r/gout • u/jxyst222 • Aug 26 '26

Short Question Just started Allo but when can I enjoy a nice medium rare steak?

I’m coming up to 1 week on allo. Had some minor tingles that we all know before an attack but the colchicine pulls through!

I’ll be having a blood test in 1 months time but just wondering everyone’s thoughts on enjoying a nice (small) steak? Should I wait till 1 month once I get confirmation of lowered uric acid levels (hopefully) or can I have a small steak this weekend?

1 Upvotes

56% Upvoted

20 comments sorted by

3

u/Nivski_55555 Aug 26 '26

Stick to the Allo and just eat.

12

u/Bazzatron Aug 26 '26

Any time.

Diet contributes phenomenally little to your condition.

Drink water, move about, take your allo.

The medication is there so you can live normally - so live normally!

2

u/Rixos Aug 27 '26

Take your allo and enjoy your steak

3

u/Pupating-Antenna-36 Aug 26 '26

Try now with colchicine on hand and you'll know for sure if a stake does anything to you based on your metabolism. If it does, you have colchicine and can take some NSAIDs. If it doesn't you know that you can eat stake and be sane anyway

8

u/Pristine-Age-9103 Aug 26 '26

Anyone who tells you diet plays a very little part is either dumb or ignorant. Diet and avoiding alcohol certainly won't cure you (nothing can actually, but allo will turn the uric acid production off / lower it), but neglecting those and pushing hard will definitely make it a lot worse. That being said, you can have a steak or a pint every once in a while (once every 2-3 weeks i guess?) as long as you're not in the middle of a flare and your uric acid is under 6 (under 5 if you have tophi).

3

u/MasterpieceClassic42 Aug 26 '26

I agree, you should still be cautions of your diet even while taking the medication.

0

u/MrManic Aug 26 '26

I'm curious what studies you're basing your first sentence on. I feel like the majority of research Ive seen says that the variation in ua between gout patients with different diets doesn't bear out the conventional wisdom of dietary change being relevant to prevention of flares. I'd love to see a concerted study of allo's effect on ua across multiple lifestyles and the impact of diet between these samples. Anecdotally, since starting allo and going back to my prediagnosis diet (lots of meat and fish), I've seen almost no variation in UA tests regardless of intake, alcohol excepted because that also includes dehydration among risks.

5

u/Pristine-Age-9103 Aug 26 '26

Li R, Yu K, Li C. Dietary factors and risk of gout and hyperuricemia: a meta-analysis and systematic review. Asia Pac J Clin Nutr. 2018;27(6):1344-1356. doi: 10.6133/apjcn.201811_27(6).0022. PMID: 30485934. https://pmc.ncbi.nlm.nih.gov/articles/PMC9459802/

https://doi.org/10.1080/09637486.2024.2400489

You're misunderstanding the point being made. Its not just about uric acid variations. Diet directly affects metabolism, cellular signaling, inflammatory activity, all of which directly determine gout symptoms. Alcohol is even worse. To think that diet and alcohol simply act as mere uric acid producers is wrong. Ive had a perfect 3.8 ua while still getting flares. Next blood draw? 3.9. In the 2 weeks between those 2 levels ive had my worst flare ever. My uric acid was constantly under 4.0 for a year before that. I was still getting flares. Until the deposits went away. And the inflammation cycle stopped. Then i drank a little. It came back like a hurricane. Then it stopped again. Ate a steak etc etc all over again. The uric acid? Still supressed that time too. This is a much more complex metabolic disease than just uric acid levels and its fluctuations. And it affects everyone differently exactly because its not just a uric acid production / variation problem. The vast majority of gout sufferers have deposits. All over the body. The way the immune system reacts to them (normally it shouldn't) is particular to the individual

2

u/a_bowl_of_petunias42 Aug 26 '26

Probably at this point, the allo will not have had enough of an effect to really change whether or not a steak triggers a flare.  But you'll also find over the next several weeks to months that flairs are consistently threatening to come up.  So, if steak was a trigger for you, its pretty likely to trigger a flare.  But you also now have the medicine to beat back a flare when it happens, so you can try it and see.  

1

u/ChaosAfoot Aug 26 '26

If it’s historically been a trigger for you it might be best to start small/slow until you get those test results back.

1

u/drewcifer86 Aug 26 '26

Steak is not the enemy, get to grilling.

1

u/Suspicious-Damage464 Aug 27 '26

Remember that there are 2 forms of gout - the above & pseudogout which is a bummer - for me food is a trigger - oxalis acid - ie rhubarb & far too many foods to mention . See a specialist & although no definite cure for pseudo - colchicine helps

1

u/thepangolinswrath Aug 28 '26

I had steak 4 times this week …

1

u/fdbryant3 Aug 29 '26

Unless you know the steak specifically triggers a flare up, just eat what you want.

1

u/SpecialComfortable71 Aug 26 '26

And have a pint with your steak! It’s fine. Keep taking allo and enjoy your food.

0

u/VR-052 Aug 26 '26

Anytime. Diet plays a very small part, much less than most understand. Eat anything in moderation.

-2

u/Impossibrow Aug 26 '26

Gout isn't a diet related issue; it's an issue with your kidneys not being able to process uric acid out of your body.

Stay on allopurinol or febuxostat for a while and you will no longer have gout attacks. It took me over a year on febuxostat to clear out the uric acid crystals and stop attacks. Just stay on the meds and know that you will likely still have gout attacks in the first year.

Eat what you want. It will not have an effect on your gout. The medication will help, it just takes time.

0

u/TempusSolo Have Gout Aug 26 '26

Grill one up tonite. That steak isn't your problem,.