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Low Purine

Regality's picture

Low Purine (post #62750)

My SO has just been diagnosed with uric acid kidney stones.  His doctor has said not to go overboard, but I would like to try to help him follow a low purine diet as much as possible.  However, every time I try to create a low purine menu, I realize that something is not allowed in his diet.  It's very frustrating.  Can anyone recommend a low purine cookbook?

 


“For me, patriotism is the love of one’s country, while nationalism is the hatred of other peoples.”–Dmitri Likhachev


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Adele's picture

(post #62750, reply #1 of 39)

Tons to browse through on google:  http://www.google.com/search?hl=en&q=+low+purine+cookbook&btnG=Google+Search


Don't have a T&T, but I'll ask a guy at work if he knows a cookbook, he has gout.  (That came up with purine)


Edit:  When I think of gout, I picture a fat king on a throne with his crown tilted, a bottle in one hand and a drippy beast in the other, his leg wrapped up and propped on a stool.  D at work is skinny as a rail. 


But, but, it's SUPPOSED to taste like that!


Edited 8/1/2006 10:10 pm ET by Adele

But, but, it's SUPPOSED to taste like that!

Regality's picture

(post #62750, reply #2 of 39)

It looks like the majority of the Googles are limited to Gout Haters, 2 of which were available via Amazon, so I've gone ahead and ordered the series.  If your friend has some other reference, I'll probably order that as well.  Thanks.


 


“For me, patriotism is the love of one’s country, while nationalism is the hatred of other peoples.”–Dmitri Likhachev


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Adele's picture

(post #62750, reply #6 of 39)

Dave's reply was:  Cookbook?  COOKBOOK?   He was basically told to stop eating at fast food places every meal, every day.  


But, but, it's SUPPOSED to taste like that!

But, but, it's SUPPOSED to taste like that!

Regality's picture

(post #62750, reply #7 of 39)

My SO has eaten a moderate amount of fast food, so cutting that out will help; but, as you can see from the list below, if he really has to adhere strictly to the low purine lifestyle...it's going to be ugly.  We'll find out more later this month.


The following foods have very high purine levels, and should be avoided completely:



  • Anchovies
  • Bouillon
  • Brains
  • Broth
  • Consommé
  • Dried legumes
  • Goose
  • Gravy
  • Heart
  • Herring
  • Kidneys
  • Liver
  • Mackerel
  • Meat extracts
  • Mincement
  • Mussels
  • Partridge
  • Roe
  • Sardines
  • Scallops
  • Shrimp
  • Sweetbreads
  • Yeast (baker’s and brewer’s)
  • Yeast extracts (e.g., Marmite, Vegemite)

These foods have high purine levels



  • Fish
  • Shellfish
  • Poultry
  • Meat (except those with very high purine content, noted above, or those with moderately high purine levels, noted below)

These foods have moderately high purine levels




Best bets

 


 


“For me, patriotism is the love of one’s country, while nationalism is the hatred of other peoples.”–Dmitri Likhachev


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Heather's picture

(post #62750, reply #8 of 39)

The diet is grim--when I showed my husband the list he just refused. Fortunately he has a mild case and as long as he avoids a lot of the worst foods he is OK. His gout first showed up after two weeks in Italy where he drank lots of red wine and ate lots of bad proteins.

Regality's picture

(post #62750, reply #9 of 39)

We're hoping for that level of diagnosis.  Unfortunately, my SO has some other kidney problems, so we don't expect very good news.

 


“For me, patriotism is the love of one’s country, while nationalism is the hatred of other peoples.”–Dmitri Likhachev


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Glenys's picture

(post #62750, reply #16 of 39)

Don't forget to really kick up the water drinking. Flushing the system is really helps with kidney stones and gout. The first thing I'd lose is any food that's cured commercially, avoiding the sulphites and sulphates. Of course we don't want to lose all sulphites or we couldn't have our Parmigiano-Reggiano or Dijon mustard or wine, but we can give up the other stuff.

Regality's picture

(post #62750, reply #17 of 39)

Getting him to drink enough fluids is a big problem.  And on top of that, he's very athletic, so he needs extra hydration.  As far as the sulfs.--he wouldn't recognize real parm (even though that's what I use) if it bit him in the assets.  The green canister is one of his closest friend and unless I put Dijon in a dish, the plain yellow jar is also his friend.  And, am I wrong, isn't red wine the bigger culprit?  Anyway, it's white that he drinks with any meal, no matter what red I try to get him to try.  He's very loyal to his friends.  He eats whatever I cook and compliments me.  But that's no compliment.  He even liked the linguine Alfredo I accidentally made with presweetened cream (a shopping error) and never knew the difference. ROTFLMAO (I'm not fond of creamy/cheesy sauces on pasta, so I didn't partake and didn't realize my mistake until the deed was done and devoured.)


Dag as in Nabbit!  I can't get that dish right no matter how I try.  It was FETTUCCINE, not linguine.



 


“For me, patriotism is the love of one’s country, while nationalism is the hatred of other peoples.”–Dmitri Likhachev


http://regality3.livejournal.com/profile


 




Edited 8/2/2006 10:43 pm by Regality

Glenys's picture

(post #62750, reply #18 of 39)

Sulphites occur naturally in all wines but there are some with lower levels added during production. Anything processed is going to be worse for him than the wine. Get him drinking more water if he's so active. You're going to have to go fresher and leaner. No more Brillat-Savarin before steaks, monsieur!

Regality's picture

(post #62750, reply #30 of 39)

"No more Brillat-Savarin before steaks, monsieur."  Since cheese is allowed, it's more like "no steaks after Brillat-Savarin."  *L*

 


“For me, patriotism is the love of one’s country, while nationalism is the hatred of other peoples.”–Dmitri Likhachev


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Shaye's picture

(post #62750, reply #21 of 39)

My DH gets the occasionally bout of gout, and he was the same way at first. After the pain gets bad enough, it's amazing how much easier it is to get him to drink his water and follow the low-purine diet. ;-)

Jean's picture

(post #62750, reply #22 of 39)

After the pain gets bad enough, it's amazing how much easier it is to get him to drink his water and follow the low-purine diet.


Absolutely!  And it's great to cook foods that he can eat, but he only has himself to blame for eating stufff he knows is bad.  I also suffer from gout that is exacerbated by one of my blood pressure meds. I have to be very religious about my water intake and I also am taking Allopurinol every day to prevent it.




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Regality's picture

(post #62750, reply #29 of 39)

You'd think.  But he passed a couple of kidney stones.  Drank lots during the attack.  Has slacked off now.  I nag sometimes, but this is really something he needs to learn on his own.  Maybe after a couple of episodes.....*sigh*

 


“For me, patriotism is the love of one’s country, while nationalism is the hatred of other peoples.”–Dmitri Likhachev


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Gretchen's picture

(post #62750, reply #15 of 39)

My DH has it also and takes some med for it.  One time he had an infection in a toe that was gruesome.  An infectious disease doc drained it for him (Sunday morning, on the way to family reunion). Then went to the orthopod who said osteomyelitis. Operated. Gout.

Gretchen

Gretchen
Heather's picture

(post #62750, reply #19 of 39)

That medication is magical!

Gretchen's picture

(post #62750, reply #23 of 39)

He has had breakthroughs.  I don't know what it is but twice in France we have been on the phone (a pay phone on the street, of course!!) trying to reach his doctor.  Thank heaven for the time difference!!

Gretchen

Gretchen
Adele's picture

(post #62750, reply #10 of 39)

That is rough.  Makes it hard for vegetarians too, or looks like it would.

But, but, it's SUPPOSED to taste like that!

But, but, it's SUPPOSED to taste like that!

MadMom's picture

(post #62750, reply #11 of 39)

I was just thinking that it would be more for vegetarians than carnivores!



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Adele's picture

(post #62750, reply #13 of 39)

I saw soy & legumes, thought veg people ate a lot to make up for meat.

But, but, it's SUPPOSED to taste like that!

But, but, it's SUPPOSED to taste like that!

AmyElliesMom's picture

(post #62750, reply #12 of 39)

I have the same issues with my mom and a general low protein diet, but worse, since she's no/low cheese, as well.

A visit with a dietician would be the most helpful, to find out how much purine is allowed each day. I know for diabetes and Mom's kidney disease, we're told how many grams of carb and protein we're allowed. I get more protein and less carb. Mom gets much less protein and makes up the calories with more carb.

So, it's also important to know what to replace the missing protein calories with. I'd have some questions, too, like is yeast raised bread okay?

In the meantime, I'd supplement his diet with larger portions of "allowable" foods, and continue to make the same protein dishes you usually do, but serve him smaller portions. That's what I found to be easiest for Mom and I. FWIW, she's allowed 1-2 ounces of protein per meal.

 


What disease did cured ham have, anyway?

 

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Regality's picture

(post #62750, reply #14 of 39)

"and continue to make the same protein dishes"


At this point, that's rather what I've been doing.  And, yes white bread is okay.  Whole grain bread and shredded wheat were easy, in a way, to eliminate, since there are plenty of subs.   


 


“For me, patriotism is the love of one’s country, while nationalism is the hatred of other peoples.”–Dmitri Likhachev


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AmyElliesMom's picture

(post #62750, reply #20 of 39)

Yeah, Mom can't have whole grain anymore, either. It'd be easy for me, since white bread is one of my guilty pleasure foods, but she loathes it. Rye bread, btw, isn't a whole grain. At least the Arnold Melba thin isn't. TracyK sent me a bread machine, and I've been making Moomie's buns into loaves for Mom, and she likes that, too. Goes bad really quick in this heat, though, bah.

Special diets can really suck sometimes. I miss cheese the most. But, I'm losing weight b/c I dont' eat so much cheese, so it's better for both of us.

 


What disease did cured ham have, anyway?

 

Save the Earth! It's the only planet with wine and chocolate.

Marcia's picture

(post #62750, reply #24 of 39)

Most rye bread is bleached wheat flour, with a little rye flour mixed in, and a lot of coloring.

AmyElliesMom's picture

(post #62750, reply #25 of 39)

Yeah, but it's not whole grain, so it's okay for Mom. It's the whole grain that has more protein, which is what she has to avoid. Even homemade rye bread isn't all rye flour. I should try a loaf of homemade in the bread machine...

 


What disease did cured ham have, anyway?

 

Save the Earth! It's the only planet with wine and chocolate.

Marcia's picture

(post #62750, reply #27 of 39)

Sorry, I meant that it would be fine for your mother.

AmyElliesMom's picture

(post #62750, reply #28 of 39)

Oh, duh. Lack of inflection strikes on the internet strikes again!

 


What disease did cured ham have, anyway?

 

Save the Earth! It's the only planet with wine and chocolate.

Astrid's picture

(post #62750, reply #26 of 39)

I can figure cornbread or corn pudding, roasted fresh vegetables with cheese, and fresh fruit salads. Summer is so wonderful for fresh food, it will be the winter fare which will tax your ingenuity.

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Adopt the pace of nature; her secret is patience. Emerson

New Mexico home organic gardener Adopt the pace of nature; her secret is patience. Emerson
Regality's picture

(post #62750, reply #31 of 39)

As great as the summer season it, without the meat, seafood, etc., it is going to a very long season.

 


“For me, patriotism is the love of one’s country, while nationalism is the hatred of other peoples.”–Dmitri Likhachev


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Gretchen's picture

(post #62750, reply #32 of 39)

The part of the country we live in is sometimes called "kidney stone alley". Don't remember if it is the water or what. That doesn't seem to be the problem of DH or other friends who have gout.  Interesting.

Gretchen

Gretchen
Regality's picture

(post #62750, reply #33 of 39)

There are different causes of kidney stones. This article might help:  http://health.yahoo.com/topic/weightloss/resources/article/healthwise/hw204182;_ylt=ArQOAZF1qWtxvSdP.ZM1K0zqNs4F

 


“For me, patriotism is the love of one’s country, while nationalism is the hatred of other peoples.”–Dmitri Likhachev


http://regality3.livejournal.com/profile