Gout fish you can eat. Gout-Friendly Fish: Safe Seafood Options for Managing Uric Acid Levels
What are the best fish and seafood options for people with gout. How can a low-purine diet help prevent gout flare-ups. Which types of salmon, tuna, and shrimp are safest for gout sufferers to consume.
Understanding Gout and Its Relationship with Diet
Gout is a form of arthritis that affects millions worldwide. It occurs when uric acid crystals accumulate in joints, causing severe pain, swelling, and inflammation. But what causes this buildup of uric acid?
The body produces uric acid when it breaks down purines, which are naturally found in many foods. Normally, uric acid dissolves in the bloodstream and is excreted through urine. However, problems arise when the body either produces too much uric acid or the kidneys cannot eliminate it efficiently enough.
The Impact of Gout Attacks
Gout attacks can be sudden and excruciating, often occurring without warning in the middle of the night. The affected joint becomes hot, red, and swollen, with pain that can be unbearable. These attacks frequently target the big toe joint, a condition known as podagra.
How long do gout attacks typically last? Attacks can persist for days or even weeks, significantly disrupting daily activities and quality of life.
The Role of Diet in Managing Gout
While medication is crucial for managing gout symptoms, diet plays a significant role in prevention. A low-purine diet is an effective strategy for reducing the frequency and severity of gout attacks.
Recommended Purine Intake for Gout Sufferers
What is the recommended daily purine intake for individuals with gout? The American College of Rheumatology suggests limiting purine consumption to no more than 400 to 500 milligrams per day. Some research even indicates that lower intake may be more beneficial.
A 2012 study published in the New England Journal of Medicine found that men who consumed less than 100 mg of purines daily had a significantly lower risk of gout attacks compared to those with higher purine intake.
High-Purine Foods to Avoid
Certain foods are high in purines and can increase the risk of gout flare-ups. Which foods should individuals with gout limit or avoid?
- Red meat
- Organ meats
- Some types of seafood
- Alcoholic beverages, especially beer
Gout-Friendly Seafood Options
Not all seafood and fish are high in purines. Several options are safe for individuals following a gout-friendly diet due to their low purine content.
Salmon: A Nutrient-Rich, Low-Purine Choice
Salmon is an excellent option for gout sufferers looking to incorporate more fish into their diet. It’s rich in omega-3 fatty acids and relatively low in purines. Which types of salmon are particularly suitable for a gout-friendly diet?
- Wild Alaskan King Salmon: 67 mg purines per 3.5 oz
- Wild Alaskan Sockeye Salmon: 63 mg purines per 3.5 oz
These purine levels are considerably lower than those found in red meat and organ meats, which can contain several hundred milligrams of purines per 3.5 oz.
Canned Tuna: A Convenient Low to Moderate Purine Option
While some varieties of tuna are high in purines, certain types are considered safe for people with gout. Which types of tuna are best for a gout-friendly diet?
Skipjack and albacore tuna are low to moderate in purines and provide a good source of omega-3 fatty acids and protein. Canned albacore tuna typically contains about 84 mg of purines per 3.5 oz, slightly lower than fresh albacore tuna at 90 mg per 3.5 oz.
Shrimp: A Low-Purine Shellfish Option
Unlike many shellfish that are high in purines, shrimp contains relatively low levels, making it a suitable option for gout sufferers when consumed in moderation. Shrimp also provides valuable protein and essential nutrients.
Wild Alaskan spot prawns, for instance, contain approximately 93 mg of purines per 3.5 oz when cooked. While slightly higher than some other seafood options, this is still considered low compared to red meat, organ meats, and high-purine fish like anchovies and sardines.
The Surprising Truth About High-Purine Vegetables
Interestingly, while some vegetables have high purine content, research has shown that they don’t significantly affect gout flare-ups. Should gout sufferers avoid high-purine vegetables?
Contrary to what one might expect, it’s recommended to continue eating all vegetables, including those high in purines. Studies have found no significant correlation between high-purine vegetable consumption and increased gout attacks.
Developing a Gout-Friendly Diet Plan
Creating a balanced, gout-friendly diet involves more than just avoiding high-purine foods. How can individuals with gout develop an effective dietary strategy?
- Focus on low-purine protein sources like salmon, certain types of tuna, and shrimp
- Incorporate a variety of fruits and vegetables, regardless of their purine content
- Stay hydrated to help flush out uric acid
- Limit or avoid alcohol, especially beer
- Maintain a healthy weight, as excess weight can contribute to gout
The Importance of Portion Control in Gout Management
While certain foods are safer for gout sufferers, portion control remains crucial. How does portion size impact gout management?
Even low-purine foods can contribute to overall purine intake if consumed in large quantities. It’s essential to balance nutrient intake and maintain reasonable portion sizes, even with gout-friendly options like salmon, tuna, and shrimp.
Tips for Practicing Portion Control
- Use smaller plates to help control serving sizes
- Measure portions, especially for protein sources
- Fill half your plate with non-starchy vegetables
- Be mindful of hidden purines in sauces and seasonings
Complementary Strategies for Managing Gout
While diet plays a significant role in gout management, it’s not the only factor to consider. What other strategies can help individuals control gout symptoms?
Medication and Medical Management
Consulting with a healthcare provider is crucial for developing an effective gout management plan. Medications can help control uric acid levels and manage acute gout attacks. Some common medications include:
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Colchicine
- Corticosteroids
- Uric acid-lowering medications (e.g., allopurinol, febuxostat)
Lifestyle Modifications
In addition to dietary changes and medication, certain lifestyle modifications can help manage gout:
- Regular exercise to maintain a healthy weight
- Stress management techniques
- Adequate sleep
- Limiting alcohol consumption
- Staying hydrated
Monitoring and Adjusting Your Gout Management Plan
Managing gout is an ongoing process that may require periodic adjustments. How can individuals effectively monitor their gout management strategies?
Keeping a Food and Symptom Journal
Maintaining a detailed record of food intake and gout symptoms can help identify potential triggers and assess the effectiveness of dietary changes. This information can be valuable when discussing treatment options with healthcare providers.
Regular Check-ups and Uric Acid Testing
Regular medical check-ups and uric acid level testing are essential for monitoring the progress of gout management. These assessments can help determine if current strategies are effective or if adjustments are needed.
The Future of Gout Management: Emerging Research and Treatments
As our understanding of gout continues to evolve, new treatment options and management strategies are emerging. What does the future hold for gout sufferers?
Personalized Nutrition Approaches
Advances in nutritional science and genetic research may lead to more personalized dietary recommendations for gout management. This could involve tailoring purine intake based on individual genetic factors and metabolism.
Novel Medications and Therapies
Ongoing research is exploring new medications and therapies for gout management. These may include:
- Targeted uric acid-lowering drugs
- Immunomodulatory therapies
- Gene therapies targeting uric acid metabolism
As research progresses, individuals with gout may have access to more effective and personalized treatment options, potentially improving quality of life and reducing the frequency of gout attacks.
Empowering Gout Sufferers Through Education and Support
Managing gout effectively requires more than just medical interventions and dietary changes. How can individuals with gout take control of their condition and improve their overall well-being?
Patient Education Programs
Comprehensive patient education programs can provide valuable information about gout management, including:
- Understanding the underlying causes of gout
- Recognizing early signs of gout attacks
- Implementing effective dietary and lifestyle changes
- Proper medication management
Support Groups and Community Resources
Connecting with others who have gout can provide emotional support and practical advice. Support groups, both in-person and online, offer opportunities to share experiences, coping strategies, and tips for managing gout in daily life.
Collaborative Care Approach
A collaborative care approach involving rheumatologists, nutritionists, and primary care physicians can ensure comprehensive gout management. This team-based approach allows for coordinated care and personalized treatment plans.
Conclusion: A Holistic Approach to Gout Management
Managing gout effectively requires a multifaceted approach that combines dietary modifications, medication, lifestyle changes, and ongoing monitoring. By incorporating gout-friendly seafood options like salmon, certain types of tuna, and shrimp, individuals can enjoy a varied and nutritious diet while minimizing the risk of gout flare-ups.
Remember that every person’s experience with gout is unique, and what works for one individual may not be as effective for another. It’s essential to work closely with healthcare providers to develop a personalized gout management plan that addresses individual needs and preferences.
By staying informed about the latest research, actively participating in their care, and making sustainable lifestyle changes, individuals with gout can take control of their condition and improve their overall quality of life. With the right approach and support, it’s possible to effectively manage gout and minimize its impact on daily activities and long-term health.
Seafood for Gout – Premier Catch
Millions of people around the world have gout, a type of arthritis. Gout attacks can happen when crystals of uric acid build up in the joints, which causes severe pain, swelling, and inflammation.
Uric acid is made when purines, which are found in many foods, are broken down by our body. Uric acid usually dissolves in the bloodstream and leaves our body through urine. But if the body makes too much uric acid or the kidneys can’t get rid of it quickly enough, it can build up in the body and turn into crystals that settle in the joints and begin to wreak havoc!
Attacks of gout can come on quickly and without warning, and they often happen in the middle of the night. The joint that hurts gets hot, red, and swollen, and the pain can be unbearable. Oftentimes it will happen in the big toe joint, known as the podagra. Attacks of gout can last for days or weeks and can be very painful, and a huge inconvenience to everyday activities.
Medication can of course help with gout symptoms, and speaking with your doctor about medication options is very important to tackle gout! From the prevention side, a low-purine diet is also a great way to stop attacks.
The purine limit per day for someone trying to avoid gout flare-ups can vary depending on several factors, including age, sex, weight, and medical history. The American College of Rheumatology recommends that people with gout limit their daily purine intake to no more than 400 to 500 milligrams per day; even lower may be better! A 2012 study published in the New England Journal of Medicine found that men who consumed the lowest amount of purines (less than 100 mg per day) had a significantly lower risk of gout attacks than men who consumed higher amounts of purines.
Some foods are high in purines, which can make you more likely to get gout. Red meat, organ meats, some seafood, and alcoholic drinks, especially beer, are all things high in purines, and important to limit or avoid completely.
Not all seafood and fish have high purine levels!!
Here are some seafood and wild fish that are safe to eat on a gout diet because they are low in purines:
1) Salmon: Salmon has a lot of omega-3 fatty acids and not many purines. It is an excellent choice for people with gout who want to eat more fish. Both wild Alaskan king salmon and wild Alaskan sockeye salmon are considered to be low in purines and can be safely consumed by people struggling with gout as part of a balanced diet.
Wild Alaskan King Salmon: 67 mg purines per 3.5 oz
Wild Alaskan Sockeye Salmon: 63 mg purines per 3.5 oz
These values are relatively low compared to other high-purine foods like red meat and organ meats, which can contain several hundred milligrams of purines per 3.5 oz.
2) Canned Tuna: Some kinds of tuna are high in purines, but skipjack and albacore tuna are considered low to moderate in purines and safe for people with gout to eat.
Tuna is also a good way to get omega-3 fatty acids and protein. The purine content of canned albacore tuna can vary depending on the specific product and brand. Generally speaking, canned albacore tuna is considered to be a moderate-purine food, similar to fresh albacore tuna.
Canned Albacore Tuna: 84 mg purines per 3.5 oz
This is slightly lower than the purine content of fresh albacore tuna, which is approximately 90 mg purines per 3.5 oz. Some canned tuna products may contain added ingredients, such as oils or flavorings, that could increase the purine content.
Additionally, some types of canned tuna, such as those labeled as “light” tuna, may contain different species of tuna that could have varying purine contents.
3) Shrimp: While most shellfish are high in purines, shrimp has a low amount of purines, so people with gout can eat it in moderation. Shrimp is also a good source of protein and other essential nutrients.
Wild Alaskan shrimp, including spot prawns, are generally considered to be low in purines and can be safely consumed as part of a gout-friendly diet.
Wild Alaskan Spot Prawns (cooked): 93 mg purines per 3.5 oz
While this is slightly higher than some other types of seafood like salmon, it is still considered to be a relatively low-purine food compared to red meat, organ meats, and some types of seafood like anchovies and sardines. By staying away from high-purine foods and eating more low-purine foods like salmon, tuna, and shrimp, you can help reduce the number and severity of gout attacks.
*A side note on high purine veggies…
There are some vegetables that have high purine content, but vegetables with high purines have not shown to have any significant effect on gout. It is recommended to continue eating all vegetables, including the high purine ones, since avoiding them has no significant effect on flare ups.
March 26, 2023
—
Ashley Besecker
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Foods You Can Still Enjoy if You Are Living With Gout
By
Carmen Roberts, M.S., R.D., L.D.N.
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If you suffer from inflammatory gout, you probably know that what you eat can have a profound effect on your symptoms. But living with gout doesn’t mean that you have to give up eating everything you love. A few simple substitutions can dramatically lower your intake of purine, which causes uric acid levels in your blood to rise, leading to a gout flare.
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All alcohol is high in purine, but drinking beer is especially risky if you have gout because it contains both purine and yeast, which can cause uric acid levels in the blood to rise. The dehydrating effect of alcohol also makes gout worse. If you want to enjoy an alcoholic beverage, try sipping on a glass of wine or a wine cooler.
Drink plenty of water when drinking alcohol to avoid dehydration.
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Another tip is to make a cocktail with your favorite spirit, such as vodka or rum, and dilute the drink with as much water or non-alcoholic mixer as possible. Create your own spritzer by adding extra club soda, seltzer, and/or lime juice to limit the dehydrating effects of the alcohol. Avoiding alcohol altogether, especially beer, is the best way to avoid a flare of your gout.
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Consumption of organ meats has increased with the popularity of the Paleo Diet. Animal organ meats, such as sweetbreads (the thymus or pancreas of a calf, lamb, cow, or pig), tripe (the stomach muscle lining of a cow), liver, brains, and kidneys are very high in purine and should be avoided if you suffer from gout. Consider substituting eggs, which are nutritionally comparable to organs but lower in fat. Eggs are good sources of vitamins A, D, and B12; choline, iron, selenium, and zinc.
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Seafood and shellfish are high in purine and should be avoided to reduce the risk of gout flare. Some fish, including salmon, sole, tuna, catfish, red snapper, tilapia, flounder, and whitefish are lower in purine than other types of fish, and can be included in your diet in moderation (two to three times per week) if you are not consuming other purine-rich foods.
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An even safer alternative to seafood consumption is taking fish oil. These supplements can give you all of the health benefits of fish (including the heart healthy omega-3 fatty acids) without the purine. This is because fish oil supplements are made from the distilled oil of the fish, not the meat of the fish itself.
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All meat, including beef, poultry, and pork, contains purine. Most experts recommend controlling purine intake by consuming no more than six ounces of meat each day if you have gout.
If you crave more protein in your diet, try adding nuts and nut butters, soy, or beans to your diet. Low-fat dairy products such as milk, cheese, and yogurt are also great sources of protein that are low in purine.
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Since they are made with the fat and drippings from meat and poultry, gravies and sauces made from beef, pork, and poultry should be avoided because they contain high amounts of purine. Try making sauces with vegetable broth or tomato sauce. Dairy-based sauces, such as a low-fat cream sauce, are also safe alternatives.
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One study linked the consumption of HFCS (often added to sodas and
juices) to increased blood uric acid levels in women. For this reason, it is recommended to limit the intake of foods and beverages sweetened with HFCS to decrease the risk of developing gout. A good substitute for fructose is stevia. This plant-based sweetener is a calorie-free, sugar-free alternative, which is especially beneficial if you have diabetes.
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If you or a loved one is living with gout, it’s important to know how to decrease your risk of a painful flare. Achieving a healthy weight, limiting foods high in purine, and good control of other medical conditions (such as diabetes and hypertension) can decrease your risk. Talk with your healthcare provider if you have additional questions about managing gout.
menu for a week, what you can and cannot eat, reviews of nutritionists
As nutritionist, nephrologist Anna Korobkina explains , gout is a chronic auto-inflammatory disease associated with elevated levels of uric acid in the body.
– Uric acid crystals are deposited in various organs and tissues, and primarily in the joints. The accumulation of salts in the joints provokes attacks of acute arthritis with severe pain, swelling and fever. The most commonly affected joints are the toes, hands, elbows and knees.
In addition, with gout, crystallization of uric acid salts occurs in the tissues of the kidneys, because of which their function suffers and chronic kidney disease (CKD) develops, our expert says.
Over the past 50 years, the incidence of gout has increased in many parts of the world. Experts attribute this to an increase in life expectancy, the use of diuretics and the spread of obesity, which is considered one of the main risk factors for gout 1 .
Uric acid is formed as a result of the breakdown of purines that come from food. Certain foods contain a lot of them, which is why the gout diet is aimed at eliminating such foods to reduce the amount of incoming purines and, as a result, lower the level of uric acid. This diet is called hypouricemic.
In our article, we have compiled a list of the main prohibited and permitted foods and offered several menu options that take into account the patient’s dietary habits.
Benefits of diet for gout
According to dietitian, nephrologist Anna Korobkina, diet is of great importance for gout.
The frequency and severity of exacerbations, the course of the disease, and how quickly kidney function will decline will depend on whether the patient is on a diet or not. If the patient already has signs of CKD, in addition to purines, the amount of proteins in the diet will also need to be reduced (depending on the stage of the disease).
The expert notes that patients with gout were previously prescribed a low-purine, low-protein, and alcohol-free diet. With strict adherence, it led to a decrease in uric acid levels by 15%, but led to frequent breakdowns. Doctors today recommend a more balanced diet with less restrictive restrictions. With the help of a diet for gout, you can achieve a decrease in body weight, a decrease in the level of uric acid, cholesterol and triglycerides in the blood 1.2 .
Disadvantages of the gout diet
Patients are forced to follow a diet throughout their lives, however, during periods of remission, the restrictions will be more lenient.
Difficulties await meat-eaters and alcohol lovers. The forbidden foods include rich meat and fish broths, jelly, offal, sausages, smoked meats, canned food (especially sardines and sprats), shrimp, beer and strong alcoholic drinks. This food, in principle, cannot be called healthy, so refusing it is not too big a price to pay for normal well-being.
According to our expert, many patients, having familiarized themselves with the principles of the hypouricemic diet, come to the conclusion that they cannot do anything but pasta and potatoes, since on the Internet you can often find information about excluding tomatoes, eggplants, lentils, mushrooms from the menu. However, recent studies have shown that mushrooms and purine-rich plant foods such as asparagus, cauliflower, spinach, lentils, and soy do not raise uric acid levels or aggravate gout 1 . This is due to the different bioavailability and energy value of animal and vegetable purines, as well as the residence time in the intestine.
Previously, coffee, tea, cocoa, and chocolate were banned, but now it is already known that purines in their composition do not break down into uric acid and do not lead to an increase in its level in the blood.
There are differences in nutrition during an exacerbation of the disease and during its remission. With an exacerbation, the restrictions are more stringent. The same analogy can be drawn with any disease, for example, with an exacerbation of gastric ulcer or pancreatitis, a small set of sparing foods is allowed, while in remission, nutrition is almost the same as a normal balanced diet.
Food table for gout
The patient’s main diet consists of vegetables and dairy products, and it is recommended to reduce the amount of meat and fish. Meat, fish products and mushrooms are best boiled, and the broth is drained, since it releases a maximum of purines.
What you can eat
Dairy products must be included in the diet.:max_bytes(150000):strip_icc()/chicken-and-gout-5092840-Final-e6bfa54dff364a38a7c610d4e2a914d8.jpg)
They contain proteins casein and lactoalbumin, which can reduce the level of uric acid in the blood. The daily menu should also include vegetables and fruits.
Table of allowed products
| Type of allowed product | Products |
| Meat and fish | rabbit, turkey, chicken, aged meat, lean fish |
| Baked goods and sweets | pastries, black and white bread, marshmallows, marshmallows, jams and marmalade |
| Dairy products | kefir, low-fat milk, lean cheese, cottage cheese, sour cream, yogurt |
| Fruits and berries | citrus fruits, dates, persimmons, strawberries, apples, dried fruits, pears, apricots |
| Vegetables | during remission all vegetables are allowed |
| Cereals and pasta | all cereals and pasta |
| Oils | all vegetable oils, butter in small quantities |
| Drinks | green and black tea, coffee, tea with milk and lemon, juices and fruit drinks, compotes, herbal vary, alkaline mineral water |
What not to eat
Foods high in purines should be avoided, and during periods of exacerbation, foods that contain excessive amounts of oxalic acid.
| Type of prohibited product | Products |
| Meat and fish | broths, rich meat and fish broths, offal (liver, heart), shrimp, oily fish |
| Baked goods and sweets | confectionery, especially cakes and cream tarts |
| Dairy products | spicy, salty and fatty cheeses | Beverages | beer and spirits |
| Vegetables | in the period of exacerbation – sorrel, radish, spinach, eggplant, tomatoes |
| Fats | margarine and bacon |
| Sausages and canned food | all sausages, smoked products, canned meat and fish (sardines and sprats) |
| fruits It is very important for the patient to change his attitude to nutrition , after all, you will have to follow a therapeutic diet constantly, without interruptions. Day 1 Breakfast: steam omelet with bell peppers and cheese (optional), whole grain bread with avocado, fruit or berries of your choice, tea or coffee. Day 2 Breakfast: millet porridge with pumpkin milk, whole grain bread with light cheese, tea or coffee. Day 3 Breakfast: baked cottage cheese or syrniki, sour cream, fruits or berries to choose from. Day 4 Breakfast: oatmeal with chopped apple, whole grain bread with low fat cheese, yogurt, tea/coffee optional. Day 5 Breakfast: bell pepper omelet, whole grain avocado sandwich, fruit/berries of your choice, weak tea. Day 6 Breakfast: cottage cheese casserole with sour cream, whole grain toast with low-fat cheese, tea or coffee. Day 7 Breakfast: buckwheat porridge with milk, whole grain bread with cheese, tea or coffee. The main focus is on vegetarian, vegetable dishes. You need to drink plenty of fluids to facilitate the excretion of uric acid. Herbal teas, fruit drinks and pure water are very useful. Alcohol is prohibited, especially beer and spirits. ResultsCompliance with the diet can prolong periods of remission and reduce the frequency and intensity of pain and inflammation of the affected joints. Reduced purine content in food helps keep uric acid levels low. Uncontrolled eating with forbidden food leads to an aggravation of gout and an increase in symptoms. Reviews of nutritionists According to nutritionist, nephrologist Anna Korobkina, if a person has gout, then among the numerous risk factors, one of the key factors is the food factor and alcohol consumption, that is, the disease was clearly preceded by an unhealthy lifestyle. Popular Questions and AnswersGout used to be called the “disease of kings” because it affected mainly wealthy people whose diet was high in meat and alcohol. Today, gout has become much more democratic and occurs in people with different social status. Dietitian, nephrologist Anna Korobkina answers popular questions about this disease. Is it possible to do without a diet for gout, and take only medication?— No, you can’t. Diet for gout is the most important component of therapy. Why is gout dangerous? — Hyperuricemia (increased levels of uric acid in the blood) is the main cause of gout. There is also an association of hyperuremia with an increased risk of developing chronic kidney disease, cardiovascular disease and their outcomes. Can gout be cured?— Gout is a chronic disease, so it is impossible to talk about a 100% cure. But you can achieve a stable remission with the help of a diet, taking medications if necessary, weight control and timely monitoring of laboratory parameters (uric acid, urea, creatinine, C-reactive protein, urinalysis). Sources:
benefits and harms – Chef Not without reason earlier in restaurants and boarding houses there was a “fish day” at least once a week. The fillet of river and sea inhabitants is rich in valuable proteins and fats, as well as vitamin A and other nutrients. What kind of fish is pangasiusAn unusual pangasius fish is a freshwater species of the Pangasius (catfish) family that lives in rivers and artificial canals in Vietnam and other countries of Southeast Asia. Its fillet is considered a kind of affordable delicacy, since it has a number of positive properties:
Pangasius is a predatory fish, therefore, during its life it builds up developed muscles and gives a weighty, slightly rounded fillet of a reddish hue. The meat tastes more like marine species, so you can cook steak, pickles, sandwiches and fish pate from such a fish. Useful properties of pangasius The most valuable substances that make up the product are:
Pangasius fillet also contains phosphorus, selenium, potassium, calcium, magnesium, sodium, sulfur, zinc, iron, B, PP, E, A vitamins and other components that support human health. Fish meat is less heavy for the body than animal meat, it is digested faster and better absorbed, without causing heartburn and other discomfort. Such a component is useful in a children’s, sports diet and on a diet. Thanks to the use of fish products, skin cells are renewed faster, healing processes in the body are accelerated, the quality of hair and connective tissues improves. Fish can be consumed even with low acidity and gout. In the presence of complex chronic diseases, an individual consultation with a doctor is necessary before use. How to cook without harming the body The benefits and harms of pangasius fish depend on how the fillet is prepared. If you fry a steak in oil, this will negate the dietary effect and can exacerbate diseases of the liver, gallbladder, pancreas and gastrointestinal tract. When antibacterial spices are present in the recipe, pangasius becomes even more useful. In soups and stews, you can use bay leaves, peppercorns, a mixture of ground peppers, tarragon, cloves and other seasonings. When stewing and frying in their own juice, paprika, turmeric, thyme, lemon juice are well suited. It is advisable to buy fillets in trusted retail outlets where the product is licensed and sanitary checked. You can salt the meat yourself or purchase a ready-made marinade in oil. Such slices can be used on sandwiches, appetizers and salads. From fresh pangasius, you can cook stews with vegetables or neat steaks, meatballs and minced meat. Caution should be taken with whole carcasses on the market. When fish live in dirty sewers, they can accumulate toxins. When buying, you need to make sure that the meat does not exude a pungent odor and has a normal pinkish tint. |
The final menu is determined by the doctor for each patient, depending on concomitant diseases, the presence of CKD (limitations depend on the glomerular filtration rate) and the degree of development of gout. We list only possible diet options for the week.
Eating a lot of meat, fatty foods, beer, fast food and processed foods, a sedentary lifestyle will not make anyone healthier. If gout has developed against this background, this is an excellent reason to reconsider your dietary principles towards healthier ones, as well as think about changing your lifestyle.
It is worth thinking about the benefits and harms of pangasius fish, if only because it is tasty and inexpensive, so it can hit the table every day.
It is best to steam the fish, then the healthy ingredients will not be boiled out, or baked without adding fat.