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Hello. My name is Keiichiro Ohba and I am the director of Ohba Internal Medicine Clinic. High uric acid levels. I have recurring gout. A health check revealed high uric acid levels. Lower your uric acid levels. Avoid foods that are high in purines. You have been told that. Have you ever had gout? Where did you get gout? Is it your toes? Is it your knee? Some people also get gout on their palms and elbows. Some people develop lumps on their skin called tophi. Hyperuricemia, a condition where uric acid levels are high. Some people have repeated bouts of gout, have various joint disorders, have other underlying illnesses, or need drugs to lower uric acid levels. Please consult your primary care physician to determine whether medication is necessary. This time, I want to lower uric acid levels without relying on drugs. There are many people like that. After all, when I start taking medicine, I also have to go to the hospital. It takes time and money. I have to do tests from time to time. The doctor will get angry if you don't take your medicine. I think that's the case. I would like to tell you four ways to lower uric acid levels without relying on drugs. First, avoid alcohol. Just because it's low in sugar or purine doesn't mean it's good. Just because it's beer or shochu doesn't mean it's good, or just because it's whiskey it doesn't mean it's good. If you drink too much, your uric acid levels will rise. Drinking too much alcohol is not good. Second, avoid carbohydrates. It is important to limit sugar intake. Is it a carbohydrate? Rice, bread, noodles, and sweet things. Please refrain from doing so. Haven't you eaten a large portion of rice? During the day, I usually go out and eat a set meal with rice bowls. Is there anyone like that? Rice bowls and set meals when eating out are definitely too high in carbohydrates. You are eating too much, so please try to eat less. When eating out, I think it's better to eat less than half of your rice bowl or set meal. First, we talked about alcohol and carbohydrates. Both cause lactic acid to be produced in the body. When lactic acid is produced, unless it is used as energy, it will be released from the kidneys into the urine. This is the outlet where lactic acid exits into the urine. The outlet is the same outlet where uric acid exits into the urine. Therefore, when lactic acid increases in the body, uric acid cannot leave the body. It is important to avoid increasing lactic acid. When lactic acid is reduced, more uric acid is discarded into the urine, which lowers uric acid levels. In order to prevent lactic acid from increasing, it is important to refrain from drinking alcohol and carbohydrates, for example. The third way to lower uric acid levels is not to eat too much fruit. Eating too much fruit is also not good, as it can end up raising blood sugar levels, lactic acid metabolism, and fatty liver disease. Therefore, if you are concerned about your uric acid levels, I think it would be better to eat a little less fruit. It's good because it contains vitamins. Fourth, avoid strenuous exercise. It is said that people who are used to slow aerobic exercise do not accumulate lactic acid in their bodies, but when they do strenuous exercise, lactic acid accumulates in their bodies. As I mentioned earlier, when lactic acid accumulates, it becomes difficult to dispose of uric acid in the urine. It becomes difficult to excrete uric acid from the body, resulting in increased uric acid levels. That means you'll get gout. It is best to limit strenuous exercise a little. Today I talked about four ways to lower uric acid levels without relying on drugs. First, don't drink too much alcohol. Second, don't eat too many carbohydrates. It's better to limit your sugar intake a little. Third, don't eat too much fruit. Eat less fruit. Fourth, avoid strenuous exercise. As lactic acid increases in the body, uric acid levels also rise. To reiterate, uric acid exits the body in the same way as lactic acid. It competes with lactic acid to get out of the body, so when lactic acid increases, it becomes difficult to dispose of uric acid, and uric acid levels rise in the body. The four points I introduced this time. For those who want to reduce or stop taking drugs, and those who want to lower uric acid levels without relying on drugs. Please try it out. If you have any questions, please consult your family doctor. ▼4 ways to lower uric acid without drugs: lifestyle/diet therapy [Easy-to-understand explanation by a medical doctor] https://obanaika.com/kaisetsu/gout/uab4 ▼A family doctor you can talk to about anything [1 minute walk from JR Sagamihara Station] Oba Internal Medicine Clinic https://obanaika.com/ #Sagamihara #Sagamihara City #gout #hyperuricemia