Uric acid and gout: what your value means and how to lower it
Marker explained · Metabolism

Uric acid and gout: what your value means and how to lower it

Part of the guide: Kidneys & electrolytes →

In short

  • Uric acid is produced when purines from food and cells are broken down.
  • A raised level (hyperuricemia) increases the risk of gout and kidney stones.
  • Targets: men below ~420, women below ~360 µmol/L.
  • You lower it with less alcohol and sugary drinks, less offal, and good hydration.
  • A gout attack or recurring problems belong with a doctor.

Uric acid is an often overlooked marker, until it triggers gout, one of the most painful joint attacks. A few lifestyle changes can often bring it down nicely.

What uric acid is

Uric acid (urate) is produced when purines are broken down. Purines come from certain foods and from your own cells. The kidneys excrete uric acid. If too much is produced, or it is excreted poorly, it builds up. At high levels, crystals can form in the joints and trigger inflammation. That is gout.

What your values mean

Uric acid (µmol/L)Meaning
men below ~420on target
women below ~360on target
above targethyperuricemia — higher risk of gout

Reference limits differ slightly between laboratories. In gout, doctors often aim for lower values.

How to lower uric acid naturally

1) Less alcohol and sugary drinks

Beer and drinks containing fructose raise uric acid the most. Cutting them down is often the most powerful step.

2) Less offal and red meat

Offal, red meat and some seafood are rich in purines. Low-fat dairy products, on the other hand, are favourable.

3) Hydration and a healthy weight

Enough water helps excretion. Losing excess weight lowers the values. Cherries and berries are considered favourable.

A realistic goal: with consistent habits, uric acid often falls within a few weeks to months. A follow-up report shows the progress.

When to see a doctor. A sudden, severe attack of pain and swelling in a joint (often the big toe) belongs with a doctor. So do recurring gout and kidney stones. Sometimes, alongside lifestyle, treatment to lower uric acid is needed.

How Blood Lab 360 helps you with this

Upload your report and Blood Lab 360 explains uric acid in the context of your metabolism and kidneys. It prepares a plan to lower it and tracks your progress over time.

Frequently asked questions

What does raised uric acid mean?

A higher risk of gout and kidney stones. Many people with a raised value have no problems, but the risk is higher.

What triggers a gout attack?

Uric acid crystals in a joint. Alcohol, a large meal or dehydration can set it off.

How do I lower uric acid?

With less alcohol and sugary drinks, less red meat and offal, good hydration, a healthy weight and, if needed, medication.

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Sources

  1. American College of Rheumatology: 2020 Guideline for the Management of Gout (2020)
  2. EULAR: 2016 updated EULAR evidence-based recommendations for the management of gout (2017)
  3. MedlinePlus (NIH): Uric Acid Test (2024)

Links checked on 14 Sep 2026. The marker ranges above carry their own source next to each row.

Related

This article is for information only and is not a substitute for medical advice. Talk to your doctor about your results.

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