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Gout disease - All you need to know by DR Sara Barak

What is Gout?

In the video: What is gout and how is the disease treated in Hebrew

Gout is an arthritic disease caused by an overproduction of uric acid and known infamously as being the worst joint pain known to man.

When your body is overloaded with uric acid and it crystallizes in your joints, it causes chronic and painful episodes of joint inflammation. As you’ve probably already guessed-this is the condition known as gout. It causes joint damage, kidney failure, and kidney stones.

Most gout sufferers are men, in particular those who drink too much alcohol coupled with unhealthy diets. However, it is not only men who are affected-women also suffer from this disease especially during menopause.

What you see here in the picture below are uric acid crystals starting to form. The crystals themselves appear under the microscope as fiberglass. These fibers are what cause the unbearable pain that you are experiencing. I’m guessing that if you are here, you or a loved one have experienced it and you know how severe that pain is. You are probably willing to do everything in your power to prevent it and to break the vicious cycle. 

These crystals within the joint cause swelling and inflammation. But gout can form not only at the joint of the big toes (usually the first place gout attacks but crystals can also form in the ankle, knee, elbows, even inside the ears as well as hands and fingers. Needless to say, wherever gout attacks, the pain is unbearable.

You need to know that you are not alone!

About 4% of the population in the US suffers from gout and 20% suffer from high uric acid without actually getting gout symptoms. In the US alone, there are about 8.4 million gout sufferers-and the numbers are climbing.

I have to tell you something-and it might sound a bit crazy- but getting gout can be a blessing in disguise, even with all the pain, sorrow, and discomfort it brings.

How can that be? People like you with gout can at least can be aware of the looming dangers of the high uric acid in their blood, while those who don’t suffer from the systems of gout are not even aware of the danger they are exposed to. This is the body’s red alert of sorts telling us that we must do something to lower uric acid and protect our body organs such as our heart, kidneys and joints from the serious damages that uric acid might causes.

So what actually causes gout to manifest itself? There are two key factors:

  •  Increased production of uric acid
  •  Poor evacuation of uric acid

Many studies show that gout is caused by an overload of uric acid in the blood, caused either by increased production of uric acid or a problem with its evacuation. Increased production is usually a result of improper diet, such as the extended intake of purine-rich animal protein foods and/or over-consumption of alcohol and high fructose drinks such as sodas. Sometimes high levels of uric acid can be due to an excess of sport activities. Uric acid is removed from the body in two ways: about 70% is processed by the kidneys and evacuated as urine while the remaining 30% is processed by the digestive system and evacuated as feces. Weakness of the kidneys and problems in the digestive system, caused by a number of factors that will be mentioned later, are the key factors in uric acid removal disorders. Firstly, what is important to emphasize here is that gout is a disease that you can’t get rid of: once you have it, you have it for life. But the good news is that you can manage it. Let me be the one to tell you how you can take control of your gout pain and not let the pain control you. And finally, I am going to show you how you can prevent additional damage such as gallstones, heart attacks, and strokes that may be caused by the high levels of uric acid in your blood.

What Causes Gout?

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הדמייה של וירוס נכנס לגוף אדם

Factor 1: Genetics

The primary factor in the appearance of gout is genetics. Often gout is passed on from father to son and some therefore argue that there is not much that can be done about it. But I say that we can influence the onset of genetic processes and prevent the outbreak of gout if we treat our bodies properly with the right nutrition, sport, and supplements.

Factor 2: Age

Over the years, there is a natural aging and weakening of the body and its systems. So as we get older, there is a reduction in the ability of the kidneys and intestines to evacuate uric acid properly. Even in this case there are steps that can be taken: with the right treatment you can solve this problem and significantly strengthen your body’s systems.

Factor 3: Bad nutrition and an unhealthy lifestyle

One of the most important factors is a bad diet. It’s no coincidence that gout has always been called the “disease of kings and hunters”. Kings and hunters ate great quantities of red meat and animal organs such as the liver, heart, etc. Moreover, they also consumed excess quantities of alcohol, leading to the exact same crippling pain that you are experiencing.

Factor 4: Obesity and physical inactivity

Being overweight puts pressure on the kidneys and all of our internal organs and may often cause disorders related to the evacuation of uric acid. Therefore, keeping your weight down is significant to combating high levels of uric acid. In order to lose weight, one should certainly have an exercise plan, but it’s important to remember that during strenuous exercise, the body breaks down proteins and may actually increase uric acid. Therefore, I recommend that you do moderate exercise and nothing too strenuous.

Factor 5: Medication

Lipid-lowering drugs, anti-inflammatory drugs like aspirin, and other additional drugs also make the body acidic, causing an increase in uric acid. The paradox is that these drugs that are often prescribed for seizures become acidic inside the body and may even cause our bodies long-term damage.

Factor 6: Toxicity

Most of us live in an environment full of toxicity that causes disruption and congestion to our liver functions, which are responsible for breaking down toxins in the body. Overloading the liver with toxins from processed foods and genetically modified or sprayed fruits and vegetables causes inflammation of the liver followed by liver dysfunction. In addition, we are exposed to air pollution and a wide range of radiation that adds more toxicity. It’s no wonder that our bodies find it difficult to neutralize all of these toxins, which then leads to a flood of toxins into the bloodstream that weakens all our organs.

Factor 7: Accidents, injuries, and stress

Many people experience gout attacks after injuries and surgery. These constitute a kind of trigger for an outbreak, as do mental tension, stress, or grief. Stress causes an immediate weakening of the immune system and prevents the body from rebuilding itself.

Factor 8: Hormonal decline

Eighty-five percent of gout sufferers are men. Between the ages of 35 and 75, there is a decrease in the male hormone testosterone, which helps to regulate uric acid in the body. It is at this time that men usually experience their first gout attack.

For women, gout usually appears at the time of the menopause (usually around age 49) as a result of a decrease in the estrogen hormone. Estrogen helps control the level of uric acid so the reduction in estrogen production exposes women to the risk of developing gout.

 What are the Symptoms of Gout? 3 Stages

Gout disease is typically divided into four different stages: asymptomatic, acute, intercritical, and chronic.

Asymptomatic stage:

At this stage, a patient has high levels of uric acid in their blood without any other symptoms.

Acute stage:

At this stage, uric acid crystals have already formed in the joint spaces and the patient suffers from severe pain and swelling in the joints. Acute attacks mostly happen at night. They can be triggered by the consumption of purine-rich animal protein, alcohol, drugs, another illness, or a stressful lifestyle. The bouts usually decrease within three to ten days, and the patient can enjoy a couple of months or sometimes years without having another attack. Over time, the bouts can last longer and occur more frequently. However, it is important to understand that even if you are not experiencing gout pain, it doesn’t mean that your uric acid level has decreased and that you are not at risk.

Intercritical stage:

This stage (the stage between acute attacks) can last three to ten years without the patient suffering any symptoms. During this stage, uric acid levels elevate in the blood, so the patient should not stop treatment.

Chronic stage:

This is the most difficult stage of gout. At this stage, the disease may have damaged affected joints and even the kidneys. With the right treatment, most gout patients do not suffer from this advanced stage.

Now we know the reasons for, factors involved in, and the symptoms of gout, we can move on and see how we can prevent the disease and naturally lower the deadly uric acid in our body with simple actions, tasty food, and natural remedies.

Step 2 – Proper Diet & Exercise for Gout

“The first step toward change is awareness. The second step is acceptance.” -Nathaniel Branden

It is well known that there is a strong correlation between your diet and drinking habits and the manifestation of gout. I would like to help you to correct your diet while guiding you with the most relevant and up-to-date recommendations in order to assist you in reaching your goal and fighting future gout attacks.

As we’ve mentioned before, increased levels of purines in the blood cause high uric acid levels. Purines are a side effect created following the breakdown of animal protein in the body, especially red meat and animal organs. Most gout sufferers consume large quantities of foods that are rich in purines, such as red meat, organs such as the liver and heart, certain fish and seafood, and more. 

In addition, the drinking issue is extremely important. Alcoholic drinks and sweetened drinks, especially, significantly raise the chances of suffering from a gout attack. Two or more soft drinks per day increase the risk of gout by 85%! One soft drink per day increases the risk by 45%, while five or six soft drinks per week increases the risk by 29%. On the other hand, drinking plenty of water (at least three liters or 8-12 glasses per day) has been proved to help prevent crystallization and lower the levels of uric acid in the blood.

On the Internet you may find a lot of information about gout diets; however, you might also find a lot of misinformation, errors, etc. For example, a common misconception is that all foods high in purines are forbidden, even plant-based foods. A study from 2004, however, showed that only purine-rich food from animal protein should be avoided. I’m not advocating over-indulgence of those foods either; I believe that the key to a proper diet for gout is balance. If you eat too many plant-based proteins, you can still gain weight and wind up with an obesity problem.

Other sources of misconception recommend not eating Solanaceae foods such as tomatoes, eggplants, peppers, etc. However, these foods are rich in vitamins and have many other nutritional benefits. But again, moderation is key to anything, since Solanaceae foods are rich in alkaloids that could cause arthritis in some people.

To simplify it for you, I have made a list of foods that gout sufferers can eat and foods that gout sufferers should avoid:

Daily diet recommendations for Gout patients:

Fruit — Frozen fruits, berries, black cherries, blackberries, and wild strawberries. I recommend that you add these fruits to smoothies, fruit salads, desserts, or just eat them raw.
Black cherry concentrate —Add a teaspoon of black cherry concentrate to a glass of water and drink this three times a day. Alternatively, add a tablespoon to half a liter of mineral water.
Grains, nuts, and seeds—Add whole grains, nuts, almonds, sunflower seeds, pumpkin seeds, and whole sesame tahini to your diet. *I recommend that you soak the nuts, almonds, and seeds for 12 hours to increase the amount of protein ready for absorption.*
Increase your consumption of basic foods such as cucumber, celery, apples, bananas, Japanese radish (white), onions, peaches, black cherries, and pears.
Soy products—These are an excellent source of protein.
Oils—Cold-pressed olive oil, flaxseed oil, and hemp oil can be purchased at natural health stores.
Ground flax seeds—These can be added to your food or smoothies. * Grind the flax seeds in a coffee grinder every three days in order to prevent lipid mold. *
Fish—Salmon and halibut from the North Sea. *You can also add fish that contain Omega-3 and are not toxic. *
Infusions—To help cleanse your body, I recommend that you infuse celery seeds, nettle leaves, red clover, dandelions, fennel, and turmeric in hot water and drink it occasionally.

Foods to avoid

Salt—Try to consume as little salt as possible.
Dough—White flour, white sugar, and cake dough increase inflammation in the body.
Purine-rich animal proteins—Red meat, liver, meaty soups, sauces based on meat, anchovies, shellfish, sardines, herring, mushrooms, asparagus, and beer yeast. *During acute attacks of gout I strongly advise that you avoid chicken. *
Fats—Saturated fats, semi-saturated fats, trans fats, and margarine. You can use coconut oil as an alternative.
Cheese—Especially full-fat cheese.
Acidic foods—Eat less acidic foods; this includes dairy.
Alcohol and beer—The ethanol in alcohol increases the production of uric acid, so avoid drinking alcohol at all costs.
Coffee—Coffee becomes acidic in the body and you should therefore avoid it.
Weight—Watch your weight because obesity increases your chances of developing gout!

Physical activity recommendations for Gout patients:

In the video: Treatment of gout with supplements and herbs (Hebrew)

Exercise is crucial for gout patients but it is important that the exercise is moderate and gradual, not too strenuous. Moderate exercise is recommended for gout sufferers like you for two main reasons:

1.To help you maintain a healthy weight.

2.To relieve stress and improve your mood.

Physical activity recommended for gout sufferers:

1.You should diversify and do some form of physical activity at least five days a week.

2.Walk 30-60 minutes a day. 

I recommend fresh air—use paths in remote areas and fields and to try to avoid busy roads as much as possible. The air on the streets is saturated with pollutants emitted by vehicles.

In addition, I highly recommend moderate yoga integrated with deep breaths—it will help you to strengthen your body and muscles and will reduce stress.

Physical activity to avoid:

Strenuous physical activity such as lifting heavy weights, running, football and the like is not at all recommended for gout sufferers. It is not just when the body digests food that purines are released from proteins; the body also breaks down proteins in large quantities during strenuous activity and purines are released which raise uric acid levels. 

Sports injuries can trigger a gout attack so you should be very careful while training.

My special recipes for gout patients

Gout patients are often people who know how to enjoy good food and most of the time that is what brought them to their medical condition in the first place. So it’s not surprising to me that most of my patients’ (and my son’s) second biggest fear after the pain was the diet issue. I can’t tell you how many times they have told me  how frustrated they are with the limited variety of foods they can eat.

As a mother, a doctor, and an amateur chef, I decided to use all of my skills to create a rich menu that can provide patients with a delicious variety of gout-friendly dishes while allowing their families and them to keep on enjoying great food.

I must admit that although my son was familiar with my abilities in the kitchen, at first he was skeptical and didn’t believe it would be possible to make tasty, healthy meals without the seemingly endless list of forbidden ingredients. Today he and thousands of my patients agree that not only is it possible to make great dishes for gout sufferers, but it has enhanced their enjoyment of food since they are incredibly delicious. You will enjoy feeling full after meals but not heavy and tired. As I told my son, and now I’m going to tell you: if don’t believe me, try me! Prepare these meals for yourself and in no more than 1-2 weeks, you’ll see the enormous changes in your body in terms of energy, digestion, and of course pain levels.

10 Tips To Calm Your Gout!

Gout is a term that we hear often but don’t really look into until it actually touches us. What is does is create attacks of very painful inflammation in one’s joints. It’s a type of arthritis, which is caused by the chemical in the blood known as uric acid. Sometimes, the level of this acid becomes too high and creates small crystals of uric acid, which irritate the tissues in the joint and cause inflammation, pain and swelling.

 The gout attack is extremely painful, which is why I want to outline the 10 most important tips on how to calm your gout attacks and pain!

1. Drink Water: This is extremely important in order to help prevent the crystallization and lower the levels of the uric acid in the blood. It’s recommend to drink around three litters of water per day for enhanced results. 

2. Avoid Meat & Animal Proteins: Proteins from animals tend to have high amounts of Purines, which increases the production of uric acid in the blood. Avoiding red meat, liver, meaty soups, meat sauces, seafood, mushrooms, asparagus, and beer yeast is recommended in order to calm the gout. Chicken should also be avoided during acute attacks. 

3. Avoid Soda: Risks of acute gout attacks increase on average by 50% for men who drink soda drinks. Avoid if you have gout problems.

4. Avoid Hard Alcoholic Drinks: Alcohol and gout attacks pretty much go hand in hand. Beer alone raises gout risk by 49% per daily serving. Red wine is the only alcoholic drink allowed, but only one glass a week.

5. Use Natural Supplements: They are extremely helpful in lowering the risks of gout attacks as just healthy eating and exercise will not do much effect unfortunately. The natural supplements to use are:
    A. Moringa Leaf Powder for its high antioxidants powers;
    B. Turmeric Extract 95% to reduce the formation of uric acid;
    C. Milk Thistle to accelerate metabolism and strengthen the bowel;
    D. Bromelain for its anti-inflammatory effects; Black Cherry Extract to reduce levels of uric acids;
    E. Noni for its anti-inflammatory and antioxidants components. 

6. Exercise: It’s important for gout patients to exercise moderately and gradually in order to maintain a healthy weight and keep the stress off. Physical activity of 30-60 minutes day, five times a week is recommended to see improvements in symptoms. 

7. Use Turmeric As Much As Possible: As mentioned, this ingredient is extremely important for gout patients in order to reduce uric acid formation. Use in all the dishes you might see fit. 

8. Consume Antioxidants From Plants: Antioxidants from vegetables, green leafs, and fruits are the most natural you can find out there. It’s important to eat them in order to receive the full benefits. 

9. Start The Day With Lemon & Ginger Water: Add lemon and ginger to your water in the morning in order to decrease acidity in your body. 

10. Exercise Deep Breathing: This helps neutralize stress, which in turn decreases the symptoms of gout. Do this exercise five to fifteen minutes everyday to bring tranquility back into your mind.

Natural solution

Answer at least 9 questions correctly and receive a 50 NIS gift to redeem in the store (Hebrew only)

Flamorin is a 100 % natural breakthrough formula made of most powerful super foods and medicinal herbs which can help gout symptoms and assist to control uric acid levels.

The Flamorin formula has been developed by Dr. Sara Barak, a gout expert, which is the head of R&D department at “Natural Gout”.

Dr. Barak has a Ph.D. from California University in the study of gout and natural solutions for control of uric acid levels.

Flamorin is a unique blend of researched ingredients with a documented high affectivity in controlling and reducing uric acid level naturally, without any side effects.

Flamorin grants, in just one product a comprehensive solution for a pain free gout lifestyle.

1. Can help to prevent future gout attacks
2. significantly assists to shortens the duration of the attacks
3. enriched with vitamins, minerals, amino acids and anti-oxidants
4. The ingredients are known to detox your body and protect your liver
5. controls uric acid accumulation and crystallization in the joints
6. Supports Healthy Immune System Function

our treatment for gout sufferers focuses both on reducing uric acid level while promoting its excretion from the body.

Flamorin is rich with the most powerful antioxidant super food: Moringa . these ingredients are integrated with Curcumin , Bromelain and Silybum Marianum (milk thistle), which complement and enhances the effectiveness of treatment, thus protects the body and liver. The Flamorin ingredients have been proven in thousands of studies around the world, as assisting to control the blood uric acid levels.

 FAQ about flamorin and testimonials

Flamorin is 100% natural breakthrough formula made of the most powerful super foods and medicinal herbs, which can aid symptoms of gout and assist in controlling uric acid levels. Flamorin’s ingredients have no known side effects.

The formula was developed by Dr. Sara Barak who has a Ph.D. from California University FCE in the study of gout and natural solutions for control of uric acid levels. Dr. Sara Barak is an expert in Chinese medicine, herbal medicine, nutrition, and supplements effects.

Flamorin is only available online on our site www.gout.co.il

Flamorin is a one stop product, comprehensive solution for a pain-free gout lifestyle for the following reasons: • Flamorin can help you prevent future gout attacks • Flamorin significantly assists in shortening the duration of your gout attacks • Flamorin is enriched with vitamins, minerals, amino acids and antioxidants • The ingredients in Flamorin are known to detox your body and protect your liver • Flamorin controls uric acid accumulation and crystallization in the joints • Flamorin supports the healthy function of the immune system.

Super foods are currently at the forefront of today’s research and natural treatment. You can obtain a variety of super foods from around the world and have a powerful combination of extensive treatment capabilities as they contain vitamins and minerals that have essential nutritional values to our body that we rarely receive from our Western diet. • Super foods help to prevent and treat gout attacks • Super foods serve as multi-vitamins and multi-mineral supplements • Super foods are diet supporters

There are several powerful super foods, but Moringa is the most effective one for gout treatment. Moringa is a very powerful super food and according to the ORAC table it is the strongest antioxidant food with an ORAC value of 157,000! Nowadays, thanks to research and several testimonials, Moringa is one of the most promising super foods in natural medicine.

We receive all of the Flamorin ingredients from honest and reputable suppliers with impeccably high standards such as GMP and ISO. We test the ingredients in the most advanced laboratories in order to guarantee that Flamorin is a safe and effective product.

Of course! Many people take Flamorin in order to prevent the symptoms from reappearing. All of the ingredients in Flamorin are natural so it can be used long term without any concern.

Yes. From our experience and from our clients’ testimonials, if you use Flamorin daily, uric acid levels in most cases reduce significantly.

The ingredients in Flamorin can be useful for different types of people as the natural ingredients can help cleanse the kidneys, blood and liver, lower the bad cholesterol and perhaps even reduce insulin use for diabetic sufferers of Type 2 Diabetes. Common side effects include upset stomach, which can be avoided by taking Flamorin with food at meal times. If the problem persists, please contact our customer services.

Flamorin is not an FDA responsibility because it’s a blend of food substances and natural herbs and the FDA only supports pharmaceutical drugs. However, the FDA supervises the manufacturing of Flamorin in order to ensure the safety of the product.

It takes 4-6 weeks from the time you start taking Flamorin for you to see and feel the results. Unlike drugs, the changes with the natural remedy are gradual, and sometimes easily missed. Since 1 bottle will last for 1 month, you might need a second bottle to start seeing results. With Flamorin, and as with many other dietary supplements, you have to be patient. People who continued using Flamorin for at least 4-6 weeks are very satisfied with the effects of Flamorin on their health.

We always recommend asking a doctor before starting any kind of nutrition or supplement use, particularly if you have any medical problems or take prescribed medication.

We always recommend consulting a medical professional before using Flamorin.

We recommend checking with your doctor or pediatrician before using Flamorin.

Yes. Our purchasing software is encrypted with an up-to-date SSL certificate. This means that you can shop freely without any risk. SSL technology ensures a secure transaction environment for commerce on the Internet. A few seconds after your credit card information is processed the data will be deleted from our system.

Daily Usage Take 1 capsule twice a day- 1 capsules in the morning and 1 capsule in the evening. An attack Take 2 capsules twice day- 2 capsules in the morning and 2 capsules in the evening. During a severe attack Take 3 capsules twice a day- 3 capsules in the morning and 3 capsules in the evening.

 Interested in a free telephone consultation with Dr. Sara Barak?

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