Gout
Gabriel treats gout as metabolic disease (Type 2 diabetes cousin), not just 'too much meat and alcohol.
10 identified
12 recommended
9 to test
4 modalities
Gabriel's Approach
Gabriel treats gout as metabolic disease (Type 2 diabetes cousin), not just 'too much meat and alcohol.' High uric acid is marker of insulin resistance and fructose metabolism dysfunction. Protocol: 1) Reverse insulin resistance (low-carb diet, eliminate fructose), 2) Reduce systemic inflammation, 3) Improve kidney function (hydration, support), 4) Moderate purine intake, 5) Cherry extract (proven to reduce attacks), 6) Alkalinize body. Address metabolic dysfunction and gout often resolves without lifelong medications.
Root Causes
Why Conventional Fails
Acute attack: NSAIDs (indomethacin, naproxen), Colchicine, Corticosteroids; Long-term prevention: Allopurinol (blocks uric acid production), Febuxostat (Uloric—newer, more expensive), Probenecid (increases uric acid excretion), Lifestyle advice (limit purines, alcohol, lose weight).
Medications lower uric acid but don't address root cause (insulin resistance, fructose metabolism), Allopurinol: side effects (rash, liver toxicity, rare severe skin reactions—Stevens-Johnson syndrome), needed lifelong, doesn't improve metabolic health, Colchicine acute: severe GI side effects (diarrhea), NSAIDs: GI bleeding, kidney damage with chronic use, conventional dietary advice: 'avoid purines' oversimplified (insulin resistance and fructose more important than purine intake), doesn't emphasize fructose elimination (CRITICAL—fructose metabolism directly produces uric acid), minimal focus on insulin resistance (gout is metabolic syndrome), doesn't recognize cherry extract proven effective, many patients can eliminate medications by addressing metabolic dysfunction.
Your Complete Protocol
A comprehensive, tiered approach combining supplements, herbs, and advanced therapies
Your Protocol for Gout
Choose the level that's right for your healing journey
Essential Protocol
What's Included
- Cherry Extract (montmorency) 1000-1500mg/day or tart cherry juice
- Vitamin C 1000mg 2x/day (lowers uric acid)
- Quercetin 500mg 2-3x/day
- Celery Seed Extract 500mg 2x/day
- Tart Cherry Extract — Lowers uric acid and reduces gout attacks
- Turmeric (Jiang Huang) — Reduces joint inflammation during gout flares
Available through Fullscript
Practitioner-Grade Protocol
Practitioner-Grade — Not Available on Amazon
What's Included
- Standard Process whole food protocol
- Gentiana Drain the Liver (Long Dan Xie Gan Tang) — Clears damp heat that causes uric acid accumulation in gout
- Four Marvels Powder (Si Miao San) — Drains damp heat from lower body joints affected by gout
Whole food supplements by Standard Process
Complete Protocol
What's Included
- All Practitioner-Grade supplements & herbs
- BPC-157 (tissue repair + gut healing)
- Thymosin Alpha-1 (immune modulation)
Standard Process + Matter peptides
Recommended Supplements
Key Lab Markers
Dietary Guidance
Low-carb or ketogenic diet (improves insulin resistance—key factor), ELIMINATE fructose (high-fructose corn syrup, fruit juice, agave—fructose metabolism produces uric acid), limit alcohol especially beer, cherries daily (proven to reduce attacks), adequate hydration (8-12 glasses water daily—dilutes uric acid), coffee (lowers uric acid), vitamin C-rich foods, moderate purine foods (not as critical as insulin/fructose), avoid organ meats and shellfish during acute attack, alkaline diet (vegetables).
Lifestyle Factors
Weight loss if overweight (improves insulin sensitivity dramatically—lowers uric acid), adequate hydration critical, regular exercise (improves insulin sensitivity), avoid crash diets (can trigger attack), limit alcohol, manage stress, treat sleep apnea if present, avoid medications that raise uric acid (thiazide diuretics, low-dose aspirin) if possible.
Recommended Treatments
Mind, Body & Spirit
Evidence-based practices that complement physical treatment protocols
Mind
Stress Management for Gout
moderateReducing stress that can trigger gout attacks.
Pain Management During Flares
moderateMeditation and visualization for acute pain episodes.
Body
Gentle Movement Between Attacks
strongRegular exercise to improve insulin sensitivity and prevent attacks.
Spirit
Lifestyle Integration
moderateFinding joy in health-supporting habits that prevent attacks.
Foods That Help
Curated for Gout
Supplements + Chinese herbal medicine
Standard Process + classical TCM
Standard Process + advanced peptide therapy
Find a Practitioner
Connect with specialists who treat Gout using root-cause approaches.
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