Smile Mouth Often Open Research Club Original American Text No. 601
<h1 class="pgc-h-arrow-right" data-track="2" > a question a gout patient asks a doctor about</h1>
I remember reading the 6th issue of China Family Doctor magazine in 2019 a patient nicknamed Rising Sun asked Dr. Ke a question:
Dr. Ke, I found that the blood uric acid is high in my physical examination, and I have seen many articles saying that lemonade can reduce uric acid, is it true? I now brew lemonade every day to drink, so that I don't have to take medicine?
Dr. Ke's reply is like this: If you want to reduce blood uric acid, in addition to eating uric acid-lowering drugs, another one that can effectively reduce uric acid, while being simple, convenient, economical, and has no side effects, is to drink more water!
In past popular science articles, I have shared many suggestions about fruits, especially insisting on drinking three times the dilution of lemon juice every day to reduce uric acid.
Because the drugs used clinically to treat hyperuricemia often have great side effects on the human body, so that patients' compliance with the medication is very poor, if you can find a way to effectively reduce the serum uric acid level, alleviate the non-causing side effects, it will be a very encouraging and tempting thing for people with high uric acid and gout.
<h1 class="pgc-h-arrow-right" data-track="8" > drink lemon juice, can it really lower uric acid? </h1>
For the topic of whether drinking lemonade can reduce uric acid, there has been controversy among patients, some people say that lemonade is an acidic juice, and the uric acid in the body is acidic, and it must not be lowered
Some people say that lemon juice can play an alkaline urine effect like soda, increase the PH value of urine, so that it can excrete more uric acid with the urine and reduce blood uric acid.
In order to confirm that drinking lemon juice can indeed reduce uric acid in the body, previous science popularization has shared a mouse trial done by Wang Hongjing and others of Huazhong Agricultural University and a medical study on ten gout patients taking freshly squeezed lemon juice.
In a mouse trial using different concentrations of freshly squeezed lemon juice to give hyperuricemia, three times the dilution of lemon juice with two parts of water to obtain freshly squeezed lemon juice plus two parts of water had the best effect of reducing blood uric acid, and had no effect on the liver and kidneys.
In the same trial, ten patients with gout were asked to drink three times the dilution of freshly squeezed lemon juice, and in addition to the three patients who had elevated uric acid due to drinking behavior during the trial, the other seven patients had a significant decrease in blood uric acid after drinking for three weeks, and three of the patients also reduced blood uric acid to the normal range.
After the publication of this popular science, there are indeed patients put into action, which is not a few days ago, a patient left a message in the comment area: "The hospital tested blood uric acid 620, and then began to insist on a lemon pressure juice to drink every day, the juice of the lemon peel soaked in water to drink, a month later the blood test uric acid dropped to 490, and no drugs were taken in the middle." ”
Listening to the tone, the patient is very satisfied with this result, but from a medical point of view, if he has had a gout attack, then the blood uric acid should be steadily controlled below 360, so as to avoid urate deposition in the body and prevent the formation of uric acid stones.
Of course, freshly squeezed lemon juice also contains a lot of fructose, which will increase uric acid after metabolism in the body. However, compared with the effect of reducing uric acid, the advantages outweigh the disadvantages.
If you feel that it is troublesome to squeeze juice every day, remove the unfavorable factors of fructose in lemon juice to increase uric acid, and also want to use lemon juice to alkalinize urine with a similar effect, or even stronger (pay attention not to alkalinize urine too strongly, so that the urine PH value is more than 7 is not good), then you can use the potassium citrate sodium mixture preparation previously recommended to gout people Zheng Xiaojian electrolyte method, with uric acid lowering drugs, you can also stabilize uric acid within the ideal range to prevent gout attacks.
In short, our goal is: uric acid is no longer high, gout will not be committed, away from tophi.
References/pictures of this article (from the Internet, invasion and deletion): In May 2016, Wang Hongjing of Huazhong Agricultural University master's thesis "Research on the Effect of Lemons in Lowering Uric Acid".
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