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Salmon purine: Salmon and Gout: Here’s what to Avoid

Will Salmon Cause Gout? | Iupilon

Gout is very painful, so it’s natural for people to wonder if they can still eat certain seafood after being diagnosed with gout. We certainly recommend speaking to your physician about your diet if you have arthritis or gout, as diet can cause issues with your joints.

As a person ages, flare-ups of gout can become more severe, leading to much worse instances. If you are tired of downing painkillers and would like a more natural approach to moderating flare-ups of your gout, read today’s robust discussion on purines, gout, and seafood.

Is Salmon High in Purines?

Salmon is not as high in purines compared to other types of fish. On average, salmon provides 170 mg of purines for every 100 grams. Other fish that are OK to consume in controlled amounts because of their moderate purine content are haddock, halibut, herring roe, Atlantic herring, Matje cured herring, pike-perch, and mackerel. However, keep in mind that their physicians will likely dissuade those with severe gout from eating even these fish.

There might be some debates about whether you should be consuming seafood at all when you have gout, but we have to take into account the gentle balancing act that occurs when we choose to eat food.

All food items can potentially increase compounds that may cause inflammation in the body. The key here is to find food that will provide benefits on top of the small risk that something may happen afterward due to having a chronic condition like gout. Salmon is one of these foods that you can ‘risk’ a little because it provides so much to the body in return.

Purines occur naturally in the food that we eat. These are compounds that are eventually metabolized and transformed into uric acid. Purines are constituted by oxygen and nitrogen.

The uric acid is then filtered and removed by the body through the action of the kidneys. When the body loses its capacity to filter out uric acid and purines, this is the time that the nitrogenous waste begins to gather in the joints, causing extremely painful inflammation. Gout can become so severe that some gout patients require surgery, so you must know how to manage your gout for better general health.

Is It OK to Eat Salmon If You Have Gout?

On the whole, salmon is an exception to the seafood list that should be excluded from a rheumatic or gout-friendly diet. It all boils down to how much purines are found in the food you are consuming in the first place.

The amount of purines in every salmon serving does not compare to the purine content of roe, sardines, scallops, trout, and anchovies. Brined and oiled fish are often high in purines, too. Some people can tolerate these food items because they medicate.

However, there are instances when even the medication doesn’t do much with the flare-ups, and that’s when doctors normally recommend more restrictive measures for a person’s diet. While the complete avoidance of purines is not possible if a person is still eating whole foods, it can be minimized to the bare minimum to reduce flare-ups to the same level.

What about seafood like crabs, shrimps, oysters, and lobsters? These should be avoided completely or eaten only very sparingly as they are hard on a body with arthritis.

These items pack the highest amounts of purines in the list of common food items consumed by people. While some people will find it unfortunate that they can no longer eat what they used to eat when they were younger, you will find that reducing the purine intake, on the whole, will improve the condition of a person with gouty arthritis.  

What Causes Gout?

Gout or gouty arthritis is a condition caused by the accumulation or build-up of uric acid in the body. The symptoms of gout often occur in the feet, especially around the joints. A gouty arthritis person will experience inflammation, swelling, and sharp pains in the various foot joints. The big toe is most affected by this condition.  Whenever gout occurs, the inflammation and pain may occur for as long as ten days. If you’re lucky, most of the warmth and redness will go away after three days. It all depends on your body’s state, the severity of the condition, or if you are taking any medication for it.

Doctors call the bouts “attacks” as in “gout attacks” because in between the said bouts of gout, you won’t have any issues with it. There won’t be any pain or other severe symptoms at all. The treatment of gout is necessary if you don’t want it to get worse over time. The uric acid depositions around the joints won’t just go away by ignoring them. They can cause permanent damage if the uric acid is not controlled properly with diet, exercise, and medication.  

Tophi refers to the lumps that develop on top of affected joints in the foot. The more you get gout attacks, the more tophi your body develops as a reaction to the gout attacks. What’s unfortunate here is that tophi can also easily affect the affected joints’ soft tissues – including the skin. That’s what you have to think about if you think that you can ignore your gout. We recommend having yourself checked out ASAP if you think you have gout.

Which Fish Is Bad for Gout? List Of Foods To Avoid With Gout

Certainly, some foods cause gout, and no one wants to consume these if they want to have a pain-free year. If you want to regulate your purine intake, we recommend avoiding anchovies, carps, halibut, ocean perch, coalfish, pilchard sardines, trout, tuna, etc. These fish have the highest purine content around, and eating a lot of these fish will send your uric acid levels surging.

How Eating Fish Can Lower the Risk of a Gout Flare

Eating plenty of fish has long been associated with health benefits like a lower risk of heart disease, cancer, and age-related memory problems. Now research suggests that loading up on fish may help people with gout slash their risk of a flare. 

The study, published in the journal Arthritis & Rheumatology, relied on data from the Boston University Online Gout Survey, an internet-based study that ran from 2003 to 2012. In this new analysis, researchers determined that gout patients who ate fatty fish (such as salmon, mackerel, or herring) in the previous 48 hours were 33 percent less likely than those who hadn’t to have a gout attack.

The more fish people ate, the better, as “increases in the number of servings were associated with a [substantially] lower risk of gout flares.”

Although the study authors initially hypothesized that eating omega-3 rich fish or taking an omega-3 supplement would have a protective effect, it turned out that the real thing was best: Supplements did not appear to help. That said, the authors noted that supplements might be beneficial if taken at higher doses. High-dose omega-3 supplements might even have an edge over eating fish, because certain kinds of fish contain purines, natural substances that get converted to uric acid in the body. The build-up of uric acid crystals in the joints is what triggers gout flares.

“Supplements would bypass this obstacle, offering a pharmacological benefit without the gout-inducing features of purines,” they wrote.  

Omega-3 fatty acids are believed to be beneficial for people with gout, as well as for other inflammatory conditions like rheumatoid arthritis, because they inhibit substances that would otherwise cause inflammation in the body. 

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Can salmon trigger Gout Attacks -Eating Salmon with Gout

 Gout is an inflammatory condition of joints, in which the patient experiences sudden and intense pain, swelling, and redness in the joints. The condition results most commonly from an unhealthy lifestyle and an inadequate diet.

An extremely raised level of uric acid in the body is the main cause of gout. Uric acid is produced from the breakdown of purines.

> Read Testimonials of Successfully Curing Gout at Home

Purine is the naturally occurring substance in the body. It also comes from the ingested food in your daily diet. In the normal process, uric acid is carried to the kidney through the bloodstream.

It is processed in the kidneys and then, flushed out through urine. When uric acid increases in excess amount, due to intake of purine-rich foods or poorly functioning kidneys, it accumulates in the blood, tissues, and synovial fluid and form needle-like crystals.

These crystals are deposited in the joints, most commonly in the joints of the big toe. This makes the joints extremely painful, red, and swollen. It can cause irreversible damage and permanent disability in the joints. So, once you notice the symptoms of gout, you need to immediately seek proper treatment.

Eating Salmon with Gout

Since consumption of high-purine foods is the major contributing factor for gout, you need to avoid such foods. Strictly following the diet especially recommended for the gout sufferers is an important aspect of gout treatment.

Gout diet suggests the consumption of foods low in purines such as low-fat dairy products, green leafy vegetables, and whole grains. The foods rich in purines such as seafood like tuna, shellfish like shrimp, mussels, herring, and sardines, organ meat like liver, kidney, and brain, beef, pork, high-fat milk products as well as vegetables like spinach and asparagus should be avoided by the gout patients.

Salmon is among the fish, which is considered to be suitable for the gout-friendly diet. Salmon offers a number of nutritional benefits as well as contains a low amount of purines. Carefully managing the consumption of salmon may help to minimize the risk of developing gout or prevent recurring outbreaks.

Salmon is an excellent source of omega-3 fatty acids, which is a polyunsaturated fat essential for overall good health. Omega-3 fatty acids help to lower cholesterol and triglycerides levels and reduce the risk of cardiovascular diseases like heart attack and stroke.

They also help to slow down the aging process and prevent age-related conditions like a macular generation. Additionally, salmon is the best source of lean protein, which is low in saturated fat and cholesterol.

Salmon contains a relatively low amount of mercury and PCBs. Therefore, it doesn’t cause any health risk to gout patients, even though they eat it frequently.

Another benefit of eating salmon is joint protection. Our body can convert EPA from salmon fish into three types of closely-related compounds such as series 3 prostaglandins, series 3 thromboxanes, and resolvins that play a major role in preventing inflammation in the joints.

The recent study has discovered that the presence of bioactive peptides in salmon provides support for the joint cartilage.

With extra-ordinary nutritional value due to its rich content of omega-3 fatty acids, salmon is favorite fish among the fish lovers. It can also be enjoyed by the gout sufferers due to its low purines content and anti-inflammatory properties.

19 Easy Gout Hacks: And 7 foods to avoid with gout [Updated]

A note from the editor: The good news is that we can guide you toward the foods to avoid with gout. And hopefully we can help you quickly. And in this article we’re going to tell you all the great foods you should be eating to avoid gout symptoms. We all know gout is painful. It’s disruptive. But it’s preventable with simple diet modifications.

If you or a family member have been diagnosed with gout, you know that an attack is a debilitating experience. You may also be aware that the right diet (and a few other lifestyle choices) is the best means of preventing and minimizing gout and gout flare-ups.

Avoiding the wrong foods—and replacing them with the right ones—is easy, once you know what to look out for. And it’s definitely worth the effort if it spares you the sudden, painful swelling and tenderness that comes with gout.

What is gout? (And what are purines?)

Gout is a form of arthritis that occurs when uric acid builds up in the blood and crystalizes in joints (most commonly the feet and toes). Gout causes pain, inflammation, and tenderness where it strikes. It starts suddenly and can last up to 10 days.

Gout affects men more than women, and women over the age of 60 more than those younger.

If you or a loved one has been recently diagnosed with gout, you’ve likely been hearing the term “purine” as well—as in, eating a low-purine diet.

Purines are natural compounds found in many foods. As they are broken down during digestion, your body produces uric acid. Thus, people who suffer from gout are encouraged to eat fewer purines in order to lower their uric acid levels and prevent gout attacks.

Foods to Avoid with Gout

Foods to avoid with gout are generally those high in purine, but refined carbohydrates and oxalate should also be avoided.

Foods that are bad for gout include:

1. Alcohol (especially beer, whiskey, vodka)

Alcohol—especially beer—is bad for gout sufferers for two reasons. First, these beverages require the kidneys to work at drawing alcohol out of the blood stream, leaving more uric acid in the blood.

Second, grain alcohols—like beer, whiskey, and vodka—contain yeast, which is high in purines.

2. Organ meat and wild game

Organ meat—like sweetbreads, liver, kidney, tongue, and heart—are especially high in purine, and should be avoided to prevent gout attacks.

Many wild game meats are known to be high in purines as well, such as venison, pheasant, quail, and rabbit.

FAQ: What about red meat and gout?
Most red meat contains moderate levels of purines. It doesn’t need to be avoided entirely, but should be consumed in moderation.

3. Fish and most seafood

Seafood is tricky, because some of it has higher levels of purines than others. Fish with higher purine levels, that should be avoided by people with gout, include:

  • Anchovies
  • Cod
  • Haddock
  • Herring
  • Mussels
  • Sardines
  • Scallops
  • Shellfish (some)
  • Trout
  • Tuna

Salmon seems to be an exception, in that most gout sufferers don’t have a problem with it.

FAQ: What about crab and gout?
Certain shellfish don’t seem to cause problems for chronic gout sufferers, and crab is one of them. Lobster and shrimp also contain lower levels of purines, so enjoy in moderation!

4. Sugar and high-fructose foods

Fructose is one type of sugar that naturally occurs in fruit and honey, and can cause gout and gout flare-ups. Similarly, high fructose corn syrup is an artificial sweetener that is up to 55% fructose, and so causes the same problems.

Purines are released when your body breaks down fructose, leading to those uric acid build-ups that cause gout. Foods with purines are the foods to avoid with gout.

Artificial fructose is most prevalent in sodas, and natural fructose is concentrated in fruit juices. Thus, avoiding fructose means avoiding or limiting:

  • Sodas
  • Fruit juice
  • Artificial sweeteners using fructose

5. Refined carbs

Some sources will tell you that refined carbohydrates are safe for gout sufferers, but this isn’t necessarily true. While refined carbs—like white bread, pasta, white rice, and sweet desserts made with white flour—are low in purine, they have a high glycemic index.

Studies have shown that a high glycemic index results in higher uric acid levels. That doesn’t mean you should avoid all carbs, though. In fact, lowering your overall carb intake can increase uric acid levels. The key is to switch out at least some of your refined carbs for whole grains, i.e. start making sandwiches on whole wheat instead of white bread.

6. Beets (Oxalates)

Beets, like most vegetables, are low in purine, but they are rich in another chemical compound called oxalates. Less common than purines, oxalates have the same effect in the human body: increasing uric acid levels in the blood. Add beets to your list of foods to avoid with gout.

Other veggies that are harboring high levels of oxalates include:

7. Chocolate

Chocolate, especially dark chocolate, has proven to offer some benefit to gout sufferers, but most grocery story chocolate bars (yes, even dark chocolate) are not good gout diet options.

Cacao chocolate lowers uric acid levels and has anti-inflammatory properties. It is also an antioxidant, which means it may lower blood pressure and improve kidney function—both of which can help prevent gout.

But the milk chocolate, and even most of the dark chocolate, on convenience store shelves is also full of high fructose corn syrup and/or sucrose. The extremely high levels of sweetener in those chocolates far outweighs any potential health benefit. The chocolate that might help prevent gout is mostly cacao with no added sugar.

If you must have cacao, look for snacks with no added sugar. Low Karb’s Cacao Keto Nut Granola is a good option for a snack, or an addition to low-fat yogurt.

Low-Purine Foods to Eat Instead

While purines are not the only dietary consideration, they are the most common. A healthy gout diet generally focuses on low-purine foods.

1. Low-fat dairy

Gout sufferers are generally advised to avoid full-fat dairy like whole milk, heavy cream, and ice cream, but low-fat dairy products may actually help prevent gout. Studies have shown that increasing a person’s intake of low-fat dairy products reduces uric acid levels—preventing the development of gout and gout attacks.

Most dairy products—including cheese, milk, and yogurt—and low-fat options, so it’s an easy switch to make.

2. Fruit

Any fruit is a good option for people struggling with gout, because they have low purine levels and high levels of complex carbohydrates.

Berries are an especially good choice, because they tend to be high in fiber and low in sugar. Citrus fruits are also especially helpful, because vitamin C has been shown to reduce uric acid levels.

FAQ: Is lemon juice good for gout?
Fresh-squeezed lemon juice has proven effective, in multiple studies, as a treatment for gout. Daily doses of fresh lemon juice inspire your body to release calcium carbonate, which breaks down uric acid.

FAQ: What about cherries and gout?
Several studies and surveys have demonstrated that cherries, or pure cherry juice, are effective both in treating and preventing gout flare-ups. In addition to lowering uric acid levels in the bloodstream, cherries are a natural anti-inflammatory, which may explain how they help ease symptoms.

2. Most veggies

Most vegetables are low in purine, and are great options for anyone at risk of gout or a gout attack. Some veggies—asparagus, cauliflower, peas, mushrooms, and spinach—have moderately high levels of purine, and should be consumed in moderation (and we’ve already talked about oxalates), but most are safe.

FAQ: What about Brussel’s sprouts and gout?
If you’ve heard that Brussel’s sprouts are good for gout, you heard right. Brussel’s sprouts are one of a few veggies very high in vitamin C.

3. Nuts and beans

Many gout sufferers are told to limit fat and protein intake to prevent attacks and ease symptoms. While this is generally true, nuts and beans are not dangerous fats and proteins for people at risk for gout.

Nuts can be high in fat, but they don’t have the same high purine level as animal-based fatty foods. Plant-based fats don’t increase your risk for gout.

FAQ: What about cashews and gout?
Cashews are a great source of plant-based protein and healthy fat, and they are very low in purine levels—even compared to other nuts. That means cashews are a great snack choice for people with gout.

FAQ: What about pistachios and gout?
Pistachios are a healthy snack for many reasons, and their low purine levels are just one. At least one study demonstrated a decrease in uric acid levels, in individuals who added pistachios to their diet on regular rotation.

This also means that almond milk is a great dairy substitute for gout sufferers.

Similarly, beans are known to be high-protein, but—unlike animal proteins—they don’t contain high levels of purines, so they’re perfectly safe for people worried about gout.

FAQ: What about pinto beans and gout?
Pinto beans are another really good source of plant-based protein and are a great option for gout sufferers. While all beans are low-purine, pinto beans (along with red beans and lima beans) have some of the very lowest levels.

FAQ: What about black beans and gout?
Black beans have been used as a treatment for gout in Taiwan for decades, but there is no research to back up this treatment. Black beans have the same antioxidant chemical that many berries have, but further research is needed.

4. Eggs

An effective gout diet is largely vegetarian, but that means you’ll need other sources of protein. While nuts, and some vegetables, can supply some proteins, eggs are another good option for healthy protein without the high purine counts.

5. Chicken

Similarly, chicken is one of the lowest-purine options for meat. It does contain some purine, though, so consume in moderation.

6. Coffee (not caffeine)

Long-term, studies have shown that regular coffee drinkers have less uric acid in their systems and are, thus, less likely to develop or suffer from gout. Coffee may reduce the amount of purine created in your body and simultaneously increase the rate at which your body excretes it.

It was thought that caffeine was the magic ingredient in coffee that created these benefits, but more recent studies have cast doubt on that hypothesis. Several studies have tested coffee and tea against uric acid levels and found that people who regularly drink coffee have lower uric acid levels, but tea drinkers do not.

Additionally, sudden spikes of caffeine, especially in people who do not regularly drink coffee, has actually been identified as a potential trigger for a gout attack.

What does all this mean for your morning routine? If you’ve been enjoying coffee in the mornings, keep it up. If you have not, you might see long-term benefits of slowly introducing coffee into your diet, but don’t try to drink a few cups of coffee as a treatment.

Gout diet: A sample menu

What do all these dos and don’ts look like for a real person trying to manage or prevent gout on a daily basis? You’ll want to discuss any diet overhaul with your doctor, especially if you have other dietary needs or restrictions.

But a gout diet might look something like this:

Breakfast

If you’re a coffee drinker, start with a cup of your favorite roast. Pair it with a couple of eggs, whole wheat toast, a side of fruit, and a tall glass of water.

If you prefer a smaller breakfast, swap out the eggs and toast for a low-fat yogurt with berries.

Breakfast is also a good time to squeeze some fresh lemon juice into a glass.

Lunch

If you’re out for lunch, order the Cobb salad, sans bacon and cheese. You could also get vegetarian (most places will swap extra beans in place of beef) or chicken tacos—corn tortillas instead of flour, or just get the bowl.

Make sure you’re getting a side of fruit too, and drinking water.

Snack

Your afternoon snack is easy: nuts and fruit. Not only will a cup of cherries help prevent future gout attacks, but switching your afternoon snack habit to something healthy and packed with protein will give you an extra energy boost for the last part of your day.

Dinner

Dinner can sometimes feel like a big change if you’re used to red meat or a variety of seafood, but you might be surprised how quickly your body adjusts to a new norm—not to mention how much better you feel.

Salmon and quinoa is a good dinner pairing, or treat yourself to crab or lobster with lots of freshly squeezed lemon. Or if you kept lunch vegetarian, chicken breast and Brussel’s sprouts can be roasted together.

Other diet and lifestyle tips for managing gout

In addition to establishing a list of foods to avoid with gout, there are some simple lifestyle changes that might also create dramatic improvements.

Watch your weight

Carrying excess weight dramatically increases your risk of developing gout and the frequency of gout attacks.

Extra body fat lowers the efficiency of your kidneys, which inhibits the excretion of uric acid from the bloodstream, leading to gout and gout attacks. People who are chronically overweight are at risk of developing gout up to a decade earlier than their peers—especially if that excess weight is in your belly.

Losing excess weight has been proven to lower uric acid levels and decrease the risk of developing gout. It’s also beneficial for gout sufferers, because shedding excess pounds relieves excess pressure on joints.

If you are carrying extra weight, you don’t even need to jump right to a low-purine diet: Just making healthier choices in general will help you lose weight and lower your risk of gout.

Exercise

Exercise is not a treatment for a gout attack, so don’t try to work out during a flare-up. Doing so will just cause further irritation on painful joints.

But getting exercise as part of your regular routine is especially important if you suffer from, or are at risk of developing, gout.

In addition to keeping your weight down, exercise also helps manage stress, which may trigger gout attacks. Further, many gout sufferers are at greater risk of developing heart disease, and regular exercise is essential for heart health.

Take a vitamin C supplement

We’ve seen that vitamin C may help lower uric acid levels, but many people don’t get all of the vitamins they need from diet alone. Some people add more vitamin C by drinking orange juice, but most of the fruit juice on store shelves has too much high-fructose or sucrose in it for gout patients.

That means a simple vitamin C supplement is a good idea for anyone at risk of developing gout.

NutriFlair’s vitamin C supplements are vegan.

Stay hydrated

Dehydration leads to increases in uric acid levels and hinders your kidneys’ ability to flush it out. Studies have demonstrated the connection between lower hydration and higher uric acid levels, so make sure you’re drinking water consistently, throughout the day.

Consider a protein supplement

If you’re making dietary changes to prevent gout or manage the frequency of flare-ups, keep an eye on your protein intake. Reducing or cutting out meat will leave a protein gap.

Some of that can be filled in with nuts, low-fat dairy, and the right veggies, but it can be difficult to be sure that you’re getting enough protein—especially at first. So a protein supplement might be a good idea as well.

Your Super’s protein power is organic, non-GMO, gluten free, vegan, soy-free, with no additives.

Prevent and manage gout with a gout diet

Whether you’re at higher risk of developing gout because of family medical history and want to prevent it, or have been diagnosed and want to better manage and prevent attacks, your diet is one of the best places to start.

To control your symptoms, you must understand the foods to avoid with gout. As you start thinking about which foods are high in purines and how to adjust your diet, remember that these kinds of big changes are best made one step at a time. Start by cutting out one type of food from the list. Once you’re comfortable with that adjustment, eliminate one more.

Reminder from the Foodzie Team:

And we always recommend taking an at-home food sensitivity test to find out which foods your body doesn’t like. The Everlywell food sensitivity test is the best one on the market. It’s fast, easy and relatively painless. Foodzie readers can get a great discount by clicking HERE and using code 2020! at checkout.

The Everlywell Test will tell you which foods you’re sensitive to

We have a great article on Food Sensitivities here. This article will tell you all about the Everlywell at-home finger-prick test. One of Shark Tank’s all-time most profitable companies, Everlywell has been a life-changer for many Foodzie readers.

ABOUT THE AUTHOR:

Alexis Wisniewski is a writer and researcher with a deep love for good food and holistic nutrition. She enjoys exploring cultures and sub-cultures through their food traditions, and—when home in Chicagoland with her husband and two boys—is committed to organic, local ingredients. She has a passionate love/hate relationship with fasting.

Gout and Fish – Experiments on Battling Gout

You often read on other websites that if you suffer from gout you should avoid eating fish since it is considered high in purines. In this post we will examine this issue and take a closer look and see if fish does belong in a gout diet. First of all fish has been consumed by humans for thousands of years and is we all know it is very healthy for you. Let’s see some of the health benefits that fish provides.

Fish is loaded with nutrients and is considered on the healthiest foods in the world. It is high in protein, vitamin D and is considered the best source for omega-3 fatty acids which is linked to reducing the risk of developing many diseases.

Omega-3 fatty acids also helps keep your brain working well reducing the risk of developing dementia or Alzheimer’s. Many studies prove that if you eat fish on a weekly basis, you will experience a slower rate of cognitive decline.

Fish also is good for the heart, in fact it is considered one of the best foods to eat in order to have a healthy heart. Again many studies prove that eating fish regularly is good for the heart in order to avoid a heart attack or stroke. Gout sufferers should take note since we are at a higher risk of developing a heart attack or stroke.

Did you know that fish is also high in vitamin D? A single 4 ounce serving of cooked salmon (which is one my favorites) contains 100% of recommended intake of vitamin D. For more information on important vitamin D is to gout sufferers make sure to read my post titled “Gout and Vitamin D”.

There is also some evidence showing that fish may lower the risk of developing rheumatoid arthritis which is closely related to gout. In addition, fish is very good for your eyes. A study has shown that eating fish just once per week can decrease the risk of developing the disease called macular degeneration by 53%! Fish is also helpful in controlling insulin levels in the body which may decrease the risk of developing diabetes.

A 2019 study published in Arthritis & Rheumatology followed 724 gout patients from 2003 and 2012 to see if there is any correlation between fish consumption and gout flares. They found that those patients who ate fatty fish as in salmon, herring, mackerel for example decreased their risk of gout flares by 33%!

As you see fish has so many health benefits that I can’t even list them all. So why would you want to avoid such a healthy food cause some idiot told you it’s high in purines and should be avoided? Obviously if you suffer from gout, you know eating too much protein may harm you and fish is high in protein but you still need to eat protein.

To enjoy fish all you have to do is make sure that you eat my recommended portion of 4 ounces and you’ll be just fine. If you have fish for lunch don’t be going and eating a steak for supper cause that is too much protein for a gout sufferer to handle.

Choose one day to eat either a nice cut of meat or fish. Don’t be a glutton eating fish at every meal but eat wisely as I have taught you in this website and my ebook. Meaning eat fish in moderation, although it is high in purines, you can’t afford to skip on it since it offers so many other health benefits for you.

Now which fish should you eat?

A gout sufferer should avoid seafood, shrimp, lobster and other shellfish which may raise uric acid and is simply not healthy for you. See my post on seafood to learn more. What you want to do is eat fish with scales and only eat these types of fish. Nothing else.

You can eat salmon, sole, tuna, catfish, red snapper, tilapia, flounder, whitefish, haddock and so many other fish. These fish have anywhere between 50 to 150 milligrams of purines for every 100 grams. Nothing to worry about, believe me!

There are fish that are higher on the purine scale like anchovies, sardines, mackerel and herring, octopus which you should limit since they are over 150 milligrams of purines for every 100 grams.

Whatever you do do not eat fish that comes from a can like canned sardines or herring with added oils. Always eat your fish fresh. Do not deep-fry your fish, instead either grill it or simply bake it in the oven.

I season my fish with fresh herbs, freshly squeezed lemon juice and some extra virgin olive oil. You don’t need more than that. Try and avoid high sodium seasoning mixes or fish sauces high in sugar.

A few words about fish oil

Purines are found in the meat of the fish but not in distilled fish oil. If you wish to supplement EPA or DHA which are two fatty acids found in fish, then buy only pharmaceutical-grade molecularly distilled fish oil supplements. Some fish oils are also very high in vitamin D, providing you with 200% of the recommended daily intake.

Before buying make sure to research what you are getting by checking out the provider’s website, checking reviews online and checking product labels properly. Before purchasing any fish oil make sure to speak to your doctor about it so it doesn’t affect any other medications you may be taking.

Some gout sufferers claim that fish oil may fight gout flares since it is a powerful anti-inflammatory. Regardless, anything that has omega-3 fatty acid is good for gout as explained in other posts on this website as well.

In conclusion, you often hear health experts or dieticians say “you should only eat fish no more than two times a week”. Why? Fish is the healthiest meat, healthier than beef, lamb and chicken. If you like fish, you can eat it every day but make sure it is the only meat you eat that day since gout sufferers should not eat more than 4 ounces of meat in any given day to avoid higher uric acid levels in the bloodstream.

As for mercury in the fish, it depends in which part of the world you are located in. I recommend you buy organic fish and make sure it is always labeled as “wild caught” instead of “farmed”.

Like fishing? Here in North America we have plenty of clean lakes where you can fish from and enjoy some good quality fish. I’m kinda getting hungry and think I might just go and prepare myself some Pacific salmon that I bought the other day. To your health!

Posted by Spiro Koulouris

Foods to avoid to reduce the risk of gout

Gout risk is higher in people who eat purine-rich foods as they increase uric acid levels. Purines are a chemical compound found in some foods, and gout is a condition that affects the joints and the musculoskeletal system. It is a form of inflammatory arthritis caused by an excess of uric acid—the product of metabolic processes. When purines are metabolized, they create uric acid, so a diet rich in purines can create an excess amount of uric acid and contribute to gout.

Gout is often referred to as the rich man’s disease because foods high in purine, such as red wine and red meat, are deemed “rich.” Gout can very well be prevented if you are mindful of the foods you are eating. It can be very painful, and even a bed sheet on top of an infected joint can cause severe pain. Numerous studies link a purine-rich diet to gout.

Key studies show risk of gout and gout recurrence with purine-rich foods

One study examined new cases of gout among 47,150 men with no prior history of the condition. The men were followed for 12 years. A questionnaire was used to determine if the men fit the criteria of gout based on an American College of Rheumatology survey. Every four years, diet was assessed with a food-frequency questionnaire.

The end results of the study revealed 730 of the 47,150 men developed gout. The highest risk factors for the development of gout were meat and seafood consumption. Low risk was found in those who consumed dairy products. Although purine-rich foods increase the risk of gout, no increased risk was seen in men who consumed vegetables rich in purines.

In another study, researchers conducted a case-crossover to determine the risk of purine-rich foods as they contribute to gout. This study followed individuals who were already diagnosed with gout for one year online. Participants were asked questions about gout attacks, such as when they occurred, symptoms and signs of the attack, and medications they may be on, to name a few.

The results uncovered that even moderate consumption of purine-rich foods is enough to cause nearly five times as many reoccurring gout attacks. The researchers suggest that to avoid ongoing gout attacks, patients with gout should avoid and minimize their intake of purine-rich foods.

Food recommendations in diet for reducing gout risk

Whether you already have gout or you’re looking to prevent the painful form of arthritis, there are food recommendations for your diet to reduce future attacks or lower your risk. Here is what you need to keep in mind.

Lose weight: Being overweight increases the risk of developing gout, so losing weight can lower your chances. Reducing calories and avoiding purine-rich foods are both good ways to lose weight.

Complex carbohydrates: Avoid complex carbohydrates. Instead, incorporate more fruits, vegetables, and whole grains into your diet.

Water: Staying hydrated will prompt urination, which can help expel extra uric acid. Furthermore, staying hydrated has also been linked with fewer gout attacks.

Fats: Minimize saturated and trans fats found in processed foods and red meat.

Protein: Protein should be consumed in the form of lean meat, fish, and poultry. There are vegetable sources of protein that you should also consider.

High-purine vegetables: Studies showed that vegetables high in protein do not increase gout risk: therefore, you can still consume foods such as spinach, beans, and mushrooms.

Organ and glandular meat: Avoid meats such as liver and kidney, which are high in purines.

Selected seafood: Research showed only some seafood can increase the risk of gout. Avoid seafood such as mussels, trout, scallops and tuna, which are higher in purines.

Alcohol:
Metabolization of alcohol can contribute to uric acid which causes gout.

Coffee: Some research shows that moderate coffee consumption can reduce the risk of gout. Speak to your doctor about coffee consumption if you have other medical conditions.

Cherries: Some research has linked cherry consumption with reduced gout attacks.

List of daily foods in diet grouped by risk level

The below lists daily foods in our diet grouped by their risk of increasing gout and gout attacks.

Low Gout Risk: Foods with low purine levels (safe)

  • Green vegetables
  • Tomatoes
  • Fruit
  • Bread and cereal that are not whole-grain
  • Butter, buttermilk, cheese, and eggs
  • Chocolate and cocoa
  • Coffee, tea, and carbonated beverages
  • Peanut butter and nuts
  • Low-fat or non-fat milk
  • Low-fat yogurt

Moderate Gout Risk: Foods with moderate purine levels (eat occasionally)

  • Fish and seafood (aside from those listed in the high-purine section)
  • Oatmeal, wheat bran, and wheat germ

High Gout Risk: Purine-rich foods (avoid)

  • Organ meats, liver, kidney, sweetbread, and brains
  • Meat, bacon, beef, pork, and lamb
  • Any meat in large quantities
  • Anchovies, sardines, herring, mackerel, and scallops
  • Gravy
  • Beer

List of foods that are high and low in purine

Food Sources of PurineTotal Purine Content(mg/100g)
Liver286. 4
Kidney230.8
Poultry130.7
lamb, roasted, chop127.5
Pork, roasted, chop119.0
Fish, white, fresh115.9
Mushroom, fresh46.9
Bread, crusted15.7
Bread, white12.2
Wheat flour11.5
Cottage cheese8.0
Plain yogurt7.0
Rice, cooked5.9
Purine SourcesTotal Purine Content(mg/100g)
Chicken organs and parts
chicken, liver243
chicken, liver236.1
Chicken, heart223
Chicken, drumstick132.3
Chicken, breast130.7
Chicken, gizzard130.5
Chicken, thigh126. 5
Chicken, skin104.6
Pork, beef, and lamb organs
Pork, liver289
Beef, kidney213
Beef, liver197
Beef, heart171
Lamb, heart171
Beef, brain162
Lamb, liver147
Meat productsTotal purine content(mg/100g)
Liver, raw202.2
liver, boiled237.0
liver, broiled236.1
Steak, raw105.9
Steak, boiled107.8
Steak, broiled121.0
Haddock, raw101.7
Haddock, boiled94.7
Haddock, broiled118.7
Purine food sourcesTotal purine content(mg/100g)
Fresh seafood
Anchovies411
Sardines345
Salmon250
Mackerel194
Clams136
Squid135
Canned seafood
Sardines399
Herring378
Anchovies321
Mackerel246
Shrimp234
Tuna142
Oysters107
Salmon88
Clams62
AlcoholTotal Purine Content(mg/1 Liter)
Traditional British beers20. 3 – 27.5
Guinness23.8
Lager beer17.7
Home-brewed beer3.9
Cider0.4
Dried LegumesTotal Purine Content(mg/100g)
Blackeye peas230
Lentils222
Great northern bean213
Small white bean202
Split peas195
Pinto bean171
Red bean162
Large lima bean149
Baby lima bean144
Cranberry bean75
Garbanzo bean56
Seasonings and SupplementsTotal Purine Content (mg/100g)
Barbecue sauce14.9
Honey68.7
Oyster sauce134.4
Rice bran100. 2
Soy sauce, dark color45.2
Soy sauce, light color55.3
Beer yeast2995.7
Spirulina1076.8

What Is a Good Diet for Gout That Reduces the Risk Painful Flare-Ups

  • Gout is caused by high uric acid levels in the blood, so people with gout are recommended to avoid foods high in purine, which the body breaks down into uric acid and is thought to trigger painful flare-ups.
  • To protect yourself from painful gout flare-ups, swap out high-purine red meats for leaner meats, replace processed sugars with natural sugars, and avoid alcohol.
  • This article was medically reviewed by Melissa Rifkin, MS, RD, CDN, owner of Melissa Rifkin Nutrition LLC. 
  • Visit Insider’s homepage for more stories.

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More than 8 million adults in the US suffer from a painful condition called

gout
. There is evidence that unhealthy lifestyles, such as smoking, poor eating and lack of exercise as well as rising obesity rates are increasing the number of people afflicted with this condition.

In order to reduce the prevalence of gout and frequency of painful flare-ups, doctors recommend a balanced diet full of vegetables, low-fat proteins, and regular exercise. Here’s what you need to know about how diet can help with symptoms of gout.

What is gout

Gout is a painful type of arthritis, or inflammation of joints, particularly in the big toe and knee joints. It happens as a result of hyperuricemia, or too much uric acid in the blood. 

“The problem is either your body produces too much uric acid or it cannot properly excrete the uric acid,” says Shailendra Singh, MD, Rheumatology Medical Director at White River Medical Center in Arkansas. 

As a result, uric crystals can form, build-up, and get lodged in the joints, inflaming them, and causing excruciating discomfort and pain. 

“Joints get red-hot to touch and swollen. You could be fine for a few weeks to months to even years before you have another episode,” says Singh.

Foods to avoid for people with gout

Foods high in a natural compound called purine can trigger painful flare-ups for people with gout because the body breaks purine down into uric acid. Therefore, doctors recommend avoiding high-purine foods like the following:

  • Red Meat: “The biggest culprit for everyday people is red meat. People who eat a lot of beef and pork are at high risk and can trigger a flare,” says Dr. Singh. 
  • Shellfish: Shellfish is high in purine as well, which means that lobsters, shrimp, and scallops should be avoided for people susceptible to gout. Even seafood like anchovies — which are in many pasta sauce recipes and often in Caesar salad dressing — can contribute to gout flare-ups.
  • High-fructose corn syrup: This additive is present in a number of sugary drinks. It is in sodas, juices, candy, and even condiments like ketchup and barbecue sauce. It is not always obvious what contains high-fructose corn syrup, so be sure to check the labels on your food.
  • Alcohol: It is best to stay away from all forms of alcohol, which has been shown to increase the risk of gout flare-ups. This is because the ethanol in alcohol increases levels of urates, which is ultimately what crystallizes within the joints causing pain.
  • Processed Foods: Though it is hard to stay away from all processed foods sticking to more whole food options could prevent flare-ups, says Dr. Keenan.

Foods to eat for people with gout

An outlier to the rule is purine-rich vegetables like spinach, cauliflower, or mushrooms. These foods are shown to lower the risk of flare-ups. Fruits, especially cherries, are recommended as alternatives to other sugary snacks.

Also “lean meat, like chicken and turkey, is okay. Leafy greens and vegetable protein like soy are also a good source,” says Singh. “Moderation is the key and avoiding the [high-purine] foods is the most important thing.”

By swapping out some of the high-purine meats, processed sugars, and alcohol for more wholesome food options you can protect yourself from painful gout flare-ups while also leading a healthier lifestyle. Here are some swaps to consider:

  • Breakfast: Swap out the ham and bacon for an equally salty, smoky option like an omelet with smoked Gouda and Chipotle Tabasco sauce. Or try something totally different like some yogurt with fresh fruit. Try to avoid flavored yogurts since some of them may contain high-fructose corn syrup.
  • Lunch: Swap your favorite burger for a grilled chicken sandwich or veggie burger. And instead of that side of chips, crackers, or pre-packaged cookies, try a fresh piece of fruit or if you want something more savory, some grilled vegetables or stuffed mushrooms. Wash it down with a bottle of kombucha or carbonated water instead of a beer. 
  • Dinner: Swap your shellfish platter for another, low-purine, fish like salmon. Researchers have also found that you can reduce the amount of purine in certain high-purine fish — including turbot, European barracuda, beltfish, Japanese Spanish mackerel, and sea catfish — by boiling it, which transfers the purine from the fish to the boiling water.

In addition to using these meal ideas, one should ensure they stay well hydrated as dehydration can increase the concentration of uric acid in the body.

Other ways to relieve symptoms of gout

One myth is that if someone is suffering from gout, then they’re probably not eating right. But gout is the result of a mix of both genetics and environmental factors.

“It’s not that their husband or spouse is cheating on their diet, they aren’t sneaking food that they shouldn’t eat, it’s not all diet,” says Dr. Robert Keenan, a rheumatologist at Duke University Health Facility.

The pain from gout can also be treated with non-steroidal anti-inflammatory drugs (NSAID), like Aspirin or Ibuprofen and by losing weight, if you’re overweight.

The important thing to remember for people who suffer from gout is to maintain a healthy lifestyle. By watching purine-rich food intake, eating more vegetables and less unprocessed foods, watching your weight, and exercising more, gout can be managed effectively.

Purina One Mini dog food sensitive digestion salmon-rice 600g

Did you know that small breed dogs have special nutritional needs? That is why Purina experts have developed Purina ONE Mini Sensitive food – a high quality, complete food specially formulated for small breed dogs with sensitive digestion and skin. This delicious salmon and rice food contains natural prebiotics to improve digestion. And the high content of Omega-3 fatty acids and zinc helps to maintain healthy skin.The combination of small crunchy croquettes and soft nibs *, specially designed for your dog’s size, will allow him to enjoy delicious food every day.

(* Soft pieces may become harder during storage).

Ingredients: poultry protein powder, wheat, corn, animal fat, salmon (8%), gluten, rice (4%), soy flour, flavoring feed additive, glycerin, minerals, corn grits, dried chicory root (1 %; natural prebiotic source), propylene glycol, preservatives, dried malt flour, vitamins, fish oil, antioxidants.

Feeding recommendation:

  • Recommended daily allowance depends on weather conditions, activity level of the dog and its physical characteristics. Make sure your dog always has clean, fresh drinking water without restriction.
  • If this is your first time offering your dog Purina ONE, we recommend that you gradually switch to the new food. For 7 days, reduce the original diet by increasing the dose of Purina ONE. This will allow your dog’s digestive system to better adapt to changes in food.
  • The amount of food in the package is calculated on average for 15 days for an adult small breed dog weighing 5 kg. (For all PMPB 1.5 kg). The amount of food in the package is calculated on average for 6 days for an adult small breed dog weighing 5 kg. (For all SUP 600 g).

* For maximum results, we recommend combining the same type of food Purina ONE Mini (e.g. dry food Purina ONE® Mini Sensitive and wet food Purina ONE Mini Sensitive, for small dogs , with sensitive digestion).

Guaranteed values: protein: 27.0%, fat: 17.0%, crude ash: 7.0%, crude fiber: 1.5%; omega-3 fatty acids: 0.22%.

Added substances:

  • IU / kg: vitamin A: 30 690; vitamin D3: 1,000; vitamin E: 550;
  • mg / kg; vitamin C: 210; iron: 69; iodine: 1.7; copper: 10; manganese: 32; zinc: 130; selenium: 0.11.

Benefits:

  • Low phosphorus helps slow the progression of kidney disease.
  • Limited high quality protein to minimize muscle loss and toxin formation.
  • Increased palatability for cats with reduced appetite.
  • For adult dogs
  • For dogs with sensitive digestion

Storage conditions: Store in a cool dry place.

Expiry date: 540 days.

Purina dog food salmon with rice – Animal Expert Site – HowMeow

Some puppies tend to scratch and scratch their skin and may have more dandruff.Designed by our veterinarians and nutritionists, Purina® PRO PLAN® with OPTIDERMA® Complex provides improved nutrition that supports puppy’s sensitive skin. The OPTIDERMA® Complex has been proven to contain a special combination of nutrients that support healthy skin and a beautiful coat, while selected protein sources help reduce possible skin reactions associated with food sensitivities.

Ingredients:

Salmon (17%), rice (16%), dry salmon protein, animal fat, corn gluten, corn starch, vegetable raw materials, egg powder, flavoring feed additive, dry beet pulp, corn, minerals, dried chicory root , vitamins, fish oil, soybean oil, antioxidants.

Trace elements:

9,0002 IU / kg: vitamin A: 31,000; vitamin D3: 1000; vitamin E: 550 mg / kg: vitamin C: 140; iron: 89; iodine: 2.2; copper: 13; manganese: 42; zinc: 160; selenium: 0.14.

Guaranteed indicators:

Protein: 32% Fat: 20% Crude Ash: 7.5% Crude Fiber: 2.5%.

Feeding recommendation:

From 3 to 6 weeks start feeding Pro Plan® soaked food 3-4 times a day. After the complete cessation of breastfeeding, feed according to the table.At 3 months of age, gradually reduce the amount of water added to macerate the feed. Maintaining optimal body weight is very important to your puppy’s health. The RDA may vary depending on the activity level, physical characteristics and individual needs of your puppy. Make sure your dog always has clean, fresh drinking water. To monitor your dog’s health, visit your veterinarian on a regular basis.

Recommended daily allowance (grams per day)

1See the feeding advice for an adult dog.

Description

Purina Pro Plan dry food for adult dogs small and dwarf breeds with sensitive skin. Specially selected protein sources for dogs with sensitive skin. A combination of essential nutrients to help support your dog’s joint health with an active lifestyle. Clinically Proven: Supports Skin Health. Contains high quality salmon protein.

Designed by veterinarians and nutritionists, Purina PRO PLAN with OPTIDERMA Complex provides improved nutrition that supports the sensitive skin of adult dogs.OPTIDERMA has been proven to contain a special combination of nutrients that support healthy skin and a beautiful coat, while selected protein sources help reduce possible skin reactions associated with food sensitivities.

Key benefits:

  • Supports Healthy Skin & Coats: Clinically Proven: Supports healthy skin and shiny coat in dogs with balanced omega-3 and 6 fatty acids and increased levels of trace minerals and antioxidants.
  • High Digestibility of Nutrients: contains specially selected protein sources with high digestibility for dogs with sensitive skin.
  • Healthy Immune System: promotes a healthy immune system.

Composition

Ingredients: salmon (14%), rice (14%), dry salmon protein, corn gluten, corn flour, corn starch, animal fat, corn, processed vegetable raw materials, egg powder, dry beet pulp, minerals, dried chicory root, fish oil, flavoring feed additive, yeast, soybean oil, vitamins, antioxidants.

Trace elements: IU / kg: vitamin A: 30,000; vitamin D3: 975; vitamin E: 550; mg / kg: vitamin C: 140; iron: 84; iodine: 2.1; copper: 13; manganese: 40; zinc: 159; selenium: 0.1.

Guaranteed values: protein: 27%, fat: 17%, crude ash: 7.5%, crude fiber: 3%.

Feeding norms

Use the chart to determine the RDA for your dog. These guidelines are recommended to keep your dog in optimal physical shape.Vary the daily feed rate according to your dog’s activity level, physical characteristics and individual needs.

Make sure your dog always has clean, fresh drinking water. To monitor your dog’s health, visit your veterinarian on a regular basis.

Purina ® Pro Plan ® – a wide range of food for all needs for both cats and dogs. The range ranges from kitten food to active dog food.

Purina ® Pro Plan ® is perfectly balanced and aimed at strengthening the immune system. Each line has a range of flavors that will satisfy even the most fastidious. For cats, there are special elements in the food to maintain the genitourinary system in a normal state. Also Purina ® Pro Plan ® has both wet and dry foods; spiders and canned food.

What are they, our favorites? Pets, independent cats and loyal, friendly dogs are our truest friends.They wait for us at home and meet at the door, cheer us up when we feel bad, rush around the house, playing and entertaining our children. Undoubtedly, every person who keeps a pet takes care of it with great love. After all, it is so important that the pet is always in a playful mood and shines with health! What is the most important thing for any living creature? Of course, proper and nutritious food. Research by scientists has shown that the food we prepare ourselves every day is not suitable for animals. It is sometimes unbalanced and contains artificial additives.To solve this important problem, the Ralston Purina company was created in the USA in 1894, the main goals of which were the production and supply of professional, high-quality food for animals of various breeds and ages.

Purina ®

Purina’s ® brand has become a global leader in pet nutrition. Purina’s specialists to this day maintain the company’s image, relying not only on the production of feed using the best technologies, but also on working with the population, advising people on the choice of an ideal pet and learning how to properly care for it.Public recognition is the best demonstration of the quality service and the right direction of Purina’s activities.

An incredible variety of feed

From the first day of the company’s appearance on the world market, Purina has been developing and constantly improving food for dogs and cats, thereby leaving no chance for competitors. Just imagine what a variety of food: dry granular, wet food for cats and dogs, separate series of universal and special food, selected for the individual characteristics of your pet’s breed.All Purina feeds contain exclusively natural ingredients: poultry, fish, beef, cereals, enriched with essential trace elements and a complex of vitamins. There are special medicinal feeds that help fight obesity, diseases of the genitourinary, digestive systems, feed to prevent an allergic reaction. For adult dogs and puppies, large or small breeds, leading an active or measured lifestyle, for kittens and adult cats, neutered and neutered – you will definitely find what is right for your pet.

Company Scientific Knowledge Purina ®

Purina ® has more than a century of experience in the nutrition of cats and dogs to ensure that all pet needs and pet owners are satisfied. Purina ® is currently developing feeds designed to increase animal lifespan and maximize animal health. Research is carried out in several directions, the main of which are: the study of the general physiological characteristics and periods of life of animals, the nutritional needs for dogs and cats of various breeds, ways to maintain good shape for those animals that have insufficient physical activity.Experts also pay attention to the improvement of the taste of feed and their digestibility. Progress does not stand still, new and improved products are constantly appearing on store shelves. All Purina ® products are subject to the most stringent controls under the guidance of global scientists and veterinarians. That is why you can rest assured that all Purina food products are of the highest quality.

Hotline telephone 8-800-200-8-900

Purina ® Pro Plan ® – a wide range of food for all needs for both cats and dogs.The range ranges from kitten food to active dog food.

Purina ® Pro Plan ® is perfectly balanced and aimed at strengthening the immune system. Each line has a range of flavors that will satisfy even the most fastidious. For cats, there are special elements in the food to maintain the genitourinary system in a normal state. Also Purina ® Pro Plan ® has both wet and dry foods; spiders and canned food.

What are they, our favorites? Pets, independent cats and loyal, friendly dogs are our truest friends. They wait for us at home and meet at the door, cheer us up when we feel bad, rush around the house, playing and entertaining our children. Undoubtedly, every person who keeps a pet takes care of it with great love. After all, it is so important that the pet is always in a playful mood and shines with health! What is the most important thing for any living creature? Of course, proper and nutritious food.Research by scientists has shown that the food we prepare ourselves every day is not suitable for animals. It is sometimes unbalanced and contains artificial additives. To solve this important problem, the Ralston Purina company was created in the USA in 1894, the main goals of which were the production and supply of professional, high-quality food for animals of various breeds and ages.

Purina ®

Purina’s ® brand has become a global leader in pet nutrition.Purina’s specialists to this day maintain the company’s image, relying not only on the production of feed using the best technologies, but also on working with the population, advising people on the choice of an ideal pet and learning how to properly care for it. Public recognition is the best demonstration of the quality service and the right direction of Purina’s activities.

An incredible variety of feed

From the first day of the company’s appearance on the world market, Purina has been developing and constantly improving food for dogs and cats, thereby leaving no chance for competitors.Just imagine what a variety of food: dry granular, wet food for cats and dogs, separate series of universal and special food, selected for the individual characteristics of your pet’s breed. All Purina feeds contain exclusively natural ingredients: poultry, fish, beef, cereals, enriched with essential trace elements and a complex of vitamins. There are special medicinal feeds that help fight obesity, diseases of the genitourinary, digestive systems, feed to prevent an allergic reaction.For adult dogs and puppies, large or small breeds, leading an active or measured lifestyle, for kittens and adult cats, neutered and neutered – you will definitely find what is right for your pet.

Company Scientific Knowledge Purina ®

Purina ® has more than a century of experience in the nutrition of cats and dogs to ensure that all pet needs and pet owners are satisfied.Purina ® is currently developing feeds designed to increase animal lifespan and maximize animal health. Research is carried out in several directions, the main of which are: the study of the general physiological characteristics and periods of life of animals, the nutritional needs for dogs and cats of various breeds, ways to maintain good shape for those animals that have insufficient physical activity. Experts also pay attention to the improvement of the taste of feed and their digestibility.Progress does not stand still, new and improved products are constantly appearing on store shelves. All Purina ® products are subject to the most stringent controls under the guidance of global scientists and veterinarians. That is why you can rest assured that all Purina food products are of the highest quality.

Hotline telephone 8-800-200-8-900

Weight

Age

(months)

1.5

3

4

5

6

8

9

11

12

24

10 kg

80

120

125

145

150

150

150

150

150

15 kg

85

145

160

180

200

220

220

220

220

20 kg

90

155

170

190

215

240

240

245

245

25 kg

100

200

230

245

300

355

355

365

365

Adult1

35 kg

110

220

260

310

365

485

495

515

525

535

45 kg

125

245

280

355

410

585

605

645

655

655

60 kg

150

345

405

525

605

770

800

850

850

860

70 kg

415

620

940

1030

960

During pregnancy and lactation

Consult your veterinarian
During the growth period

From 3 to 6 weeks start feeding the soaked food PRO PLAN® 3-4 times a day. After the complete cessation of breastfeeding, feed according to the table. At 3 months of age, gradually reduce the amount of water added to macerate the feed.Maintaining optimal body weight is very important to your puppy’s health. The RDA may vary depending on the activity level, physical characteristics and individual needs of your puppy. Make sure your dog always has clean, fresh drinking water. To monitor your dog’s health, visit your veterinarian on a regular basis.

Storage conditions

Store in a cool dry place.

Country

France

Brand

Pro Plan

Dog size

Small

Age

Adults (1-6 years old)

Flavor / Ingredients

Salmon, Rice

Type of packaging

Bag

Features / purpose

Full-service (everyday)

Ingredient class

Super Premium

Feeding table (g ram of feed per day)

Weight of an adult dog Less than 1 hour physical.activity From 1 to 3 hours physical. activity
1 – 5 kg 40 – 110 45 – 125
5 – 10 kg 110 – 175 125 – 200

Purina Pro Plan Derma Plus dry food for adult cats with sensitive skin with salmon Pro Plan Purina

Pro Plan Derma Plus is a super premium French dry food specially formulated for adult cats of all breeds with sensitive skin, prone to dermatitis and hair loss.

The main components of this complete feed are salmon meat, which is a source of easily digestible protein, and cereals, a source of carbohydrates that provide energy for an active life. In addition, Pro Plan Derma Plus for Sensitive Cats includes a patented complex of nutrients for healthy skin and beautiful coat, including antioxidants, arginine and omega-3 and omega-6 fatty acids. The high protein content (41%) and the reduced fat content contribute to the maintenance of muscle mass, while the vitamins A, C, E and natural prebiotic present in the feed strengthen the immune system.A large amount of fiber stimulates intestinal motility and promotes the elimination of hair clumps.

Proper nutrition is essential for health, which is why it is so important to choose high quality food that contains all the necessary ingredients. Dry Food Pro Plan Derma Plus is the perfect choice for any breed of cat!

Ingredients : salmon (15%), wheat, wheat gluten, corn gluten, dry salmon protein, animal fat, corn grits, corn, dry beet pulp, egg powder, dry chicory root, minerals, flavoring feed additive, yeast, vitamins, preservatives, antioxidants.

Guaranteed Analysis:

Protein 36%
Fat 16%
Fiber 6.5%
Ash 6.5%
Iron 74 mg / kg
Iodine 1.9 mg / kg
Zinc 144 mg / kg
Copper 12 mg / kg
Manganese 35 mg / kg
Selenium 0.

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