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Last reviewed: 2026-08-05 • Editorial Standards

High Fructose & Gout Risk: 111 Foods Over 5g

111 foods — Gout Risk Assessment

All Foods

Higher Riskapple juice from concentrate with added vitamin c, shelf stable Higher Riskapple juice, canned or bottled, unsweetened, with added ascorbic acid Higher Riskapple juice, canned or bottled, unsweetened, with added ascorbic acid, calcium, and potassium Higher Riskapple juice, with added vitamin c, from concentrate, shelf stable Higher Riskapples, fuji Higher Riskapples, fuji, with skin, raw Higher Riskapples, gala Higher Riskapples, gala, with skin, raw Higher Riskapples, granny smith Higher Riskapples, granny smith, with skin, raw Higher Riskapples, honeycrisp Higher Riskapples, honeycrisp, with skin, raw Higher Riskapples, raw, fuji, with skin (includes foods for usda's food distribution program) Higher Riskapples, raw, gala, with skin (includes foods for usda's food distribution program) Higher Riskapples, raw, golden delicious, with skin Higher Riskapples, raw, red delicious, with skin (includes foods for usda's food distribution program) Higher Riskapples, red delicious Higher Riskapples, red delicious, with skin, raw Higher Riskapplesauce, canned, unsweetened, with added ascorbic acid Higher Riskapplesauce, unsweetened, with added vitamin c Higher Riskapplesauce, unsweetened, with vit c added Higher Riskbananas, overripe Higher Riskbananas, overripe, raw Higher Riskbananas, ripe Higher Riskbananas, ripe and slightly ripe, raw Higher Riskbananas, slightly ripe Higher Riskblueberries, canned, light syrup, drained Higher Riskblueberries, wild, canned, heavy syrup, drained Higher Riskcherries, sweet, dark red, raw Higher Riskchokecherries, raw, pitted (shoshone bannock) Higher Riskcookies, oatmeal, soft, with raisins Higher Riskcranberries, dried, sweetened Higher Riskcranberry juice blend, 100% juice, bottled, with added vitamin c and calcium Higher Riskcranberry sauce, jellied, canned, ocean spray Higher Riskcranberry sauce, whole, canned, ocean spray Higher Riskdates, medjool Higher Riskfigs, dried, pass 2, region 1, n/a, no, sugar - nfy010cde Higher Riskfigs, dried, pass 2, region 2, n/a, yes, sugar - nfy010cek Higher Riskfigs, dried, pass 2, region 3, n/a, yes, sugar - nfy010cfo Higher Riskfigs, dried, pass 2, region 4, n/a, yes, sugar - nfy010cgr Higher Riskfigs, dried, uncooked Higher Riskfruit juice smoothie, naked juice, green machine Higher Riskgrape juice, canned or bottled, unsweetened, with added ascorbic acid and calcium Higher Riskgrape juice, purple, from concentrate with added vitamin c, shelf stable Higher Riskgrape juice, purple, with added vitamin c, from concentrate, shelf stable Higher Riskgrape juice, white, from concentrate with added vitamin c, shelf stable Higher Riskgrape juice, white, with added vitamin c, from concentrate, shelf stable Higher Riskgrapes, green, seedless, fresh, raw Higher Riskgrapes, green, seedless, raw Higher Riskgrapes, red, seedless, fresh, raw Higher Riskgrapes, red, seedless, raw Higher Riskguanabana nectar, canned Higher Riskguava nectar, canned, with added ascorbic acid Higher Riskjuice, apple and grape blend, with added ascorbic acid Higher Riskjuice, apple, grape and pear blend, with added ascorbic acid and calcium Higher Riskjuice, pomegranate, from concentrate, shelf-stable Higher Riskjuice, prune, from concentrate, shelf-stable Higher Riskjujube, chinese, fresh, dried Higher Riskketchup Higher Riskketchup, restaurant Higher Riskkiwifruit, zespri sungold, raw Higher Riskmango nectar, canned Higher Riskmango, tommy atkins, peeled, pit removed, raw Higher Riskmission figs, dried, region 1, n/a, no, sugar - nfy0100n Higher Riskmission figs, dried, region 2, n/a, yes, sugar - nfy0100 Higher Riskmission figs, dried, region 3, n/a, yes, sugar - nfy0100 Higher Riskmission figs, dried, region 4, n/a, no, sugar - nfy0100q Higher Risknance, canned, syrup, drained Higher Riskoatmeal cookies with raisins, packaged - nfy1217ub Higher Riskoatmeal cookies with raisins, packaged - nfy1217v0 Higher Riskoatmeal cookies with raisins, packaged - nfy1217vi Higher Riskoatmeal cookies with raisins, packaged - nfy1217w6 Higher Riskoatmeal cookies with raisins, packaged - nfy1217wt Higher Riskoatmeal cookies with raisins, packaged - nfy1217xg Higher Riskpeach nectar, canned, with added ascorbic acid Higher Riskpear, anjou, green, with skin, raw Higher Riskpear, anjou, green, with skin, seeded, core removed, raw Higher Riskpears, bartlett, pass 2, regions 1 & 4, n/a, yes - sugar, nfy0106wc Higher Riskpears, bartlett, pass 2, regions 2 & 3, n/a, yes - sugar, nfy0106x2 Higher Riskpears, bartlett, region 1, n/a, yes, sugars - nfy000094 Higher Riskpears, bartlett, region 2, n/a, yes, sugars - nfy00009g Higher Riskpears, bartlett, region 3, n/a, yes, sugars - nfy00009s Higher Riskpears, bartlett, region 4, n/a, yes, sugars - nfy0000a4 Higher Riskpears, bosc, region 1, n/a, yes, sugars - nfy0000bq Higher Riskpears, bosc, region 2, n/a, yes, sugars - nfy0000c2 Higher Riskpears, bosc, region 3, n/a, yes, sugars - nfy0000ce Higher Riskpears, bosc, region 4, n/a, yes, sugars - nfy0000cq Higher Riskpears, green anjou, region 1, n/a, yes, sugars - nfy0000h7 Higher Riskpears, green anjou, region 2, n/a, yes, sugars - nfy0000hj Higher Riskpears, green anjou, region 3, n/a, yes, sugars - nfy0000hv Higher Riskpears, green anjou, region 4, n/a, yes, sugars - nfy0000i7 Higher Riskpears, raw, bartlett Higher Riskpears, raw, bartlett (includes foods for usda's food distribution program) Higher Riskpears, raw, bosc (includes foods for usda's food distribution program) Higher Riskpears, raw, green anjou (includes foods for usda's food distribution program) Higher Riskpears, raw, red anjou Higher Riskplantains, black, overripe, peeled, raw Higher Riskplantains, overripe, raw Higher Riskplantains, ripe, raw Higher Riskplantains, yellow, ripe, peeled, raw Higher Riskplums, dried (prunes), uncooked Higher Riskpomegranate juice, bottled Higher Riskprune puree Higher Riskraisins, dark, seedless Higher Riskraisins, dark, seedless (includes foods for usda's food distribution program) Higher Riskraisins, golden, seedless Higher Riskraspberry juice concentrate Higher Risksapote, mamey, raw Higher Risktamarind nectar, canned Higher Risktomato, paste, canned, double- concentrated, without salt added Higher Risktomato, paste, canned, without salt added

Frequently Asked Questions

How does fructose affect gout?
Fructose is metabolized in the liver where it accelerates purine breakdown, directly raising uric acid levels — independently of dietary purine intake. High fructose intake (>5g/100g) is now recognized as a significant gout risk factor alongside high purine foods.
Which fruits are worst for gout?
Fruits with over 5g of fructose per 100g pose the highest risk. Our database identifies 111 high-fructose items. Sweet apples, grapes, mangoes, and fruit juices concentrate fructose and may trigger flares despite having low purines.

Related Guides

Low Purine Foods Avoid Foods Fruits Sweets Snacks
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References

• ACR 2020 Guideline for the Management of Gout
• EULAR 2016 Updated Recommendations for Gout
• USDA+ODS-NIH PURINE DATABASE Release 2, March 2025
• Kaneko K, et al. Biol. Pharm. Bull. 37(5):709-721, 2014

Medical Disclaimer: This website provides informational content only and does not constitute medical advice. Consult a qualified healthcare professional for personalized gout management.
Last reviewed: 2026-08-05