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Narutomaki (fish cake)

Also listed as: Fish product (narutomaki), processed

Narutomaki (fish cake) is fine in moderation. Watch your portion size, especially during a flare. A typical 113 g serving has about 37 mg of purines, about 9% of a ~400 mg working daily target.

General information, not a substitute for advice from your doctor or dietitian.

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Across forms of fish:C· 13–77 mg per serving

Low in purines, but ultra-processed. Ultra-processed foods are linked to higher gout risk on their own, so we do not rate this as safe to eat freely. (UK Biobank 2024)

How much can I eat?

Units
This serving
4 oz
113 g
Purine / serving
37 mg
% daily purine
9%
Purines in this serving
0 mg~400 mg daily limit
1 oz16 oz

Even a large serving stays well under a day's purines.

Portion size is what matters most here, and it’s easy to misjudge by eye. A kitchen scale makes it simple.

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Why grade C: per 100 g and processing

Per 100 g (for comparison)

Purines
32.4 mg/100g
LowModerateHighVery high

Low for gout (< 50 mg/100g).

Fructose
0.38 g/100g
LowModerateHighVery high

Low for gout (< 3 g/100g).

Processing: NOVA 4 of 4. How processing affects the grade.

Diet is part of the picture, not all of it

For most people the body makes the majority of its own uric acid. Food contributes the smaller share. Eating well lowers your risk and helps you feel in control, but for many people diet alone does not bring uric acid down enough to stop flares. Medication often does the heavy lifting. Use these grades to make easier daily choices, and work with your doctor on the full plan.

How did narutomaki (fish cake) go for you?

Reader experiences, not medical advice. The grade above comes from published data.

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Other forms of fish

The most common form of fish is first.

Fish Sausage

Fish sausage, processed

C
Purine 22.7 mg Fructose 0 g per 100 g
Moderate Processed Meats

Fish Ball

Fish ball, processed

C
Purine 67.7 mg Fructose 0.38 g per 100 g
Moderate Fish

Hanpen (fish cake)

Fish product (hanpen), processed

C
Purine 12.5 mg Fructose 0.38 g per 100 g
Moderate Fish

Kamaboko (fish cake)

Fish product (kamaboko), processed

C
Purine 26.4 mg Fructose 0 g per 100 g
Moderate Fish

Sasakamaboko (fish cake)

Fish product (sasakamaboko), processed

C
Purine 47.8 mg Fructose 0.38 g per 100 g
Moderate Fish

Satsuma-age (fish cake)

Fish product (Satsuma age), processed

C
Purine 21.5 mg Fructose 0 g per 100 g
Moderate Fish

More from Fish

Engawa (fish-fin meat)

Engawa (flesh of fish fins)

A
Purine 19 mg Fructose 0 g per 100 g
Enjoy Fish

Fish Roe

Roe, mixed species, raw

A
Purine 80.8 mg Fructose 0 g per 100 g
Enjoy Fish serving 20 g

Roe (flying fish, in soy sauce)

A
Purine 91.6 mg Fructose 0 g per 100 g
Enjoy Fish serving 20 g

Monkfish

Monkfish, raw

B
Purine 70.1 mg Fructose 0 g per 100 g
Safe Fish

Arabesque Greenling

Arabesque greenling, raw

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Purine 150 mg Fructose 0 g per 100 g
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Ayu

Ayu, raw

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Purine 133.1 mg Fructose 0 g per 100 g
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