Intended for healthcare professionals

Rapid response to:


Soft drinks, fructose consumption, and the risk of gout in men: prospective cohort study

BMJ 2008; 336 doi: (Published 07 February 2008) Cite this as: BMJ 2008;336:309

Rapid Response:

Re: Me , My Gout and Fruits

It is true that certain fruit will cause Gout.
Of course Alcohol inhibits the excretion of both Uric and Oxalic Acids,
those that cause Gout, and makes the attack more lasting.
There is NO "Normal" Serum Uric Acid level.
This "threshold level" can vary from person to person and depends on
family genes and background.

The fruit involved is usually high in Oxalic Acid which will play a "Cox
and Box" game with Uric Acid. The one will replace the other in causing

To wit: Summer berry fruit, strawberries, raspberries, gooseberries,
rhubarb, pineapple, figs, Apricot, nutmeg, persimmon, dates, mango,
mangosteen, durian, Citrus peel (orange, lemon or lime) i.e. marmalade,
and add on chocolate, coffee and strong (uric acid) tea.
Apart from Mango and Durian these are all Oxalic Acid containing fruits.
These other two are full of nucleo-protein hence the breakdown through
Xanthine to Uric Acid.

"Diet DOES play a part (the main part) in the causation of Gout", and much
ordinary "common" Arthritis too, also Carpal Tunnel Syndrome, Achilles
tendonitis, Tennis and golfer's elbow, or forearm, backache, etc.
Which is the reverse of the sales-talk when Allopurinol was first came on

The Uric Acid comes from the breakdown, via Alanine and Guanine, of the
Nucleo-protein DNA in the high quality fish and meat protein, such that
has a highly nucleated content and histology. Remember the cross-section
of tongue?
The treatment still remains old fashioned and cheap:
Meadow Saffron (Colchicine) plus the German Benzbromarone ("Narcaricin") ?
not yet available in England.
Lots of water, maybe with some Effervescent Potassium Citrate and
abstaining from those luxury foods and alcohol, until better.

To prevent and get rid of most kidney stones then consume three times a
day a portion, cooked or un-cooked, of the large "White Radish" called
Moolie in the Super-markets (maybe Indian shops) or "Daikon" in Japanese
shops. Japanese must have few if any kidney stones or crystals in their
This is as old-fashioned as the Great Fire of London and was recommended
by Nicholas Culpeper in his Herbal ? 1662. It works every time. Look it
Anecdote: Two mangoes a day bring on stiffness of my fingers in four
days. One mango a day will take 21 days to do the same.

Competing interests:
None declared

Competing interests: No competing interests

13 February 2008
31 BALMORAL PARK, #18-33, SINGAPORE 259858