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Low Purine Diet (Uric Acid)

Healthy fats sources concept top view

General advice

  • Avoid large meals, preferring small and frequent meals (4-5 per day)
  • Reduce or avoid the intake of foods rich in fats.
  • Eat slowly and chew well your food.
  • In case of overweight or obesity, it is advisable to gradually reduce weight and waist circumference through a balanced diet, associated with regular exercise.

Carbohydrates

Food allowedFood not allowed/ to reduceTips/other info
- Plain chapatti of flat bread without yeast.
- Breakfast cereals such as: Corn Flakes, Rice Krispies, Special K, rice porridge, All-Bran, Weetabix, muesli, oat porridge.
- White rice, basmati or jasmine rice, pasta and noodles, sweet potatoes and potatoes, cous cous, semolina, polenta, quinoa, buckwheat, wholegrain rice and noodles.
- Bread crumbs, highly leavened industrial foods including toast bread. White or brown bread, sourdough bread, English muffin, bagels, pitta bread, naan bread, plain crackers or breadstick.- Avoid foods that are made with a significant amount of yeast, like bread and all bakery products.

Vegetables  

Food allowedFood not allowed/ to reduceTips/other info
- Cooked or raw vegetables.- Some vegetable may increase uric acid levels: legumes (beans, lentils, peas, chickpeas), spinach and mushrooms.
- Vegetables with fatty sauces, cream, cheese, bacon or lard.

Fruits

Food allowedFood not allowed/ to reduceTips/other info
- Cooked or raw fruit.
- Nuts, seeds, nuts spread.
- Avocado

Milk and dairy products

Food allowedFood not allowed/ to reduceTips/other info
- Low-fat milk and dairy.- Full cream milk and dairy products with high fats: whole cream milk, cream, sour cream, fatty cheese like brie, burrata, mozzarella bufala or other cheese with added cream, brie, camembert, etc...

Meat and alternatives

Food allowedFood not allowed/ to reduceTips/other info
- Poultry (choose leaner cuts), fish, eggs.- Red meat like beef, pork, bacon, lamb, mince meat, meatball.
- Internal organs: kidney, liver, intestines, meat gravies, meat extracts, fish roe, tongue and brains among others.
– Tough meats with fat and smoked or cured deli meats, stews, goulash, boiled meat, ragout. Skin of the chicken, fatty meat, processed meat or fish.
- Broth made from red meat, like meat soup or dumpling filled with meat and broth.
- Certain fishes to be avoided:  sardines, mussels, scallops, herring, mackerel, shrimps and anchovies, sushi, crabs and oysters.
- Legumes (beans, lentils, red lentils, peas, chickpeas, soya beans).
- Cook the meats without adding sauces or other fatty gravies.
- Remove all the visible fat before cooking, especially the skin of the chicken and fish.

Snack, Sweets, Condiments and Beverages

Food allowedFood not allowed/ to reduceTips/other info
- Water (1,5-2 liters/day), including herbal tea, light barley coffee, chamomile, fresh vegetables/fruit juices, coconut water.
- Salt, herbs (like oregano, sage, thyme, basil leaves, rosemary, coriander, etc..), ginger.
- Oils (olive oil, avocado oil are good options) and olives.
- Alcohol especially beer, carbonated beverages, soft drinks, coffee, black tea, citrus juices.
- Chocolate, cocoa, chewing gum, candy sweets in general, foods sweetened with sugar like sorbitol, mannitol, xylitol.
- Fatty food like: fried food, coconut milk or cream, sauces, sauces with cream, oily foods, margarine, butter, lard, desserts with creams, broth high in fat.
- Use low-fat cooking methods like boil, bake, grill, steam and stir-fry (max few times per week).
- Avoid foods that are made with a significant amount of yeast like beer or other fermented beverages.

How does my plate look like?

My healthy plate

Portion size

Half plate of vegetables

  • Take 1 portion of vegetables in every main meal
  • Take 1 portion of fruit as a snack during middle morning and/or afternoon. Prefer the whole fruit instead of fruit juices.

A quarter plate of grains

A quarter plate of grains
  • Depending on your age and gender, take 4-6 portions a day

A quarter plate of protein to choose among:

Eggs

  • Use not more than 3-4 egg yolks per week. If you want to exceed the consumption, you can take egg white
  • Portion size: 2 eggs or 1 egg + 1 white.

Poultry and meat

  • Limit red meat like beef, pork, mutton, duck to 1-2 times per month. Prefer chicken and turkey.

Fish and seafood

  • Consume fish 3-4 times per week.

Dairy Products

  • Use 1 portion of low-fat milk or yogurt per day (preferably during breakfast or snacks)
  • Use not more than 1-2 portions of low-fat cheese per week.

Legumes

  • You can have lentils, red lentils, chickpeas, peas, firm or plain tofu 1-2 times per month after a long soaking and boiling.
  • Portion size firm or plain tofu 120 – 140 g.

Healthy fat

  • Use one portion of nuts, seeds or nuts spread for breakfast or as a snack.
  • Use 3-4 tablespoons of good oils per day.

Source pictures: www.healthhub.sgwww.eatrightontario.ca

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