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Eat plenty of enriched bread on a low-purine diet.
Your doctor may place you on a low-purine diet if you've been diagnosed with gout or kidney stones, or if you've recently had organ transplant surgery. Purines are compounds that occur naturally in some foods. When you consume purines, your body breaks them down into uric acid. A diet that includes too many purine-rich foods results in high blood uric acid levels, which can cause or exacerbate conditions like gout. Following a low-purine diet can help you manage your symptoms, though the diet itself isn't a definitive treatment for any medical problem. Talk to your doctor or a dietitian if you need help designing a balanced low-purine diet that you can follow long term.
According to the University of Pittsburgh Medical Center, you can eat three servings of nearly any vegetable while on a low-purine diet, with 1 cup of raw vegetables or 1/2 cup cooked vegetables being equivalent to one serving. The only high-purine vegetables that you should avoid eating more than twice a week include asparagus, spinach, mushrooms, cauliflower and all beans and peas.
All types of fruits and fruit juices are allowed while you're on a low-purine diet, with one exception -- avocados, which are high in saturated fat that can inhibit the elimination of uric acid, reports MayoClinic.com. Aim for two to four servings of fruit daily. A single medium-sized piece of fruit, 1 cup of sliced fruit or 1 cup of fruit juice all count as a serving.
Each day, you can have six to 11 servings of grains like rice, pasta, potatoes or bread on a low-purine diet. Choose mainly enriched products, limiting your intake of whole-grain or whole-wheat items like bread, oatmeal or bran to only two servings per week. A grain serving is considered a slice of bread, 1/2 cup of cooked pasta, rice or cereal or 1 cup of ready-to-eat breakfast cereal.
MayoClinic.com cautions that beef, poultry, fish, shellfish, pork and lamb all contain a high concentration of purines. Because of this, people on a low-purine diet should have no more than 4 to 6 ounces of these protein sources per day. You should also strictly avoid organ meats, goose, mussels, scallops, herring and mackerel, which have the highest amounts of purines. Use eggs, nuts and nut butters like peanut butter as additional protein sources.
Low- or nonfat dairy products like milk, yogurt or cheese are good choices for a low-purine diet. You can have up to two servings daily, with a single serving being 1 cup of milk or yogurt, or 1 ounce of natural cheese. Avoid cream, sour cream and full-fat dairy products.