Gout Flare Triggers: 66 Highest-Risk Foods to Avoid

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AVOIDamazake (fermented drink made from sake lees) AVOIDAnchovy (dried) AVOIDanchovy, canned AVOIDanchovy, dried AVOIDanchovy, fresh AVOIDanchovy, raw AVOIDbeer for export (higher wort content than typical austrian lager) AVOIDBeer yeast AVOIDBeer yeast product AVOIDbeer, dark AVOIDbeer, from wheat AVOIDbeer, low alcohol AVOIDbeer, pils AVOIDbeer, ‘regular’ type, various brands AVOIDbonito, dried AVOIDbrandy AVOIDchicken breast, boneless, skinless, cooked4 AVOIDchicken liver, raw AVOIDChlorella AVOIDChondroitin and Beer yeast AVOIDcutlassfish (hairtail), fresh AVOIDgnomefish, skin, raw AVOIDherring, canned AVOIDKatsuobushi (dried bonito) AVOIDmackerel, japanese, skin, raw AVOIDmalt beverage, including non-alcoholic beer AVOIDmilt, cod AVOIDmilt, globefish AVOIDmilt, pigfish, striped, raw AVOIDMirin AVOIDmirin (cooking wine) AVOIDmonkfish liver, steamed AVOIDmushrooms, shiitake, dried AVOIDNiboshi (dried baby sardines) AVOIDNori AVOIDpork loin, boneless, skinless, cooked4 AVOIDpork, cured, bacon, cooked4 AVOIDPowdered Umami broth AVOIDradler (beer and lemonade mixture) AVOIDRNA AVOIDRoyal jelly AVOIDsake AVOIDsake lees AVOIDSakura shrimp (dried) AVOIDSardine AVOIDsardine, baby, dried AVOIDsardine, canned AVOIDsardine, half-dried AVOIDseabass, japanese, skin, raw AVOIDseaweed, nori, dried AVOIDsh Liver (steamed) AVOIDsh Skin AVOIDsh) AVOIDShiitake (dried) AVOIDshochu (japanese spirit liquor) AVOIDshoko-shu (chinese liquor) AVOIDshrimp, sakura, dried AVOIDsoup, stock, chinese, dried AVOIDSpirulina AVOIDumami broth, powdered AVOIDume liqueur AVOIDwhiskey AVOIDWhitebait (dried) AVOIDwhitebait, dried AVOIDwine AVOIDyeast, dried

Frequently Asked Questions

Which foods most commonly trigger gout attacks?

The highest-risk triggers combine extreme purine loads (over 300 mg/100g — organ meats, certain dried fish) with alcohol, which blocks uric acid excretion. Our database flags 66 such foods. During a flare, the ACR recommends strictly avoiding all of them.

How quickly can food trigger a gout flare?

A purine-heavy meal or drinking session can raise uric acid within hours, and flares often begin within 24-48 hours. Studies show acute purine intake raises flare risk nearly 5-fold in the following two days. Alcohol adds further risk by impairing renal uric acid excretion.

66 Foods Most Likely to Trigger a Gout Flare

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