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People with gout often say that a diet that lowers the risk of your body making too much uric acid is gout-friendly.
Uric acid is the end product of purine metabolism in the human body. Two-thirds of which is excreted by the kidneys and one-third is excreted by the gastrointestinal tract.
Your body naturally gets rid of uric acid when you pee. But if you have hyperuricemia, a condition where too much uric acid stays in your body, you may get sick.
Hyperuricemia can lead to the formation of crystals. You can get these anywhere in your body, but most of the time they show up in and around your joints and kidneys. This then presents itself as either kidney stones or gout.
Gout is a painful form of inflammatory arthritis caused by excess uric acid buildup in the joints. Certain foods like meat, seafood and alcohol can raise uric acid and trigger gout flares. So where does turkey sausage fall when it comes to gout diet? Keep reading to learn if you can enjoy this convenient protein source with gout.
What is Gout?
Let’s first cover the basics on this common form of arthritis:
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Caused by hyperuricemia – high levels of uric acid in the blood
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Uric acid crystallizes and deposits in joints, tendons and surrounding tissue
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Leads to sudden. severe joint pain swelling. redness and tenderness
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Most often affects the big toe, but can impact other joints too
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Main risk factors are obesity, high purine foods, alcohol and genetics
Diet plays a major role in both treating and preventing gout attacks. People with gout should limit foods high in purines to help reduce uric acid production.
What are Purines?
Purines are natural compounds found in some foods that break down into uric acid within the body. Foods especially high in purines include:
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Organ meats like liver, kidneys and sweetbreads
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Red meats like beef, lamb and pork
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Oily fish such as sardines, anchovies, trout and tuna
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Shellfish including shrimp, scallops, lobster and mussels
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Game meats like venison, boar and duck
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Yeasts, green peas, asparagus, dried beans, mushrooms and cauliflower
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Alcohol, especially beer and hard liquor
For people prone to gout, limiting dietary purines can help reduce uric acid levels and frequency of painful flares. But not all purine-containing foods affect gout the same.
Gout Friendly vs. Gout Causing Foods
While all purine-rich foods can theoretically trigger gout, some are more likely culprits than others. Here is how they compare:
Foods Most Likely to Cause Gout Attacks:
- Organ meats like liver and kidneys
- Red meat like beef, lamb and pork
- Seafood high in purines like sardines and scallops
- Alcohol, especially beer and distilled spirits
Foods Less Likely to Cause Gout Problems:
- Plant-based foods with purines like peas, beans, lentils and spinach
- Turkey, chicken, eggs
- Low-fat dairy products
- Non-purine meats like rabbit and venison
- Certain fish like salmon and cod
- Whole grains and most vegetables
So while all purine-containing foods can raise uric acid, those highest in purines and most commonly linked to gout should be limited the most.
Can You Eat Turkey Sausage with Gout?
Many prefer turkey sausage as a convenient breakfast meat with less fat than pork sausage. But is it a good choice with gout? Let’s analyze the pros and cons.
Potential Benefits of Turkey Sausage
- Lower in purines than red meat and seafood
- Provides lean protein while limiting saturated fat
- Variety of flavors like maple, basil, spinach, etc.
- Easy to cook patties, links or crumbles
- Sold plain or pre-seasoned
Possible Drawbacks of Turkey Sausage
- Moderate purine content may still trigger attacks
- Salt and other seasoning may be high in some brands
- High fat and nitrite content in some varieties
- Processed meats may pose other health risks
Overall, turkey sausage is likely safer for gout patients than bacon, deli meats, hot dogs and red meat-based sausages. Those with well-controlled gout may be able to include it in moderation as part of a healthy diet. But those with frequent flares may need to minimize or avoid it.
Tips for Choosing Gout-Friendly Turkey Sausage
Follow these tips for selecting the most gout-friendly turkey sausage options:
- Choose plain, unseasoned turkey sausage
- Look for low sodium varieties (<500mg per serving)
- Check labels and avoid those with nitrates/nitrites
- Select ground turkey sausage over processed links
- Favor brands without excess fillers and preservatives
- Balance intake with lower purine foods and lots of fruits/veggies
Preparing turkey sausage properly also matters. Opt for lower fat cooking methods like grilling, baking or sautéing in broth rather than frying in oil. And be mindful of high sodium condiments and seasonings.
Sample Menu Ideas with Turkey Sausage
Here are some gout-conscious ways to enjoy turkey sausage:
Breakfast
- Scrambled eggs with turkey sausage, peppers, onions
- Turkey sausage patties with avocado toast
- Turkey sausage crumbles mixed into oatmeal
Lunch
- Turkey sausage sautéed with cabbage and brown rice
- Soup with turkey sausage, tomatoes and spinach
- Turkey sausage baked potato with broccoli
Dinner
- Whole wheat pasta with turkey sausage, mushrooms and peppers
- Turkey sausage stuffed mushrooms or zucchini boats
- Pizza with turkey sausage, veggies and part-skim mozzarella
Snacks
- Slice of turkey sausage with raw veggies and hummus
- Turkey sausage pinwheels wrapped in lettuce
Other Gout-Friendly Meat Alternatives
For those looking to further limit purines, other animal protein and plant-based options include:
Animal Proteins:
- Skinless chicken and turkey
- Shellfish like shrimp and crab
- Eggs or egg whites
- Low or non-fat dairy like yogurt
- Wild game like bison and elk
Plant-Based Proteins:
- Tofu, tempeh, seitan
- Beans, lentils, peas
- Soy meat substitutes
- Nuts and nut butters
- Whole grains like quinoa, buckwheat and oats
Should You Avoid Turkey Sausage with Gout?
In moderation, plain, low sodium turkey sausage can be reasonably safe for some gout sufferers. But those with recurrent gout may need to leave it off the menu entirely. Work with your doctor or dietitian to determine if turkey sausage can have an occasional place in your gout-friendly diet or if it’s better to steer clear.
Purines and uric acid
Eating a lot of foods high in purines may make you more likely to make more uric acid than your body can handle.
Purines are a natural part of all living things. They are everywhere. Your body breaks down purines through your digestive system and creates uric acid.
There are two groups of purines in your body:
- Purines naturally made by your body (known as “endogenous purines”).
- “Exogenous purines” are the ones that come from the foods you eat.
We will talk about the exogenous type of purines in this blog post and look at the high, medium, and low purine levels in various foods.
Note: The food purine levels below are based on 100g measurements of each food.
Food | Purines (mg) |
Theobromine 100g of chocolate contains 0.5% – 2.7% theobromine, close to 11 – 62mg of purine. | 2,300 |
Brewer’s yeast Brewer’s yeast is an ingredient used in the production of beer and bread. | 1,810 |
Sweetbreads Sweetbreads are harvested from calves, lambs, and young cattle and refer to two different organs and three different tissues located in these animals. | 1,260 |
Sprats (smoked) Small sea fish. | 804 |
Sheep’s spleen | 773 |
Baker’s yeast Baker’s yeast is the type of yeast used in home and commercial bread baking. | 680 |
Ox liver | 554 |
Pig’s heart | 530 |
Pig’s spleen | 516 |
Pig’s liver | 515 |
Porphyra An edible seaweed used to wrap the rice and fish that compose the Japanese food sushi and the Korean food gimbap. | 500 |
Asparagus | 500 |
Mushroom (flat, edible Boletus, dried) One of the most common and well-known groups of edible wild mushrooms. | 488 |
Sardines (in oil) | 480 |
Calf’s liver | 460 |
Ox spleen | 444 |
Pig’s lungs (lights) Lights are the lungs of game or livestock as used in cooking and butchery. | 434 |
Ox lungs (lights) Lights are the lungs of game or livestock as used in cooking and butchery. | 399 |
Sardines / pilchards Sardine and “pilchard” are common names for various small, oily forage fish in the herring family Clupeidae. | 345 |
Calf’s spleen | 343 |
Pig’s kidney | 334 |
Trout | 297 |
Tuna (in oil) | 290 |
Ox kidney | 269 |
Tuna | 257 |
Ox heart | 256 |
Chicken liver | 243 |
Redfish (ocean perch) | 241 |
Sheep’s heart | 241 |
Anchovies | 239 |
Black mung beans (seed, dry) | 222 |
Soused herring Mild salt herring, which is made from young immature herrings. | 219 |
Calf’s kidney | 218 |
Atlantic herring | 210 |
Horse meat | 200 |
Soya beans (seed, dry) | 190 |
Herring roe Herring fish eggs. | 190 |
Lamb muscle meat | 182 |
Halibut | 178 |
Chicken breast (with skin) | 175 |
Veal muscle meat | 172 |
Natto Natto is a traditional Japanese dish consisting of fermented soybeans and characterized by a slimy, sticky and stringy texture. | 172 |
Salmon | 170 |
Poppy seeds (seed, dry) | 170 |
Pork muscle meat | 166 |
Goose | 165 |
Liver sausage (liverwurst) Liverwurst usually contains pigs’ or calves’ livers. | 165 |
Saithe / coalfish | 163 |
Carp | 160 |
Ox tongue | 160 |
Pork hind leg | 160 |
Chicken (boiling fowl) A boiling fowl is an older bird than the roasting chicken, and its flesh is consequently tougher and stronger in flavour. | 159 |
Food | Purines (mg) |
Pork fillet | 150 |
Pork shoulder with skin (blade of shoulder) | 150 |
Turkey (with skin) | 150 |
Veal knuckle with bone | 150 |
Veal, leg of veal with bone | 150 |
Veal, neck with bone | 150 |
Calf’s lungs | 147 |
Brown shrimp | 147 |
Mackerel | 145 |
Pork chop with bone | 145 |
Caviar | 144 |
Sunflower seeds (dry) | 143 |
Pike | 140 |
Pork chuck | 140 |
Veal chop (cutlet with bone) | 140 |
Veal fillet | 140 |
Veal, shoulder | 140 |
Haddock | 139 |
Duck | 138 |
Venison haunch (leg) | 138 |
Pig’s tongue | 136 |
Scallop | 136 |
Beef muscle meat | 133 |
Rabbit meat (with bone) | 132 |
Sole | 131 |
Cooked ham | 131 |
White beans (dry) | 128 |
Lentils (dry) | 127 |
Pork belly (raw, smoked dried) | 127 |
Beef chuck | 120 |
Beef ribs (entrecote) | 120 |
Pork hip bone (hind leg) | 120 |
Lobster | 118 |
Chicken (roast) | 115 |
Mussels | 112 |
Jagdwurst sausageJagdwurst (which means hunting sausage) is a German cooked sausage made with finely ground pork sausage meat and coarse chunks of lean pork or pork belly. | 112 |
Beef, fillet | 110 |
Beef sirloin (roast) | 110 |
Beef shoulder | 110 |
Boneless chicken leg (with skin) | 110 |
Pike-perch | 110 |
Cod | 109 |
Chickpeas (seed, dry) | 109 |
Raisins | 107 |
Linseed Linseed is the small, reddish-brown or golden-yellow seed of the common flax plant. | 105 |
Rabbit / hare | 105 |
Venison back | 105 |
Salami sausage | 104 |
Pork sausages (fried) | 101 |
Pork belly | 100 |
Whole grain barley (no husk) | 96 |
Mortadella sausage | 96 |
Peas (seed, dry) | 95 |
Whole grain oats (no husk) | 94 |
Plaice | 93 |
Calf’s brain | 92 |
Mushroom (flat, edible Boletus, cep) | 92 |
Veal sausages (fried) | 91 |
Oyster | 90 |
Frankfurter sausages | 89 |
Bierschincken sausageBierschinken wurst (lit. beer ham sausage) is a variety of parboiled German sausage with chunks of pickled pork meat or cooked ham. | 85 |
Green peas (pod or seed) | 84 |
Pig’s brain | 83 |
Broccoli | 81 |
Soya bean sprouts | 80 |
Tench | 80 |
Peanuts | 79 |
Artichoke | 78 |
Eels (smoked) | 78 |
Fleischwurst sausageA smoked sausage made with pork and beef, usually eaten hot. | 78 |
Vienna sausageA Vienna sausage is a thin parboiled sausage traditionally made of pork and beef in a casing of sheep’s intestine, then given a low temperature smoking. | 78 |
Ox brain | 75 |
Leek | 74 |
Mettwurst sausagesA sausage made from ground pork and finely chopped beef and, much like salami, is cured and cold smoked or air-dried. | 74 |
Apricot | 73 |
Munich Weisswurst sausagesA Weisswurst is a traditional Bavarian sausage made from minced veal and pork back bacon. | 73 |
Cocoa powderOil partially removed, not including theobromine. | 71 |
Black salsifyBlack salsify is a root vegetable. | 71 |
Luncheon meat | 70 |
Brussel sprouts | 69 |
Tofu | 68 |
Chives | 67 |
Fig (dried) | 64 |
Plum (dried) | 64 |
Millet (shucked corn) | 62 |
Sesame seeds (oriental, dry) | 62 |
Crayfish | 60 |
Crispbread | 60 |
Mushroom | 58 |
Banana | 57 |
Corned beef | 57 |
Parsley | 57 |
Spinach | 57 |
Green peppers | 55 |
Black pudding Black pudding is a distinct regional type of blood sausage originating in Great Britain and Ireland. | 55 |
Sweetcorn | 52 |
Cauliflower | 51 |
Whole grain rye | 51 |
Whole grain wheat | 51 |
Oyster mushrooms | 50 |
Kale | 48 |
French beans (dried) | 45 |
Seaweed | 44 |
Pumpkin | 44 |
Pasta | 40 |
Lamb’s lettuce | 38 |
Almonds | 37 |
French beans (string beans, haricot) | 37 |
Savoy cabbage | 37 |
Hazelnuts | 37 |
Date (dried) | 35 |
Elderberries | 33 |
Cantelope | 33 |
Red cabbage | 32 |
Limburger cheese | 32 |
Celeriac | 30 |
MorelA type of mushroom. | 30 |
Quince | 30 |
Bamboo Shoots | 29 |
Mushrooms (canned, solid and liquid) | 29 |
Green olives | 29 |
Cress | 28 |
Grapes | 27 |
Food | Purines (mg) |
Kohlrabi | 25 |
Walnuts | 25 |
Plums | 24 |
Squash | 24 |
Brazil nuts | 23 |
Blueberries | 22 |
White cabbage | 22 |
Aubergine | 21 |
Chinese leaves | 21 |
Peach | 21 |
Bread rolls | 21 |
Strawberry | 21 |
Avocado | 19 |
Beetroot | 19 |
Kiwi | 19 |
Orange | 19 |
Pineapple | 19 |
Caviar substitute | 18 |
Potato (cooked with skin) | 18 |
Raspberry | 18 |
Carrot | 17 |
Morello cherry | 17 |
Red currant | 17 |
Endive A leafy vegetable. | 17 |
Chanterelle mushrooms | 17 |
Skimmed milk | 16 |
Gooseberry | 16 |
Potato | 16 |
Sauerkraut | 16 |
Radish | 15 |
Apple | 14 |
Light beer | 14 |
White bread | 14 |
Fennel leaves | 14 |
Lager | 13 |
Lettuce | 13 |
Onion | 13 |
Radishes | 13 |
Chicory | 12 |
Pear | 12 |
Rhubarb | 12 |
Tomato | 11 |
Cottage cheese | 9.4 |
Beer (alcohol free) | 8.1 |
Yoghurt Min. 3.5% fat content. | 8.1 |
Cucumber | 7.3 |
Brie A type of cheese. | 7.1 |
Edam A type of cheese. | 7.1 |
Sweet cherries | 7.1 |
Cheddar cheese | 6 |
Egg White | 3.7 |
Egg Yolk | 2.6 |
We hope this information helps you understand which foods have higher purine levels than others. We’ll keep this blog post up to date as we find out the purine content of other foods.
References:
Gout Scout is a gout attack management app for people who live with gout (Gout Warriors).
Join the fight against the gout beast and join warriors worldwide by downloading the app today!
Best & Worst Foods to Eat with Gout | Reduce Risk of Gout Attacks and Hyperuricemia
FAQ
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