Gout - Anyone ?

[metallica121]

I started going to the gym at the beginning of this year.
To complement by gym regimen, I started on a keto diet for a month in February. After a month, i.e from March I stopped the keto diet and started a high protein diet. My macros were 50% Protein, 30% Carbs and 20% Fat.
Most of the protein was from whey, poultry and eggs.

But in June (5 months since starting gym) - I had a first gout attack ever. I took rest, pain killers and went back to workout after a 2 week break.

Then I had a second gout attack in July. I wasnt expecting this. I have now stopped gym and the diet and confused what I need to do. The doctor has advised me to stop the diet and gave me colchicine for pain relief. I was told if it is my call if I want to start taking allopurinol for life.

My question is -

Has anyone been in similar situation? If yes, what did you do and how are you coping with it?
Having stopped the gym for over a month, I can see the results are being reversed and I am wary of going on a high protein diet as I still feel the tingle in my toe joints.

Is keto or high protein diet the root cause? What kind of exercises I can do?

Thanks in advance

DH suffers with gout and attacks are undoubtedly brought on when he isn't mindful of his food intake with regard to trigger foods (which is a shame for him as it rules out most of his favourite foods!). Not sure about the gym/exercise but you will probably have to find a diet that works for your fitness needs without being heavy on gout trigger foods/food groups!

Gout is caused by a build up of crystals of uric acid in your joints. Check out the work of Margaret Hills. In this case, diet is everything and you may have veered too far the wrong way.

www.margarethillsclinic.com/books-and-publications.html

Thank You both.

Basically the approach of GPs is to start on medication right away.

However, I was making good progress in the gym which is being hindered now, so I wanted to understand how does anyone who has gout manage and what tips they can give.

Thank You

Gout is associated with excessive intake of purines and/or impaired excretion of uric acid (breakdown product of purines). Impaired excretion is a more common cause of gout than excessive intake. The most common source of excessive purine intake is beer, but there are some other things to avoid: see patient.info/health/gout-leaflet/features/gout-diet-sheet. There are a few causes of impaired excretion, one of which is acidosis (low blood pH). This occurs in diabetic patients who are producing high levels of ketones. I don't know anything about keto diets but a quick search suggests these have to be carefully balanced to maintain blood alkalinity. Are/were you on an official keto-alkaline diet?

GPs will start you on pain/inflammation-suppressing drugs straight away because gout is horribly painful. Whether you go on to allopurinol or febuxostat once the attack has resolved depends on whether you have elevated serum urate concentration and whether you actually want to.