How to lower uric acid levels with diet

High-Purine Foods Include: Alcoholic beverages (all types) Some fish, seafood and shellfish, including anchovies, sardines, herring, mussels, codfish, scallops, trout and haddock. Some meats, such as bacon, turkey, veal, venison and organ meats like liver.

Which vegetables are good for uric acid?

Oats, whole grains, vegetables like broccoli, pumpkin and celery should be included in the diet to lower the uric acid level. These types of foods are filled with dietary fibres that are extremely beneficial in the absorption of the uric acid and in eliminating it from the body.

Is Egg good for uric acid?

Eggs are a good protein source for people with gout, because eggs are naturally low in purines.

Does milk increase uric acid?

DO: Drink Milk The proteins found in milk promote excretion of uric acid in the urine.

Is Lemon is good for uric acid?

Lemon juice may help balance uric acid levels because it helps make the body more alkaline. This means it slightly raises the pH level of blood and other fluids. Lemon juice also makes your urine more alkaline.

Is rice good for uric acid?

A 2016 study found that reducing the glycemic index lowered uric acid levels in participants. Limiting foods with a high glycemic index such as white bread, pasta, and white rice may help to reduce uric acid levels and possibly prevent gout onset or flares.

Is chicken high in uric acid?

Chicken is mostly a moderate-purine food, but the amount of purines in cuts do range from low to very high. People with gout are advised to avoid organ meats like chicken liver and only eat moderate-purine foods in sensible portions.

Is Potato bad for uric acid?

Plenty of starchy carbohydrates These may include rice, potatoes, pasta, bread, couscous, quinoa, barley or oats, and should be included at each meal time. These foods contain only small amounts of purines, so these along with fruit and vegetables should make up the basis of your meals.

Does bread increase uric acid?

Carbohydrates such as bread, pizza, and pasta do not increase uric acid levels. Alcohol (but beer in particular more so than other types of alcohol), organ meets (liver, kidney, etc), and seafood (notably shellfish) can increase uric acid levels.

Which fruit is good for uric acid?

Fruits like oranges and lemons are a rich source of vitamin C and citric acid. Including these foods can help you maintain healthy uric acid levels in the body, since they can efficiently flush out the excess.

Is chocolate good for gout?

Chocolate can lower uric acid crystallization, according to a 2018 study . Lowering uric acid crystallization can be key to controlling your gout. Chocolate has polyphenols associated with antioxidant and anti-inflammatory activities. Inflammation reduction is helpful in providing relief from a gout attack.

Which fruit is good for gout?

Eat fruits high in vitamin C such as oranges, tangerines, papaya and cherries. Apples, pears, pineapples, avocados are low-purine fruits and therefore can be eaten in moderation.

Are tomatoes bad for gout?

Tomatoes have been considered a healthy food, acceptable for those with gout until reports from those with gout claimed the food triggers symptoms. Some research suggests an association between eating tomatoes and higher levels of uric acid, which is known to trigger gout.

Uric acid is the chemical produced when your body breaks down purines. Purines are found in food such as beer, dried beans, organ meats, certain seafood, and more. It passes out of your body through the kidneys and into the urine. If too much uric acid is produced or not enough is filtered out, you can experience side effects. High uric acid is also called hyperuricemia. This can cause problems such as gout and kidney stones. If you’re looking for ways to reduce uric acid, keep on reading!

Limit Intake of High-Purine Foods

The first step in lowering your uric acid is to tackle the root source. By limiting the intake of high-purine foods, you’re also reducing the amount of uric acid in your body. Here are some examples:

  • Wild game meats such as duck and goose
  • Organ meats such as liver
  • Alcohol such as beer
  • Seafood and fish such as trout, tuna, sardines, shellfish, herring, and anchovies

Other than these, there’s also a moderate amount of purines in poultry, oyster, shrimp, and crab. The same goes for vegetables such as spinach, cauliflower, mushrooms, and green peas. Take care to limit intake of high-fat foods such as red meat, bacon, and dairy too.

If you’re looking for low-purine foods, you can add the following to your diet instead:

  • Fat-free or low-fat dairy
  • Nuts and peanut butter
  • Most fruits and vegetables
  • Eggs

Avoid Sugar-Filled Food and Drinks

How to lower uric acid levels with diet

Food and drinks filled with sugar are linked with high levels of uric acid. Fructose, which is typically found in table sugar and corn syrup is the sweetener that is the potential cause. It’s also found naturally in fruits and some vegetables, but these are hard to overeat and also contain beneficial things such as vitamins, fiber, and more. Compared to that, fructose from refined sugar is absorbed faster by your body, which leads to higher uric acid.

To maintain your uric levels, it might be beneficial to avoid the following foods that contain table sugar and corn syrup.

  • Ice cream and chocolate bars
  • Sugary drinks such as soda and sports drinks
  • Bread toppings such as jams and jellies
  • Baked goods such as pie and croissants
  • Canned fruits and vegetables

Increase Intake of Vitamin C

Vitamin C is often associated with a stronger immune system which is important especially nowadays during the normal. Your body can’t produce this vitamin, so it’s necessary to get it from your diet. But other than that, did you know that it can help you reduce your blood uric acid levels and help prevent gout?

Consumption of vitamin C has been linked with lower serum uric acid concentration. Other than that, a higher intake of the vitamin has been associated with lower gout risk.

Fortunately, vitamin C is available in supplement forms. If you want to increase your intake, you can also try the Bonavita Collagen Drink. It contains vitamin C that not just boosts glutathione effectiveness but also helps with uric acid. Other than that, it also has healthy ingredients such as collagen, guyabano, L-carnitine, and stevia!

Try Drinking Coffee

Other than boosting your mood and helping you wake up, did you know that a cup of coffee may help you reduce your gout flare-ups? According to scientific research, those who consume this beverage have lower chances of developing gout. On top of that, coffee drinking has been associated with decreased risk of cardiovascular disease—which is a risk for people with gout.

Aside from that, coffee also offers plenty of antioxidants and other health benefits such as the lower risk of certain cancers, depression, liver cirrhosis, and more. If you’re a coffee drinker, be sure to limit your sugar intake too.

If you’re looking for a healthier alternative to your instant coffee, you can try the Bonavita 8-in-1 Coffee! Other than coffee, it also contains ingredients such as mangosteen, guyabano, moringa, ganoderma, and acai berry. It’s delicious without the guilt because it’s sweetened by stevia, a healthier sugar alternative. Both mangosteen and guyabano are rich in vitamin C so you’re also getting their benefits.

Manage Your Stress Levels

Stress also plays an important factor in your health, because it causes inflammation. This can worsen your uric acid and gout symptoms. The reality is stress can be hard to eliminate completely. With that said, you should address the things that trigger this so you can take better care of your health.

For example, if you feel burnout from work, it’s a good idea to ask for time off. Go on a vacation and unwind. Other than that, you can also allocate small parts of your day to destressing. This can be done through taking a brief walk, journaling, or listening to music. Lastly, make sure that you get ample rest.

Key Takeaway

If you consume plenty of beer, organ meat, fatty foods, and sugary beverages, you might be having a problem with uric acid and gout. Fortunately, there are plenty of low-purine foods that you can switch to. Other than that, coffee and vitamin C can also help you. Lastly, don’t forget to look for ways to manage your stress!

If you’re looking for ways to reduce uric acid, you can try our healthy beverages and supplements here at Bonavita. We also offer our products in bulk so you can share them with your friends and family while getting huge discounts. Click here to start shopping!

To reduce elevated uric acid levels, it is necessary to consume certain foods and limit the intake of others.

How to lower uric acid levels with diet

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Food is essential for general health. However, when faced with certain health problems, it is advisable to eat certain foods and reduce the consumption of others. For example, when uric acid levels are high in the organism.

Specifically, uric acid is a substance generated by the organism when it degrades purines. However, this substance usually appears due to the functioning of the organism itself and due to the foods we consume in our regular diet.

This is the case of foods rich in animal proteins, such as fatty fish and meats, which contain a high level of purines. Thus, when the body metabolizes purines, uric acid is produced.

Specifically, some of these purines are used by the organism for inclusion in the cell regeneration process, while others are discarded in the form of uric acid.

Uric acid problems

When human beings have a diet characterized by an excess of proteins and there are also certain genetic conditions, uric acid crystals are located in the joints and can cause serious discomfort. They can even lead to chronic arthritis. Similarly, a high amount of uric acid in the organism can also provoke an attack of gout.

In most cases, people know that they have high uric acid when they go to a medical specialist because they have severe pain in a joint, which is where the purines are usually located. Specifically, the areas of the body most vulnerable to these substances are the elbow, ankles, hands, ears and knees.

Foods to reduce uric acid

Having high levels of uric acid in the organism can be very harmful to health, since there is the possibility of leading to certain diseases, such as kidney stones, gout, high blood pressure or metabolic syndrome.

Fruits and vegetables

Thus, an important aspect to prevent this type of diseases is to control the diet to try to reduce the levels of uric acid in the organism. Some advice from experts in this regard is to avoid fasting for prolonged periods, drink at least two liters of water a day, do not gain weight, do not drink alcohol and do not eat foods rich in purines.

How to lower uric acid levels with diet

Below is a list of some of the most suitable foods to reduce uric acid levels in case they are elevated:

  • Vegetables, fruits and legumes.
  • Vegetable broth soups or non-fat consommés.
  • White fish. For example, hake, sole or John Dory.
  • White meats. In this group we include chicken or turkey.
  • Red meat (twice a week at the most).
  • Olive oil.
  • Sausages with less than 10% fat.
  • Skimmed milk.
  • Pieces of fruit with little fructose.
  • Drinks without sugar or alcohol.

In the same way there are also a series of foods that it is necessary to limit their consumption in case of having high levels of this substance. Among these foods we find fatty meat broths, duck, seafood, fatty sausages, dairy products, alcohol, hamburgers, sausages or animal viscera.

How to lower uric acid levels with diet

Credit: Anastasiia Kurman/iStock

Experts have long emphasized that diet can only do so much to reduce uric acid, a metabolism waste product that can crystallize in the joints and cause gout.

In fact, research presented at the 2020 medical meeting of the American College of Rheumatology found that diet changes have a small impact on lowering uric acid levels compared to taking a uric acid-lowering medication. When diet is recommended as a method for managing gout, it often consists of avoiding high-purine foods, which include shellfish and certain seafood, alcohol, high-fructose corn syrup, and organ meats like liver. Purines are a substance found in certain foods that get broken down into uric acid.

A low-purine diet, however, is not easily sustainable. “It’s not palatable and may involve foods that are detrimental to cardiovascular health,” Stephen P. Juraschek, MD, PhD, told Healio Rheumatology. Dr. Juraschek is the lead author of a recent study that looked at how following the DASH diet affects uric acid levels.

His research, recently published in the journal Arthritis & Rheumatology, suggests that the DASH diet can lower uric acid levels and may be a wise choice for people looking to eat healthier as part of their gout management.

What Is the DASH Diet?

The DASH eating plan emphasizes whole grains, fruits, vegetables and low-fat or fat-free dairy while limiting saturated fats and processed foods. DASH is an abbreviation for Dietary Approaches to Stop Hypertension. The diet is intended to be a lifelong healthy eating plan to lower high blood pressure and be good for the heart. People with gout are also at an increased risk of cardiovascular disease.

For this study, Dr. Juraschek and his coauthors retrieved stored blood samples from the original DASH trial. Published in the New England Journal of Medicine in 1997, the original DASH trial compared the effects of three different diets — a typical American diet, a fruit- and vegetable-rich diet, or a DASH diet — on blood pressure in 459 adults. The researchers looked at participants’ levels of uric acid at the beginning and the end of the eight-week study.

They found that the samples from people on the DASH diet had less uric acid at the end of the trial compared to people on the typical diet.

Will the DASH Diet Reduce My Risk of Gout?

Though the recent study suggests that following a DASH diet may reduce uric acid levels, it is still a small amount compared to the impact that taking medication for gout can have on reducing uric acid.

Additionally, there were several limitations to the study that warrant a need for more research.

To start, participants were not screened for gout when the blood samples were originally taken, nor were they assessed for gout attacks during the eight-week study span. Additionally, the diets were adjusted to minimize weight loss among participants, thus underestimating the full impact of diet on uric acid in the setting of weight loss. (Losing weight if you’re overweight is also beneficial for gout management.) Finally, because the study tested dietary patterns, researchers could not isolate which specific food groups or micronutrients may account for the reduction in uric acid.

Future studies must be conducted to better understand the potential role of the DASH diet in the management of gout. That said, the findings suggest that eating a well-rounded healthy diet that is good for the heart is also good for gout.

It may be the case that people with gout are better off focusing on an overall healthy eating pattern than on eliminating high-purine foods.

“We hope our study continues to highlight the importance of healthy diet, specifically the DASH diet, as a strategy for greater health among adults with gout,” Dr. Juraschek told Healio.

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Uric acid is a chemical substance generated naturally in the body when purines, substances that are found in certain foods and drinks, are broken down. As a result, a high uric acid level has negative consequences for our health and elevated levels should therefore be controlled and reduced. In this OneHowTo article, you’ll find out how to lower uric acid.

First of all, it’s worth knowing what we mean by uric acid, so that it’s clear what exactly it is. It is a substance that the human body creates to break down substances known as purines. Most uric acid dissolves in the blood and travels to the kidneys, where it is expelled through the urine. You’ll find more information in our article on What is Uric Acid.

How to lower uric acid levels with diet

As a result, this chemical in itself is not a problem, but when the body produces too much or does not expel enough uric acid it can cause negative consequences. That’s why it’s necessary to take the appropriate measures to keep the levels of uric acid inside the normal levels:

  • Men: From 3.4 to 7.0 mg/dl
  • Women: from 2.4 to 5.7 mg/dl

You can broaden your knowledge on what is the normal level of uric acid in a human body here.

How to lower uric acid levels with diet

Therefore, it is important to drink plenty of water to reduce uric acid levels because this toxin is removed from the body through urine. That’s why we should drink at least one and a half liters of water, as well as liquids such as juices and non carbonated drinks that help get rid of this substance.

How to lower uric acid levels with diet

Food is one of the key points when lowering uric acid or stopping their rise, as certain products that are rich in purines make this substance increase. These are the most common:

  • Red meat
  • Seafood
  • Alcoholic beverages
  • Soft drinks

Therefore, it’s fundamental to know what foods cause uric acid levels to rise and what vegetables can help you lower uric acid levels too.

How to lower uric acid levels with diet

On the contrary, there are also food that helps reduce uric acid naturally and will make you better. Good examples are artichokes or onion, which you can also use to boil and take in a light soup.

Staying at a healthy weight also helps to reduce uric acid; being overweight or obese is directly linked to an increase in the substance in the body.

At OneHowTo we have more specific information on uric acid, we invite you to read the following:

How to lower uric acid levels with diet

Though all of these recommendations can be very useful to lower uric acid and avoid the formation of urate crystal deposits in your joints, truth is you should always search for a medical opinion and diagnosis. In some cases, medical treatment with medication that helps you keep your uric acid levels to standard is very necessary.

This article is merely informative, oneHOWTO does not have the authority to prescribe any medical treatments or create a diagnosis. We invite you to visit your doctor if you have any type of condition or pain.

If you want to read similar articles to How To Lower Uric Acid Levels, we recommend you visit our Diseases & secondary effects category.

More specifically, you want help with 7 Tips to Lower Uric Acid?

hey guys we’re going to talk about how to lower uric acid uric acid basically is a byproduct to proteins and it can leak into the joints and create a lot of like arthritic type pain especially in the gout the big toe and the lower part of the feet and also turn into kidney stone so it can be very very painful so what causes that mainly is high-fructose corn syrup and that’s a lot of soft drinks a lot of the junk foods out there you probably know people who consume that but I know you don’t consume that too much sugar will do that kidney problems fasting can actually increase your uric acid in your body ketosis can do it as well and diuretics okay an excessive consumption of meat so these are things you just want to look at but here’s the remedy it’s potassium citrate if you took potassium citrate you could knock out uric acid pretty fast it helps neutralize that and so you want to start cleaning up this this stuff right here of course don’t get off the ketosis don’t stop fasting you clean this up start adding potassium but you could also get it from a lot of vegetables and that’s why when I recommend ketosis you know you’re switching from running on glucose to running on fats okay when you do that you’re changing your whole fuel system and I recommend adding a lot of vegetables to that because your body you use pH is going to start becoming acidic you’re going to get rid of a lot of your gas food crystals and so you want to have a lot of vegetables to flush all that out of there if you do a ketosis diet without vegetables you’re going to end up with probably gout and kidney stones so you want to consume that so anyway I want to bring up that point and go ahead and start doing that and thank you so much for watching hey guys thank you so much for watching please click the subscribe button and I will see you in the next video

How to lower uric acid levels with diet

This Post Was All About 7 Tips to Lower Uric Acid.

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Dr. Berg talks about uric acid. Uric acid can build up with:
1. High fructose corn syrup (HFCS)
2. Sugar
3. Kidney dysfunction
4. Fasting
5. Ketosis
6. Diuretics
7. Excessive protein

The remedy for high levels of uric acid is potassium citrate, which will neutralize this acid. You can get it from vegetables or a supplement.

Keeping uric acid levels within their normal values is essential for good health. Excesses can cause problems and diseases such as gout; nor is it beneficial to have low levels of uric acid . Therefore, if you suffer hyperuricemia you must take appropriate measures to reduce the presence of this substance in your body. The first essential step is to have a healthy and suitable diet and so at OneHowTo we now explain what are the best vegetables to lower uric acid. You should also familiarize yourself with foods that increase uric acid like meats and fish to make sure to avoid them. Likewise, eating a low calorie diet, excess alcohol and smoking also increase uric acid levels and are best avoided.

Good vegetables to lower uric acid: artichoke

One of the star foods to reduce uric acid are artichokes as they are very diuretic and therefore facilitate the removal of toxins and liquid retention.

To maximize the effect of artichokes, we recommend boiling them so you an also drink the broth resulting from cooking which will further help reduce uric acid levels naturally.

How to lower uric acid levels with diet

Good vegetables to lower uric acid: onion

This vegetable is also very suitable for reducing levels of uric acid in blood and prevent hyperuricemia as well as helping lower cholesterol and triglycerides. And so we will see how onions have countless medicinal and beneficial properties for the body.

As with artichokes, it is highly recommended to cook the onion and drink the resulting water together with the juice of a lemon.

You can also consult our article fruits to lower uric acid and discover which of these are most recommended.

How to lower uric acid levels with diet

Good vegetables to lower uric acid: pumpkin

Pumpkins are another great diuretic vegetable; by increasing urine production we also improve the elimination of the substances it contains, such as uric acid.

Therefore, adding pumpkin to the diet of people with high uric acid will be highly beneficial for their health and help them reduce excess levels.

How to lower uric acid levels with diet

Good vegetables to lower uric acid: celery

Celery’s alkalising effect on the blood makes it an appropriate vegetable for those with hyperuricemia who want to reduce uric acid naturally. Celery eliminates or compensates this waste product from the blood.

As we have seen with other vegetables which are good to lower uric acid, we can cook these in boiling water and then not only eat the vegetables but also drink the resulting broth. This can also be combined with other good foods to lower uric acid.

How to lower uric acid levels with diet

Good vegetables to lower uric acid: carrot

Another example of a suitable vegetable for people with high levels of uric acid in the blood are carrots, as they are also alkalising and therefore an effective food source to expel excess chemicals.

How to lower uric acid levels with diet

Unsuitable vegetables

It should also be noted that there are plants that are not recommended to reduce uric acid levels as they have a high purine content and generate the opposite effect. Amongst other foods, if you have high uric acid the following should not be consumed regularly:

  • meat
  • fish
  • alcohol
  • spinach
  • mushrooms
  • cauliflower
  • asparagus
  • legumes

If you have very high levels of uric acid and are seeing symptoms, we highly recommend that you consult your physician for the proper diagnosis and treatment.

You should also know which foods increase uric acid levels to remove them from your diet and avoid your levels increasing. We can highlight some such as those that are high in purines.

  • Red meat
  • Cold meat
  • Guts
  • Shellfish

Recommendations to lower uric acid

It will also be vitally important to take into account other tips to reduce your levels of uric acid in blood:

  • Drink plenty of water
  • Avoid food with purines
  • Avoid soda and fizzy drinks
  • Don’t drink alcohol

It will be fundamental to follow your doctor’s recommendations and, in some cases, you may require pharmacological treatment with drugs that avoid an increase.

This article is merely informative, oneHOWTO does not have the authority to prescribe any medical treatments or create a diagnosis. We invite you to visit your doctor if you have any type of condition or pain.

If you want to read similar articles to Good vegetables to lower uric acid, we recommend you visit our Diseases & secondary effects category.

Uric acid is a naturally occurring waste product formed during the digestion of foods containing purines. Purines are found in high amounts in some foods, such as dried beans, beer, and some meats. Dietitian Avni Kaul says purines are also produced and broken down by our bodies.

Usually, the body filters uric acid through the kidneys and urine. If you consume too many purines from your diet or your body cannot get rid of this byproduct quickly enough, uric acid can build up in your blood.

High uric acid levels are known as hyperuricemia. This can cause a condition known as gout, which can cause pain in the joints where urate crystals form. It also makes the blood and urine too acidic.

If you have too much uric acid in your blood or if you have hyperuricemia, you are at a higher risk of developing kidney stones or gout, a type of inflammatory arthritis. And dietary changes can help.

Since uric acid is a byproduct of the metabolism of purines, a substance produced by the body and found in certain foods, restricting certain foods rich in purines is a step towards lowering uric acid levels. Drinking more water and consuming more fruits and vegetables, including low-fat dairy products, can also help lower serum levels of this compound.


Add apples to your diet. Rich in malic acid, it neutralizes the uric acid in the blood. This will ease the burden on patients suffering from diseases with high uric acid content.

Juice From French Beans

Drinking mung bean extract is a great home remedy for gout. This healthy juice should be consumed twice a day, as it blocks the production of high levels of uric acid in the blood.


This is another reason to drink enough water throughout the day. Water helps flush toxins from the body, including by adding uric acid. Therefore, drink at least 8-9 glasses of water a day.


Cherries contain an anti-inflammatory substance called anthocyanins, which helps lower uric acid levels. It also prevents crystallization and deposition of uric acid in the joints. Another reason to eat cherries is that they neutralize acids and prevent inflammation and pain.

Linden juice contains citric acid, a solvent for uric acid, so adding it to your regular diet will help prevent uric acid levels from rising. Squeeze half of the lime juice into a glass of water and drink every day.

Vitamin C Rich Foods

Vitamin C-rich foods are another way to balance your uric acid levels. These foods dissolve the uric acid and remove it from the body. These include foods such as kiwi, amla (gooseberries), guavas, oranges, tomatoes, and other green leafy vegetables.

Green Tea

To treat high uric acid levels, you need to drink green tea every day. It helps control hyperuricemia or high uric acid levels, and also reduces the risk of developing gout.

Omega 3

Include omega 3 fatty acids in your diet. You can avail omega 3 fatty acids through flax-seeds, soybeans, spinach, and walnuts as they help in reducing the swelling and inflammation.


Most vegetables are low in purines and can be eaten without restriction for gout. The exceptions are asparagus, cauliflower, spinach, mushrooms, and green beans, which contain moderate amounts of purines. When consuming this vegetable, limit it to no more than half a glass a day.

Whole grains

Eating foods high in whole grains, such as whole grains, cereals, rice, and pasta, reduces the risk of gout. Researchers found that people on the DASH (diet to stop high blood pressure) diet, rich in whole grains, fresh fruits and vegetables, and low-fat dairy products, have a lower risk of developing gout.

Eating heart-healthy oils such as flaxseed and olive oil can help reduce inflammation. Talk to your doctor about the benefits of taking fish oil supplements. Research shows that fish oil supplements, which are rich in omega-3 fatty acids, can reduce pain and inflammation associated with arthritis.

Diet Patterns

A plant-based diet can also be an effective strategy for lowering uric acid levels. In a study of dietary approaches to suppressing hypertension, a study comparing the typical American diet to the DASH diet found that half of the participants who started the study with high DASH levels had serum uric acid. Normalization. The DASH diet plan limits meat, poultry, and fish to no more than 6 ounces per day, including 2-3 servings of low-fat or low-fat dairy products, 8-10 servings of fruits and vegetables per day, and focuses on whole grains, nuts, and seeds. Whole grains, nuts. However, it’s not just the DASH package that works. Other plant-based diets, including the Mediterranean diet and the traditional Chinese diet, have been shown to lower uric acid levels.


It is important to drink and drink plenty of water. Dehydration can raise uric acid levels and increase the risk of related diseases such as gout and kidney stones. Low-fat and skim milk and low-calorie yogurt are also associated with lower uric acid levels. The exact mechanism is not known, but this dairy product is known to lower blood levels, contributing to more urinary loss of uric acid. On the other hand, alcoholic and sugary drinks increase uric acid levels and the risk of gout.