Low Purine Diet (Uric Acid)

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

Milk and dairy products

Food allowed	Food not allowed/ to reduce	Tips/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 allowed	Food not allowed/ to reduce	Tips/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 allowed	Food not allowed/ to reduce	Tips/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?

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 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

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

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