Gout

[David55]

Attempts to be rid of Gout was what got me out of a sedentary lifestyle a few years back. What seems to have curbed it was jogging and accompanying body weight loss. Of course I rarely drink nowadays, I'm sure that helps.

Every once in a while though, say every two years or so, I get an attack. They have been pretty rare of late.

All of which is background to my q, Doctor Rip. I just finished my first week of the Texas method. The whole week was an interesting change and challenge. On Friday I set a PR for deadlift [5x265] and for the bench [1x180].

That evening I had a huge appetite. Searching around the house, I settled on a second gallon of milk. Saturday the big toe twinged, today Sunday it blew up.

Do you have any experience and thus advice about mixing training and gout?

[Mark Rippetoe]

None, sorry. I'll ask the board to contribute.

[brianb]

David,
Dunno if this will help, but Gary Taubes (of Good Calories, Bad Calories) recently made public the chapter on gout that didn't make it to his book.

It's here: http://www.fourhourworkweek.com/blog/2009/10/05/gout/

[jwood521]

This is purely conjecture here, but I think that the very, very high protein intake of the milk plus, I'm assuming, a normal meal increased your uric acid levels enough to flare up your gout. You may want to reconsider very high protein situations such as doing GOMAD. Are you on any medications like colchincine?

The Taubes link is very interesting. His position that hyperinsulinemia causes gout makes sense because I've already seen his same statement about insulin's effect on sodium reabsorption proven by using carb control to treat hypertension. This makes me wonder if insulin affects the osmolarity of the inner medulla of the kidney as this is where both sodium and urea are absorbed. Hmm...

[David55]

Thank you all for the replies.

The Taubes article was a big surprise. So sugar is the villain, he claims. And overweight.

Left to speculate , I'm guessing it's something in the sudden change, either fatigue from the new program, the GOMAD doubled for that day, or maybe both combined.

In answer to a q, don't take any meds, thank God.

[Mark Rippetoe]

Taubes has been a very useful resource.