet
  • The Paleo Diet.

Let me explain how these two diets fit together.

The Paleo Diet

Also called the Caveman Diet, this diet concept basically consists of eating different types of fish, grass-fed meats, vegetables, fruit, different types of fungi, roots, and nuts.

What is does NOT include are grains, legumes, dairy products, potatoes, refined salt, refined sugar, and processed oils. (Wikipedia)

Basically, it’s all the stuff cavemen could “hunt” and “gather”. And it would be a reasonable guess to assume they ended up eating a lot more plants than animals. Cavemen didn’t grow plants, bake breads, or milk cows.

The absence of dairy is one point where I diverge from the Paleo way of thinking.  Raw whole dairy is an excellent gout food.  But take note:  the processed homogenized, pasteurized “so-called milk” in the typical grocery store is NOT a good gout food.

Acid/Alkaline Diet

The Acid/Alkaline, or just Alkaline Diet, is an incredibly beneficial way to look at what foods you allow into the inside of your body.

We need a number of macrominerals and trace minerals to stay strong and healthy. Different foods have different minerals, and at the cellular level, those foods/nutrients are “burned” inside the cells to produce life energy. The residue or “waste” from this expenditure is an ash. This ash is alkaline or acid, rarely neutral.

To varying degrees, plants, i.e. vegetables, fruits, roots, nuts, etc, is alkaline-forming in conjunction with the inner body chemistry.

In general, meats and protein sources are acid-forming. Meats and proteins also are generally high in purines, as well as fat-soluble vitamins.

The human body needs both alkaline-forming and acid-forming foods to maintain good health. The proper ratio is 80% alkaline-forming and 20% acidic-forming.

The Similarities

There are a few commonalities that need to be pointed out in combining all of the dietary ideas to round out the low purine diet for gout.

As Michael Pollan says, “eat food, mostly plants, not too much”. That works with the Paleo Diet because the cavemen definitely ate real food, probably not much, and mostly plants.

As for the Alkaline Diet, the ratio of 80% alkaline-forming (mostly plants) and 20% acid-forming (some meat/protein) also fits the concept.

The end result of the combination of these dietary concepts is a low purine diet for gout: low purine = mostly plants, some meat or protein, all from real food.

Outing the Low-Fat Myth

The low-fat craze of the last two decades has plunged the world and the United States into a health crisis. “Low-fat” equates to high carbohydrate/sugar and the method that creates this, is the true enemy of good health – “processing”…which is the opposite of real food.

As summarized in, fats are a vital component of a healthy diet because they help to absorb the fat-soluble vitamins and minerals, and supply essential nutrients to the brain, heart, kidneys, liver, lungs, bones and more.

A low purine diet for gout is a good idea and there are many healthy fats and oils that come from clean animal products like grass-fed beef, raw whole milk and butter from grass-fed cows, and tropical oils like coconut oil.

   Remember!  Eat REAL Food, Mostly Plants, and Not Too Much.


Bert Middleton

“I know your pain. Let me help you kill your gout for good!  And teach you to advocate for yourself and take ownership of your gout recovery, by showing you how to live the gout-free lifestyle.” Two decades ago, Bert Middleton found himself diagnosed with gout. Like 8.3 million other people in the United States (approximately 4% of the population), he struggled helplessly with the physical, emotional, social, and financial impact that gout left unchecked can have on your life. Prescription drugs were of limited help… And the terrible pain of regular gout attacks left him unable to enjoy even the simplest daily pleasures. His marriage was suffering. His finances were spiraling due to the impact gout had on his ability to work. And maintaining a social life was often nearly impossible. Tophi surgeries left him in terrible pain.  And he found himself depressed … and angry … that gout was stealing years of his life.

Until one day, after hundreds of hours of research and self-experimentation, Bert finally had a breakthrough and created a blueprint for a way of living that would prove to be “the answer” to living gout-free for nearly a decade now. Today, Bert and his “Gout Wife” Sharon devote their evenings and weekends to educating other gout sufferers on how to live the gout-free lifestyle. Showing others his 911 Emergency Response Gout Recovery Plan for getting PAINFUL gout attacks under control in as little as 4 hours. And then, how to make daily choices that keep gout under control for GOOD! So you can finally start LIVING again!