Yes, the usual dietary suspects are good to eliminate, yet there are other foods not necessarily high in purines, believed to be the primary dietary contributor, which also affects the way your body processes uric acid. Namely what we in Chineses Medicine call "damp" forming foods.
The top three on the list of damp forming foods are sugar, cold natured foods, and greasy/fatty foods. Sugar, fructose and high fructose corn syrup all contribute to weight gain. Body fat is considered to be a form of dampness. However damp is not only what is found subcutaneously in the form of adipose tissue, it can accumulate systemically within the digestive system and within joints as arthritis as well as gouty attacks of the joints in the form of uric acid crystals. Similarly greasy fatty foods and raw or cold temperature foods eaten out of season as well as an excess of processed foods can contribute to the same all by putting a strain on the digestive process.
What many may not know or consider, the missing factor here, is not a dietary at all, but perhaps in some sense similar in that we tend to stuff it in and down. This factor is emotional stress. Everyone has read the effects of increased cortisone levels as a response to stress affecting metabolism. However increased cortisone levels also affect the body's immune function. Everyone's bodies deal with stress differently. Those who are genetically susceptible to autoimmune diseases, gout being just one example, are stuck in fight or flight mode, where unfortunately the bodies fight is turned inward.
Stress, from cases I have treated is the most uncontrolled contributing factor leading to gout. Acupuncture, herbs as well as diet are the trifecta in controlling and eliminating the way your body attacks itself.
Angelica Campanale LAc, QME