Gout: Alcohol and Fructose Outrank the Purine Dogma, and Diet Alone Rarely Controls It

Summary

The popular gout model — "it's rich-man's disease, just avoid red meat and organ purines" — gets the levers wrong and the cure wrong at once: alcohol (especially beer) and sugar-sweetened fructose drinks and excess weight move urate as much as or more than purine-rich foods, while coffee, low-fat dairy, vitamin C and cherries are modestly protective and purine-rich **vegetables** do nothing — yet even the full dietary stack lowers serum urate only modestly (generally under 10 to 15%, below the drop needed to dissolve crystals), because diet explains less than 1% of urate variance against rough