What is the effect of a carnivore diet on serum uric acid levels?

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From the Research

Uric acid levels can remain normal on a carnivore diet due to metabolic adaptations that offset the increased purine intake from animal products, as supported by the most recent study on gout pharmacotherapy 1. When transitioning to a carnivore diet, some people may experience temporary elevations in uric acid levels, but these typically normalize within a few weeks to months as the body adapts. The key factors that contribute to normal uric acid levels on a carnivore diet include:

  • Elimination of carbohydrates and fructose, which increase uric acid production
  • Increased uric acid excretion through the kidneys due to the ketogenic state that often accompanies a carnivore diet
  • Proper hydration, with a recommendation of at least 2-3 liters of water daily to help flush excess uric acid
  • Consuming adequate amounts of potassium-rich foods like organ meats to support kidney function and uric acid clearance For those with a history of gout or hyperuricemia, a gradual transition to the carnivore diet is advisable, and regular monitoring of uric acid levels with a healthcare provider is recommended, especially during the first few months of dietary change, as suggested by recent studies on gout management 2, 1. It is essential to note that individual results may vary, and some people may require closer monitoring or adjustments to their diet and lifestyle to maintain normal uric acid levels, as emphasized by studies on gout pharmacotherapy 3, 4, 5.

References

Research

What's new on the front-line of gout pharmacotherapy?

Expert opinion on pharmacotherapy, 2022

Research

An update on the pharmacotherapy of gout.

Expert opinion on pharmacotherapy, 2025

Research

The management of gout.

Australian prescriber, 2016

Research

[Treatment of gout].

La Revue de medecine interne, 2011

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