Skip to content
GoutSafe
Menu

Gout diet

Foods to avoid with gout

The foods most worth limiting, grade E (Avoid) first, then grade D (Limit), and within each by how much purine a real serving delivers. The grade already accounts for the source of the purine and any trigger, so this list does not read like a simple "high-purine" chart: some foods are here for alcohol or sugar, not purines.

Last reviewed June 13, 2026.

"Avoid" rarely means "never." For most of these, a small, occasional portion is fine when your gout is controlled; the goal is to keep them off your plate during a flare and out of your daily routine. Looking for what to eat instead? See the safest foods in the food list.

Why these rank worst

Three things push a food up this list, and none of them is the raw purine number on its own:

The worst offenders

The highest-risk foods in the database. Most are organ meats and oily fish; a few are here for a strong trigger like alcohol or added sugar rather than purines.

The full list to limit

Every food we grade D (Limit) or E (Avoid), worst-first. Each links to its full breakdown and sources. Purine figures are per typical serving where we have a serving size.

Avoid (grade E)

High in animal-source purines or a known trigger. Best kept off the plate, especially during a flare.

Food Category Purine / serving % daily
Anchovies Fish 349 mg 87%
Canned Sardines Fish 339 mg 85%
Steamed Monkfish Liver Organ Meats 339 mg 85%
Fresh Cutlassfish (hairtail) Fish 328 mg 82%
Canned Herring Fish 321 mg 80%
Liver Pork Organ Meats 246 mg 61%
Medjool Dates Fruit 49 mg 12%
Wheat (Hefeweizen) Beer Beverages - Alcoholic 41 mg 10%
Stout Beer Beverages - Alcoholic 38 mg 10%
Dark Beer Beverages - Alcoholic 32 mg 8%
Beer (lager, regular) Beverages - Alcoholic 29 mg 7%
IPA (India Pale Ale) Beer Beverages - Alcoholic 29 mg 7%
Export Beer Beverages - Alcoholic 26 mg 6%
Pils Beer Beverages - Alcoholic 24 mg 6%
Beer Beverages - Alcoholic 20 mg 5%
Wheat Beer Beverages - Alcoholic 19 mg 5%
Light Beer Beverages - Alcoholic 14 mg 4%

Limit (grade D)

Higher risk. Keep portions small and occasional.

Food Category Purine / serving % daily
Pork Loin Red Meat 284 mg 71%
Canned Anchovy Fish 273 mg 68%
Sardine (half-dried) Fish 260 mg 65%
Fresh Anchovy Fish 258 mg 65%
Bacon Processed Meats 236 mg 59%
Turbot Liver Organ Meats 225 mg 56%
Salmon (sockeye, wild) Fish 221 mg 55%
Lean Ground Beef Red Meat 214 mg 54%
Sake Lees Beverages - Alcoholic 214 mg 53%
Atlantic Salmon Fish 212 mg 53%
Canned Mackerel Fish 209 mg 52%
Mackerel (jack, half-dried) Fish 209 mg 52%
Pork Loin (tenderloin, boneless) Red Meat 207 mg 52%
Chicken Liver Organ Meats 207 mg 52%
Pork Loin (boneless, skinless) Red Meat 202 mg 50%
Ground Chicken Poultry 200 mg 50%
Cooked Beef Kidney Organ Meats 196 mg 49%
Okiami (krill) Shellfish & Seafood 192 mg 48%
Seabass (Japanese, liver) Organ Meats 185 mg 46%
Beef Kidney Organ Meats 181 mg 45%
Beef Liver Organ Meats 168 mg 42%
Pork Kidney Organ Meats 166 mg 42%
Shoko-shu (Chinese Liquor) Beverages - Alcoholic 23 mg 6%
Amazake Beverages - Alcoholic 15 mg 4%
Dessert (Port or Sherry) Wine Beverages - Alcoholic 12 mg 3%
Unsweetened Grape Juice Beverages - Non-Alcoholic 12 mg 3%
Low alcohol Beer Beverages - Alcoholic 11 mg 3%
Red Wine Beverages - Alcoholic 10 mg 2%
Radler (beer & lemonade) Beverages - Alcoholic 9 mg 2%
Rose Wine Beverages - Alcoholic 7 mg 2%
Sparkling (Champagne) Wine Beverages - Alcoholic 6 mg 2%
White Wine Beverages - Alcoholic 5 mg 1%
Wine Spritzer Beverages - Alcoholic 5 mg 1%
Margarita Cocktail Beverages - Alcoholic 4 mg 1%
Sake Beverages - Alcoholic 3 mg 1%
Mirin (cooking Wine) Beverages - Alcoholic 3 mg 1%
Wine Beverages - Alcoholic 3 mg 1%
Mojito Cocktail Beverages - Alcoholic 2 mg 1%
Hard Seltzer Beverages - Alcoholic 1 mg 0%
Brandy Beverages - Alcoholic 1 mg 0%
Ume Liqueur Beverages - Alcoholic 1 mg 0%
Whiskey Beverages - Alcoholic 1 mg 0%
Gin Beverages - Alcoholic 0 mg 0%
Shochu (Japanese Spirit Liquor) Beverages - Alcoholic 0 mg 0%
Tequila Beverages - Alcoholic 0 mg 0%
Vodka Beverages - Alcoholic 0 mg 0%
White Rum Beverages - Alcoholic 0 mg 0%

Sources

  1. 1. Source: FitzGerald JD, et al. 2020 American College of Rheumatology Guideline for the Management of Gout. Arthritis Care Res. 2020;72(6):744–760.
  2. 2. Source: Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med. 2004;350(11):1093–1103.
  3. 3. Source: Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Alcohol intake and risk of incident gout in men: a prospective study. Lancet. 2004;363(9417):1277–1281.
  4. 4. Source: Choi HK, Curhan G. Soft drinks, fructose consumption, and the risk of gout in men: prospective cohort study. BMJ. 2008;336(7639):309–312.
  5. 5. Source: Choi HK, Curhan G. Coffee, tea, and caffeine consumption and serum uric acid level: NHANES III. Arthritis Rheum. 2007;57(5):816–821.
  6. 6. Source: Zhang Y, Neogi T, Chen C, et al. Cherry consumption and decreased risk of recurrent gout attacks. Arthritis Rheum. 2012;64(12):4004–4011.
  7. 7. Source: Zhang M, Zhang Y, Terkeltaub R, Chen C, Neogi T. Effect of Dietary and Supplemental Omega-3 Polyunsaturated Fatty Acids on Risk of Recurrent Gout Flares. Arthritis Rheumatol. 2019;71(9):1580–1586.
  8. 8. Source: Juraschek SP, Gelber AC, Choi HK, Appel LJ, Miller ER. Effects of the DASH Diet and Sodium Intake on Serum Uric Acid. Arthritis Rheumatol. 2016;68(12):3002–3009.

Values are per 100g unless a note says otherwise. Last reviewed June 13, 2026.

Not medical advice. This is general information, not a substitute for care from your doctor or dietitian. Portion needs vary; talk to a professional about your own diet.

Next: the full food list · what actually helps · the gout diet