Last reviewed: 2026-07-28 • Editorial Standards

Dairy & Eggs Purine Levels Ranked: Best & Worst for Gout

Evidence-based comparison — data from USDA+ODS-NIH PURINE DATABASE Release 2 (March 2025)

Lowest Purine {cat}

#1sugars, peanut butter, creamy, skippy (co,ct) - nfy120c7j0 mg
#2sugars, peanut butter, creamy, skippy (fl,mo) - nfy120c8a0 mg
#3sugars, peanut butter, creamy, skippy (al,ca1) - nfy120c6q0 mg
#4sugars, peanut butter, creamy, jif (al,ca1) - nfy120c930 mg
#5sugars, peanut butter, creamy, jif (co,ct) - nfy120c9u0 mg
#6sugars, peanut butter, creamy, jif (mi,ok) - nfy120cam0 mg
#7sugars, peanut butter, creamy, store brand/other brand, great value (al,ok) - nfy120cbf0 mg
#8sugars, peanut butter, creamy, store brand/other brand, kroger (in,mi) - nfy120cc80 mg
#9sugars, peanut butter, creamy, store brand/other brand, safeway kitchens & shop rite (co,ct) - nfy120ccz0 mg
#10peanut butter, smooth style, with salt0 mg

Highest Purine {cat}

#92eggplant, raw51 mg
#91Eggplant51 mg
#90Soymilk22 mg
#89Flour (cake flour)16 mg
#88cake flour16 mg
#87cheese, grated13 mg
#86cheese, provolone13 mg
#85squash, winter, butternut, raw9 mg
#84cheese, monterey jack9 mg
#83cheese, queso cotija9 mg

Category Average: 2.9 mg/100g

The average across 92 Dairy & Eggs foods with lab-measured purine data. Foods below this average are better-than-typical choices within this category.

How to Use This Ranking

The purine ranking is sorted from lowest to highest. Rank #1 is the lowest-purine food in the category. Foods in the top half (above median) should be consumed with more awareness of portion and frequency. The difference between adjacent ranks varies: in some categories, rank #5 and #10 might be only 10 mg apart; in others, the gap can be 100+ mg. Always check the actual milligram value, not just the position. Rankings do not account for fructose or alcohol — use individual food pages for a complete risk assessment.

ACR 2020 Guideline Context

The American College of Rheumatology recommends that gout patients focus on purine awareness rather than complete food group elimination. Within any category, there is a wide purine range. The goal is to shift toward lower-purine choices within categories you already eat, rather than eliminating entire food groups. This ranking helps you identify which specific items to prioritize and which to limit.

Japanese guidelines recommend under 400 mg of total dietary purines per day. Using this ranking, you can estimate how much of budget each food uses per typical serving.

How This Comparison Is Built

Every food in this comparison has been evaluated using a three-factor risk engine that independently assesses purine content, fructose level, and alcohol presence. Purine values come from two primary references — the USDA+ODS-NIH PURINE DATABASE Release 2 (March 2025) and Kaneko et al. (Biol Pharm Bull 37(5):709-721, 2014, PMID: 24553148). Fructose data is sourced from USDA SR28 Food Composition Tables. The verdict system follows ACR 2020 guideline thresholds: Safe (purine <50 mg, fructose <2g, no alcohol), Moderate (purine 50-150 mg or fructose 2-5g), Avoid (purine >150 mg, fructose >5g, or alcohol present). Data quality is labeled T1 (lab-measured), T2 (measured + consensus), or T3 (category estimate) on each food's detail page.

This comparison is provided for informational purposes only and does not constitute medical advice. Individual tolerance to purines and fructose varies. Consult a healthcare professional for personalized dietary guidance. Last reviewed: 2026-07-28.

Frequently Asked Questions

Which dairy & eggs foods are lowest in purines?
The lowest purine dairy & eggs foods include sugars, peanut butter, creamy, skippy (co,ct) - nfy120c7j, sugars, peanut butter, creamy, skippy (fl,mo) - nfy120c8a, sugars, peanut butter, creamy, skippy (al,ca1) - nfy120c6q. These all fall under 50 mg/100g and are rated SAFE for gout. See the full ranking below for all 92 items.
What is the average purine level in dairy & eggs?
The average across 92 dairy & eggs foods with lab-measured data is 3 mg/100g. Foods below this average are better-than-typical choices within this category.