If you have gout, you know that lists of high and low purine foods abound. The best plan is to use them as a guide for a strict low-purine diet. Your goal is to develop a lifelong eating strategy, so focus on following a heart-healthy diet that includes all the food groups, especially vegetables, whole grains, plant proteins such as nuts and legumes and low-fait dairy. Keep refined carbohydrates and processed foods to a minimum.

Eat More of These Foods
These foods either lower uric acid levels or are good for the heart:
• Skim milk
• Low fat dairy products
• Whole grain foods
• Plant oils (olive, canola, sunflower)
• All vegetables
• Some fruits (those that are less sweet)
• Vitamin C supplements (500 to 1,000 milligrams daily)
• Coffee – if you already drink it
• Water

Limit or Avoid These Foods
These foods are high in purines, or are known to trigger gout attacks:
• Red meat and organ means (liver, tongue and sweetbreads)
• Shellfish such as shrimp and lobster
• Sugary beverages
• Excessive alcohol (more than one alcoholic drink for women and two for men within 24 hours)

Talk to Your Doctor About These Foods
Some foods associated with high uric acid levels are heart healthy. Your doctor can help you decide if they’re right for you.
• Moderate alcohol (one drink daily for women and two for men)
• Seafood (oily types such as salmon and mackerel)
• Fruits