Medication is not a cure-all. The best results usually come from more sustainable changes, and here’s how you do it, step by step:
Revamp your diet
Increase your intake of foods that help lower uric acid, including fruits, vegetables, whole grains, and low-fat dairy. Reduce foods that are high in purines, such as red meat, shellfish, sugary drinks, and alcohol-especially beer.
Eliminate excess weight
Obesity fuels uric acid production and impairs excretion. Even a modest reduction in body weight can reduce the risk of gout and lower uric acid, often eliminating the need for drugs.
Stay well hydrated
Adequate water intake is important in helping kidneys flush out toxins, including uric acid. Aim for two litres per day unless restricted by your doctor. Consider your medications. Some common blood pressure medicines (diuretics) can increase uric acid.
Talk to your doctor about whether alternatives may be available for you. Improve insulin sensitivity. Good blood sugar regulation, through diet or medication management, in turn fosters better uric acid regulation. Regular movement—whether that be walking, yoga, or strength training—builds metabolism and allows the kidneys to function more smoothly.
Use vitamin C judiciously
About 500 mg per day may lower uric acid modestly, but it’s not a replacement for medication in high-risk cases.
