Keto and Carnivore's Biggest Fear: Gout and High Uric Acid

Рет қаралды 20,341

2 жыл бұрын

There is nothing as angry and painful as a 'Gout Attack' as Benjamin Franklin would say. Gout and high Uric acid is NO joke and there's plenty you can do about it. Certainly knowing how to keep your UA (uric acid) down is a start. Let's learn how.
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Пікірлер: 98

@RobertTaylortaytorhead 2 жыл бұрын

I went on a starch diet because I had gout the symptoms went way down but it's still there. I went on keto and after about 6 months no more gout.

@johnallen7367 8 ай бұрын

I had some gout, and certainly uric acid pooling in joints causing pain. Since carnivore (5mths), i have zero issues with these. I went off coffee about a month in, because it wasn't doing it for me anymore. I have cured all my chronic illness, including inflammation and arthritis. Carnivore is astonishing. I also have lost 60lbs in that 5mths.

@pomanprod Жыл бұрын

High Uric acid will also lead to kidney stones. I switched to keto 5 years ago and within 2 years got kidney stones. Looked up keto research for epileptic kids and this was their experience within 6 months of strict keto for epilepsy. Fix was to increase intake of water with 2000 mg (2g) of potassium citrate. I usually take 2-3 g of potassium citrate plus 1 g of magnesium citrate in 2-3 liters of water each day. Also reduced my meat intake which was just about every meal for my one-meal-a-day pattern.

@hailygirllivingston693 2 жыл бұрын

Love this...thanks for going where few others go!

@lynnknight2192 2 жыл бұрын

Great location there .... much enjoyed your sharing it ..... while I enjoy my cup of coffee. Keto five years, no gout here, thankfully.

@AlfredoLopez-gp6en Жыл бұрын

How about kidney stones?

@glassdaft 2 жыл бұрын

This is fascinating, thank you. Your analysis is very worthwhile and I appreciate it greatly as I try to navigate my way to a genuine healthy eating lifestyle. Having being obese and dropping 70lbs last year following a Keto/ low carb lifestyle finding a forever path in maintenance is my primary focus. It’s easy get get swept up with flashy presentations however I really appreciate your measured approach. Absolutely loving the outside shots too.

@ghuzlan1 2 жыл бұрын

Great information, thank you

@antoinetteblair4 2 жыл бұрын

Love this format!

@78cheerio 10 ай бұрын

Yes I like these topics that you devolved deeper in to.

@petercyr3508 2 жыл бұрын

I was on keto way before my attack and my UA was measured. I also measure at home with a UASure II. I have found that extended fasting raises it about .5 mg/dl . I have gotten a dramatic reduction in UA with just 100 mg allopurinol and 500 mg quecertin. From around 8 into the low 4s. I believe the main cause of high UA is consumed fructose. On keto, not an issue so it allows the medicine to work at a low dose. The other ingredient for gout is inflammation. Keto is naturally anti inflammatory so that is a major factor.

@thomasrobinson4401 2 жыл бұрын

Nice one Doc 👍

@eclecticmemes 10 ай бұрын

I have a few observations for someone that may help them. I discovered my life long, chronic, left foot back of heel and bottom of foot pain, and two time "spontaneous broken bone" of the 3rd metatarsal of my right foot was in fact gout. My podiatrist diagnosed the heel pain as plantar fasciitis, and he Xray "confirmed" partial fracture of the foot bone due to "low Vitamin D levels" despite my statement that I had no prior injury, and just "woke up" in the morning with the "fractured" foot. How did I correlate these to gout? I had a medical emergency in Thailand which caused me to not eat for a week. After being discharged from the hospital, two days later I woke up with my right big toe hot, swollen, inflamed and feeling just like the prior fractures. I returned to the ER, explained my history of spontaneous fractures, and the admitting nurse said 100% you have gout, it's not broken. Well two Xrays later, blood test that confirmed Uric acid level of 16 (more than double the high!!!!), a shot of something, and some colchicine and allopurinol, and not only did the big toe pain go away, my chronic plantar fasciitis disappeared too! Damn! I should have gotten a second opinion all those years ago...... Anyway, because I'm a retired Molecular Biologist, I went to try to figure out what happened. Turns out that kidneys preferentially secrete ketone bodies over uric acid. Thus having higher levels of ketone in blood, due to the unintentional 7 day water fast, uric acid levels will also increase. Throw in the comorbidity of stage 3 kidney disease, high blood pressure, and antidiuretic drugs, and wham it only took a week to drive a major gout attack after years of semi serious chronic pain. 6 years later, and while I'll have an occasional gout attack, I've never had the "plantar fasciitis" symptoms again. 30 years of sometimes unbearable pain gone.

@ursuladozier3296 2 жыл бұрын

Excellent teaching video

@kymhocaluk9408 2 жыл бұрын

Luv the talks by the lake❤️🇨🇦

@Fian_so Ай бұрын

That was very educating , would like to have some sources ! Doc

@lizkeith1356 2 жыл бұрын

great video. thanks

@DrKarlGoldkamp-KetoNaturopath 2 жыл бұрын

You are welcome!

@AlfredoLopez-gp6en Жыл бұрын

Thank u so helpful

@RecoveryTidbits 2 жыл бұрын

Interesting content. I too love liver but my content in the pate is half liver, half heart (pretty much, hard for me to measure). I add butter for some fat. I don’t drink, don’t do any coffee ever, but do drink some tea. My main need is for vitamin B and iron. I had tried to add kidney but wasn’t finding any I like the looks of. Really interested in the follow-ups to this. I may look harder and make a kidney, liver, heart combination when i get back to Texas and can eat more normally again. I did bring some of the heart/liver pate mixture i make as i am at the nola jazzfest and most nutrients happen at breakfast, 😂

@shekeliasmith5103 Жыл бұрын

Thank you

@paulettehutterer963 20 күн бұрын

Thank you!

@Sherlock_nohtreal 2 ай бұрын

My uric acid was 18 at 6 months into carnivore. Asymptomatic of any complications and felt great (also no trace of kidney stones as I had kidney ultrasounds done within that time). Urologist recommend I stop immediately. I see a urologist for elevated creatinine (1.2-1.3 on average) but cystatin C is normal (0.8). I can't get an answer from any of the pro carnivore docs regarding their experience on the matter, such as how long Uric acid typically stays elevated on carnivore. I really enjoyed carnivore - best I ever felt - not fearful of it being short term gains with long term losses.

@biorythmicshifter Жыл бұрын

Isn’t one of the primary things to look at is this is essentially acidosis. Eating any acid ash diet will compound the issue. Realistically wouldn’t the best way to deal with any level of acidosis is to consume a diet high is electrolytes for hydration, basically a raw plant food especially fruit?…I personally know a few people that suffer from extreme gout and their diets are all similar. I transitioned to a whole food plant based diet and I don’t have any of the issues my friend do. Dr. Morse brings up some very valid points concerning this exact issue and he successfully resolves this issue for countless patients he treats. If it makes sense I’ll try it and so far getting away from animal protein has been a godsend. Just expressing my journey, not saying it’s “better” just another approach…

@tomprovan50 Ай бұрын

great video

@sadsees5481 2 жыл бұрын

Hi dr Shall i take Allopurinol, as i have exhausted everythings you mentioned but my UA still at 6

@Christine-xs2of 2 жыл бұрын

Thank you 🙏

@karlgoldkamp8490 2 жыл бұрын

You bet.

@lizisler9415 Жыл бұрын

I ate so much meat I ended up with high B blood levels. But not gout or uric acide. The reason is I kept on my anti-inflammatory diet. Lots of things like alcohol and pro inflammatory foods contribute to it.

@CornCod1 4 ай бұрын

I used to tend toward gout when I was on keto and/or carnavore. My gout triggers were beef and sometimes pork, so I limit those meats to a couple times a week and the gout stays away. I end up eating a lot of ground chicken.

@jons2447 2 жыл бұрын

Thank you, Dr. Goldkamp! I need some information. How can we communicate? Have a GREAT day, Neighbor!

@DrKarlGoldkamp-KetoNaturopath 2 жыл бұрын

my email is in the descriptin of this video.

@ciskokidd5980 2 жыл бұрын

I'm interested in everything you are, dig all your productions deep segments, or long studies. by the by, nice foot ware, just started trying them out a year ago. let that toe box area of the foot splay out. I'm into going barefoot as much as possible, minus the goat heads and sandburs.

@mikel9741 10 ай бұрын

Lots of talk about what we eat (purines) that result in higher levels of UA. What I didn't hear you discuss (unless I missed it), is that your body manufactures UA even when you have not consumed foods that contain purines. Like at a 2:1 ratio versus what you eat. There are many good things about UA that your body requires. What's more, you didn't talk about the reasons why your body would produce more UA than it needs and why your kidneys are not properly expelling it in the urine. The fact is, no one knows with certainty what causes gout. I suspect there is more to this and from my research (BTW, I suffer from gout flareups) I don't think this video covers it. Regardless, thank you for the time you took to produce this video.

@DrKarlGoldkamp-KetoNaturopath 10 ай бұрын

covered all that in other videos: kzfaq.info/sun/PLa0O8ZbBUKLeWiXAfOBfHCeh6k8VPC_8u

@krisjustin3884 Жыл бұрын

I like your discussions by the dock. From personal experience, coffee is helpful and I have found green tea to be highly effective as well, perhaps in the way it seems ( to me anyway) to wash out the kidneys with its diuretic effect. After a liter of green tea, and bathroom visit, my gouty toe lost the red inflammation and felt better. Rather surprised research hasn’t found it so useful.

@DrKarlGoldkamp-KetoNaturopath Жыл бұрын

Interesting observation and nice outcome.

@krisjustin3884 Жыл бұрын

@@DrKarlGoldkamp-KetoNaturopath Thank you. Sometimes the best researchers are patients themselves because they have to be.

@bustjanzupan1074 9 ай бұрын

@@DrKarlGoldkamp-KetoNaturopath Doctor, i just got gout starting a week ago, but accelerating trough this weekend into a extreme ( both legs, ankles and toes) , but, i am a vegetarian for more than 30 years , light weighted, stopped completely wine almost 2 months ago, so no alcohol. But, now it does not want to let me go . What do you suggest ? Thank you .

@DrKarlGoldkamp-KetoNaturopath 9 ай бұрын

@@bustjanzupan1074 Bustjan, A couple of things: I can't just tell you what to do - it would cause the channel to be banned; 2nd, each person is different. I know that sounds obvious and is the opposite of the marketers what you to believe. The core of what is necessary to improve for each person is understanding that person's specific context of genomic SNPs, the nutritional needs for them, and to track their diet thoroughly to identify their eating patterns. All that is work that most people don't want to do. I can only say what has helped me now which might not be helpful for you. Liposomal vit C magnesium citrate thiamine increase water intake -- if low

@sandraekhoff8937 Ай бұрын

Dr. Please can you make a video about SATURATED FATS and their relationship to URID ACID???? Please, please. I love your videos very informative and fun fun to watch. tk u Doc!!! I am not Keto, but I don't eat sugar of any kind except from fruit which I consume with its fiber. Do my own 🥑 oil, Coconut Oil, Ghee. I fry some of my food in pork fat that I buy directly from the butcher. Eliminated High fructose and regular sugar and refined carbohydrates. NO Oils from the store...... I have symptoms of gout

@AmericanRoads Жыл бұрын

My uric acid is 9, and I have not had a single gout attack ever since I started on my ketovore diet. It seems that elevated UA alone does not necessarily cause gout. Perhaps, my ketovore diet has made my body to be much less inflammatory and prevented the gout flare-up.

@DrKarlGoldkamp-KetoNaturopath Жыл бұрын

Great comment and that is true for many. Context is king in terms of elebated UA and what it may cause or not cause. I'll be doing more on this topic around the idea of what I called the Uric acid Matrix and how the collective of relevant factors are what contribute to elevated UA.

@thefitmoves 8 ай бұрын

Thank you for sharing! It's helpfulul

@vistacendhani 2 ай бұрын

Mine is also 9. Also no symptoms. But I’m worried how it will affect my kidneys. My doc prescribed allopurinol. Any thoughts?

@mrright1068 2 ай бұрын

Been on keto for 6 months and back struggling with the old enemy gout. UA was 5.3 went on a fast only 36 hrs and went to 6 and bang gout flare. Is there any truth that while you are on keto that the ketones and UA compete for excretion? Is there any truth that as you lose weight your body can release UA stored in fat that is being burned that can cause UA to go higher? Thank you for your work.

@DrKarlGoldkamp-KetoNaturopath 2 ай бұрын

You're mostly correct. talked about this in podcasts and other video. as you burn fats (and not all fats are equal here) your ketone do increase if you're not metabolically flexible, meaning that you it is uncomfortable for you to use fat to make ketones as fuel. Eventually your ketone do come down but that amount of time varies per person of course. Here's a playlist I did on UA. : kzfaq.info/sun/PLa0O8ZbBUKLeWiXAfOBfHCeh6k8VPC_8u

@gregbannish8423 5 ай бұрын

Just went off pescatarian keto and started vegan 2 months ago, and having a gout attack now for 2 weeks! I eat no sugar except a few berries, but eating high carbs ie potato, rice, etc. While on keto, my gout attacks were pretty infrequent and short-lived. I might have to go back to keto. Fyi, uric acid was 8.8...

@DrKarlGoldkamp-KetoNaturopath 5 ай бұрын

Yes there's a lot of trial an error. Good work.

@sprowand4795 2 жыл бұрын

Thanks Doc! What do you think is the reason behind your wife’s high HsCRP? I have the same issue. I’ve been trying keto/carnivore for the last several months and while most metabolic markers look good, HsCRP is going up. Not sure where to look next? 🤔

@DrKarlGoldkamp-KetoNaturopath 2 жыл бұрын

For my wife, I believe it is related to her elevated homocysteine and low vit D. She has a few SNPs that pre-dispose her to having elevated homocysteine and low glutathione. That is my reasoning.

@carmenross1077 2 жыл бұрын

I’m taking Vascepa capsules what do you think of it, thank you

@DrKarlGoldkamp-KetoNaturopath 2 жыл бұрын

it's a pharmaceutical form of omega 3. Nothing bad. Why not just take omega 3? fish oil?

@kidman807 11 ай бұрын

it is so lovely place, where is it filmed?

@DrKarlGoldkamp-KetoNaturopath 11 ай бұрын

Eastern North Carolina

@EG-nx3sl 4 ай бұрын

I’ve been low carb for four years, UA stable 5-5.5 during that time. Recently I went keto and upped meat intake, and UA went up to 6.1. I was confused why this happened because all other metabolic markers are getting better, now I know it might be ketosis, and higher meat intake. I want to stay in ketosis though, so maybe I’ll eat less meat again.

@markhamblin8194 10 күн бұрын

Did you know he's a liver lover? Yep he's a liver lover! Liver lover liver lover liver lover........

@moneymanusa7 Жыл бұрын

Doc I saw your what I eat in a day video and I still don’t know where you get your omega 3’s. You didn’t eat any fish

@DrKarlGoldkamp-KetoNaturopath Жыл бұрын

we do regularly. just didn't that day.

@ansebbianslip 2 жыл бұрын

[A] Very high in polar bear liver - that was random, but funny

@tubegp5375 2 жыл бұрын

if vitamin d3 is high than high vitamin a becomes less toxic

@DrKarlGoldkamp-KetoNaturopath 2 жыл бұрын

Partly true... far from any degree of certainty. Vitamin D isn't 'the tide that rises all boats' but yes is additive and would be more beneficial if higher.

@DrKarlGoldkamp-KetoNaturopath Жыл бұрын

@r s UA for men too high is over 7 generally, but the current growing consensus is better it keep it 5 or below.

@dq7143 9 ай бұрын

Dr. Karl. you must have very healthy eyes with all the vitamin A you take.

@jerrycash5606 Жыл бұрын

Hay Doc, what would I be lacking when my heart rate is @ 100 BPM while doing keto?

@DrKarlGoldkamp-KetoNaturopath Жыл бұрын

too general of a question Jerry. Many possibilities

@jerrycash5606 Жыл бұрын

@@DrKarlGoldkamp-KetoNaturopath thank you anyway. You're appreciated.

@LorianR 4 ай бұрын

You forget to name prolongued fasting. Both of the times I had gout was due to a more than a 3 week fasting period of time. I reached very high levels of uric acid (around 10), specially the first time. Very bad stuff, really. I managed to down it to 6 but it took me months. The second time wasn’t that bad, but still

@DrKarlGoldkamp-KetoNaturopath 4 ай бұрын

Actually I have gone over that a number of times and in podcast as well. Here's the playlist on UA : kzfaq.info/sun/PLa0O8ZbBUKLeWiXAfOBfHCeh6k8VPC_8u

@fritz2259 10 ай бұрын

I know the videos a year old I just saw it I have very high uric acid I've been on keto for more than a year about 60 lb never really ate sugar Don't drink alcohol and my uric acid is still high I can't drink coffee it gives me heartburn any other suggestions I do eat red meat daily

@katrinjl0103 3 ай бұрын

Did u find a solution for your high urin acid?

@fritz2259 3 ай бұрын

@@katrinjl0103 No ya have one ?

@katrinjl0103 3 ай бұрын

@@fritz2259 there are studies that vitamin c should help. I take 2 g per day and see what the bloodwork in June says

@fritz2259 3 ай бұрын

@@katrinjl0103 I do take vitamin c but not that high of a dose I will try upping the dose I appreciate you taking the time to answer my question Thank you

@ivorybow 9 ай бұрын

I was vegetarian over 40 years. Then became severely ill and began eating meat, which improved my health some. Last year I had a severe attack of gout, which persists. Life long tee totaler, and never once in my life ate shellfish, liver, organ meats. I went ketovore with about 15-20 gm carbs per day in berries, fresh greens, and cheese, and still have gout. I drink a cup of fresh ground coffee every day. I tried full carnivore but I have severe meat aversion and I am working with that. Four months ago I was diagnosed with pre-diabetes and I take metformin. None of this makes any sense. I have lost 52 pounds in the last 8 months due to cutting out all carbs and sugar. I have such severe inflammation, that upon rising, it takes me hours to be able to walk normally due to pain. Strange and frustrating. My doctors cannot help me and I refuse to take more drugs.

@DrKarlGoldkamp-KetoNaturopath 9 ай бұрын

Ivorybow it is not easy for many people. I know that we want to believe that there's a 1-size fits all approach for this. In a way there after people get some comprehensive labs. At least that's my belief and what I believe people need. We are all different and labs help to define that and help direct us to what we need to do for ourselves personally. I know I could have figured out what to do without knowing what my situation was as define by comprehensive understanding of my context through labs.

@DrKarlGoldkamp-KetoNaturopath 9 ай бұрын

ivorybow email me. If I make any recommendations here personally I will be even more banned that I am now.

@ivorybow 7 ай бұрын

@@DrKarlGoldkamp-KetoNaturopath Thank you. I messaged you on your website. I am just getting through a terrible flare. So sick on colchicine...ugh!

@DrKarlGoldkamp-KetoNaturopath 7 ай бұрын

colchicine is difficult. Hand in there.@@ivorybow

@realthatbrian 5 ай бұрын

Read "Drop Acid"

@DrKarlGoldkamp-KetoNaturopath 5 ай бұрын

I did. Nothing new. It's marketing and clearly omits some major issues in order to strickly fit the polyol pathway theory.

@EG-nx3sl 4 ай бұрын

If UA “rockets” from ketosis, when does it come down?

@DrKarlGoldkamp-KetoNaturopath 4 ай бұрын

It varies. We are not 1-sized-fits-all. Generally 2 weeks to 2 months depending on one's specific history.

@DrKarlGoldkamp-KetoNaturopath 4 ай бұрын

on my podcast channel I've done a few episodes on this: start here if interested: www.buzzsprout.com/482971/10562938-207-keto-saturated-fats-and-uric-acid.mp3?download=true

@jokerfleckcast3196 Ай бұрын

@@DrKarlGoldkamp-KetoNaturopathi lost weight from predominently reducing carbs. Didnt have any gout for about a year, now suddenly had it on left foot. Would that be elevated level because of the intermittent fasting that ive been doing?