Can People with High Uric Acid Levels Consume Clam Extract?

Can individuals with elevated uric acid levels consume clam extract?

Hello, Dr.
Yang.
My husband recently received his health check-up report, which indicated that his uric acid levels are elevated.
I would like to ask you, Dr.
Yang, whether individuals with high uric acid can still consume clam extract.
I have read some information stating that those with elevated uric acid should avoid seafood, but I am unsure if processed clam extract falls into this category.
Additionally, I would like to inquire about fish such as salmon, tuna, and snapper.
I did not find them listed in the three categories of purine content; can individuals with high uric acid consume these types of fish?

Xiao Bei, 20~29 year old female. Ask Date: 2005/08/10

Dr. Yang Hongzhi reply Internal Medicine

The purine content in clams ranges from 25-150 mg per 100 g, but there is currently no analyzed data on purines in Taiwan.
While the purine levels in salmon, tuna, and snapper cannot be definitively classified as low or high, seafood is still considered a source of protein that can be included in the daily diet.
It is recommended to consume about 4 servings of meat, fish, beans, and eggs daily, totaling approximately 4-6 ounces.

Reply Date: 2005/08/10

More Info

When it comes to managing high uric acid levels, also known as hyperuricemia, dietary choices play a crucial role. Uric acid is a waste product formed from the breakdown of purines, which are substances found in many foods, particularly those high in protein. High levels of uric acid can lead to gout, a form of arthritis characterized by sudden and severe pain, redness, and swelling in the joints.

Regarding your question about clam extract, it is important to note that clams, like many other shellfish, are generally high in purines. Therefore, consuming clam extract may not be advisable for individuals with elevated uric acid levels. The concern is that even though the extract may undergo processing, it could still retain purines that can contribute to increased uric acid levels in the body. As a general guideline, individuals with high uric acid should limit their intake of high-purine foods, which include not only shellfish but also organ meats, certain fish (like sardines and anchovies), and some types of meat.

As for fish such as salmon, tuna, and snapper, they are considered to have moderate purine content. While they are not as high in purines as shellfish or organ meats, moderation is key. The American College of Rheumatology suggests that individuals with gout can consume fish, but it is best to do so in limited quantities. Fish can be a healthy source of protein and omega-3 fatty acids, which have anti-inflammatory properties, but it is essential to balance this with the potential purine content.

In managing high uric acid levels, it is also important to consider other dietary factors. Here are some recommendations:
1. Hydration: Drinking plenty of water helps dilute uric acid and promotes its excretion through urine. Aim for at least 8-10 glasses of water a day.

2. Limit High-Purine Foods: As mentioned, avoid or limit foods high in purines, including red meats, organ meats, certain fish, and shellfish.

3. Reduce Alcohol Intake: Alcohol, especially beer and spirits, can increase uric acid levels. Limiting or avoiding alcohol can be beneficial.

4. Maintain a Healthy Weight: Obesity is a risk factor for high uric acid levels. A balanced diet and regular exercise can help maintain a healthy weight.

5. Incorporate Low-Fat Dairy: Some studies suggest that low-fat dairy products may help lower uric acid levels.

6. Fruits and Vegetables: A diet rich in fruits and vegetables, particularly cherries, may help lower uric acid levels and reduce the risk of gout attacks.

7. Limit Sugary Foods and Beverages: High-fructose corn syrup and sugary drinks can increase uric acid levels, so it is advisable to limit these.

In conclusion, while clam extract may not be suitable for individuals with high uric acid levels due to its potential purine content, moderate consumption of certain fish can be acceptable. However, it is always best to consult with a healthcare provider or a registered dietitian for personalized dietary advice tailored to individual health needs and conditions. They can provide guidance on managing uric acid levels effectively while ensuring a balanced and nutritious diet.

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