Fructose and gout. Read what our visitors think


This page which reports on personal experiences of gout and fructose  – was last reviewed, or updated on 16 December 2017

Marla, Canada 

I strongly believe that fructose is related to my gout. I have Fibromyalgia and hypoglycemia, and for years, my system could not tolerate fruit, or any type of sugary or starchy food.  I had started on a new protocol for my fibromyalgia, and about a  year into it, I tried a bit of fruit to see if my body could  handle it, since I had been given to understand that the hypoglycemia was part of the fibro. Amazingly, it had no ill effects, and so I introduced fruit back into my diet.

Over time, I think I became a little too comfortable with it, and was probably overdoing the fruit.  All of a sudden, I developed gout.  Now, I have never been overweight, I never drink, and do not consume red meat or high-purine foods at all regularly.  And yet, here I was with a case of gout.  The only likely culprit seemed to be the fruit.  I truly believe this is the cause.  

I have now removed all fruit and coconut sugar (a low glycemic sugar) from my diet, and I hope to end this condition for good.  For now, I am controlling it with celery, celery seed, ACV, and baking soda (bicarnonate of soda)I have yet to see the doctor again to discuss other possibilities, and am going with an all-natural approach for now, which seems to be working quite nicely.

Donis Fylaktou, Cyprus

Here is my story. It was the middle of the night. I opened my eyes and was awakened by earth shattering pain. My big toe was throbbing. In fact it felt like a towering inferno. I turned on the light and was startled to see that my great toe was 3 times its normal size. It was bright red and red hot, just like a firecracker and the pain was the most severe that I've ever experienced by far. The suffering that I had to endure was almost unbelievable. That was over ten years ago. 

At the beginning I was having attacks every six months. Then, gradually I was getting them every 3 months, then every month and eventually every week. It started at my big toe and then it was moving sometimes in my knees, and generally all around my joints, in my feet. And the pain was agonising. 

Failing natural remedies

I have tried all the cures you can imagine. I tried ACV, (apple cider vinegar), lemons, drinking a lot of water, but to no avail. I tried water fasting, juice fasting, baking soda, (bicarbonate of soda) again without success. I almost gave up meat, limiting it to only once a week, gave up alcohol completely, again no success. I was living on vegetables, lots and lots of fresh fruit, milk, cheese beans and so on. My eating habits could not be healthier, or so I thought.

Fruit and Sugar and Gout  

But my gout was worsening. Then I decided to increase the amount of fruit I was consuming, thinking that if some fruit is healthy, more fruit will be more healthy. Some days I was eating fruit only, others over 10 portions a day. And, alas, my gout instead of improving, it became chronic. It was there all the time.

The discovery 

I was desperate. I did not know what to do. And then one day accidentally I read an article about fructose, which is contained in fruit in large quantities. It said that it increases uric acid, in a matter of minutes. Fructose is also present in table sugar, and in HFCS (high fructose corn syrup), which is used in soft drinks. I put two and two together and realised what I was doing wrong. I stopped eating fruit and all other sugars, for a period of 3 weeks, and by magic I saw a dramatic improvement. 

Pain was gone, swelling was gone, I was fine. I re-introduced fruit again in my diet but reducing them to 1 or 2 a day, and my gout almost disappeared. I do eat more meat now, and occasionally have an alcoholic drink, and thank God everything seems to be fine. Fructose was my enemy. 

My gout still seems to be well under control. I wish I had discovered this fructose method years ago, it would have saved me a lot of bother and pain. Before I could hardly walk round the house, now I am walking with ease about 2 miles a day. I am now eating more meat and other "purine rich foods" but taking care not to go over the limit. I also drink either a glass of wine or a glass of beer every day.

I limited my fruit intake to 1 or 2 a day the only exception being cherries, which do not seem to have any ill effects. I have not tested cakes or soft drinks yet but I am planning to introduce them gradually in small amounts. Some gout sufferers might comment that they do not eat much fruit, but they still get gout. The answer might be that they probably have too many soft drinks or cakes.

A fructose update from Donis Fylaktou, Cyprus 

I have now been gout free for almost a year. About two weeks ago I decided to do a test to confirm I was on the right track. So for a weekend I was having lots of fruit, quite a few cakes and a lot of sugared coffees. Monday night my gout returned in all its glory, after an absence of over 11 months. I immediately went back to no fructose; then 15 grams of fructose a day, and my gout by magic disappeared again. There is no doubt in my mind that, in my case, fructose is the culprit.


Thanks for that well written and inspiring story. Our story-teller may well have switched from fruits high in fructose to fruits low in fructose, as well as reducing his fruit consumption. You need to know whether a fruit is high in fructose, or low. For example, cherries mentioned by our contributor, and so good for gout, are a fruit low in fructose. In the USDA database cherries (sweet red raw) have only 5.37 grams of fructose per 100 grams of fruit. Sour red raw cherries, have less as you would expect, just 3.51g/100 g. On the other hand grapes, mangoes and pears are high fructose.

If you return to the site’s first page about fructose and gout you can find a link to a table of common fruits and their fructose amounts. Click on "here is a list of the amount of fructose" etc. Scroll down to the table.

Our contributor was convinced fructose was his cause of gout, and perhaps too, other sugars/carbohydrates which could lead to gout through the insulin resistance route. If you show signs of insulin resistance, this could be your cause of gout, and you need to discuss this possibility with a rheumatologist, or your GP (PCP). Purines have not been mentioned as his cause of gout. Although fructose as a gout cause is not as well known as purines, what is common is that our contributor tried many natural gout remedies before finding a solution. It’s an example to keep trying, and keep learning about gout. 

Related pages

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