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Trying to lose weight. Having more red meat. High fat and low carbohydrates diet would lose weight? Guide

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General & Family Physician
Practicing since : 2001
Answered : 14870 Questions
Hi Doctor, I try not to eat much red meat or protein because I got gout a couple of years ago. The thing is I am 13.5 stone for 5ft 8.5 inches and I would like to lose weight. I read here that a high fat low carb diet would lose weight but will that worsen the danger of another gout attack? Purines from protein can't be eliminated from my system I guess at times. I got advice re flora for the gut, and some herbs especially yucca but I was hoping to be able to get back to a normal diet without having to take the yucca and the fear of another attack. I know a healthy diet is the best. Any thoughts. Thanks Doctor.

Posted Wed, 26 Jun 2013 in General Health
Answered by Dr. Michelle Gibson James 1 hour later
HI, thanks for using healthcare magic

You are right in stating that high fat low carb diets are effective in weight loss. The premise of these diets is the following: carbohydrates cause the body to release insulin, insulin has other actions in addition to the reduction of blood sugar- it also prevents the break down of fat.

By reducing carbohydrates , there is a reduction in insulin secretion and therefore more fat is broken down.

In terms of gout there is an increase risk of an acute attack of gout with the diet especially if there is a previous history.
This can be reduced by picking the proteins consumed.
Eggs, tofu can be used freely.

The diet requires the use of other proteins as well, to reduce the chance of an attack your doctor can give you a prescription for allopurinol 300mg which would reduce uric acid levels. The use of copious water is also advised.

In addition you may want to follow the diet with the help of a bariatrican which is doctor that specialises in weight loss.

I hope this helps,feel free to ask any other questions
Above answer was peer-reviewed by
Follow-up: Trying to lose weight. Having more red meat. High fat and low carbohydrates diet would lose weight? Guide 8 hours later
Thanks XXXXXXX that's brilliant - I think I heard of allopurinol before but I don't know why the doctor didn't mention it when I got the 1st attack. I never heard of a bariatrician so that's exciting as well.

I got a couple of other medical queries a bit unrelated so I don't know if I have to start off again- anyway - I banged my toes several times and I have maybe three fungal toe nails. I rub turmeric on them hoping it'll cure them. I also got a bit of a hard crust on the rim just above my rt nipple. I put fresh turmeric on it and it's still yellow from the turmeric which is hopefully a sign that the turmeric is healing it as I put it on a freckle on my rt hand just maybe two or three times - I don't know if that was the reason or if it had been some good red wine I'd been drinking for a while but suddenly a couple of weeks ago while in the sun I noticed a little hole in my hand - the freckle had fallen off. I haven't any lumps in my breasts. I am reluctant to go for a mammogram as a colleague told me they really squeeze and then to confirm my doubts I read on the website where I came across this medical help that it could rupture a lesion and send more of the tumour cells through the blood. Unfortunately I limit my drinking to a friday night only so that's bad with the medication I take and with these hopefully benign cancer lesions I am getting as I got a short pain in my abdomen this morning. However it was cider I was drinking Friday though I had too much but it doesn't set off the gout but it's probably too acidic esp with the meds I take to counteract it. Thanks for telling me about the allopurinol -now I'm thinking maybe I did hear of it but he didn't want to prescribe it but maybe I could I just be put on it while I go on the high fat, low carb diet? Thanks again.
Follow-up: Trying to lose weight. Having more red meat. High fat and low carbohydrates diet would lose weight? Guide 3 minutes later
I didn't get to finish exactly the reply I was posting above. I was just going to add that I think I did hear of the allopurinol but I didn't do any blood test at the time. I did one a year ago but the blood urea was normal. I did another this time and am waiting for the result so maybe this doctor will put me on it. Can I just be put on it for the while I change my diet and come off it then if I get my weight down? Many thanks for your help.
Answered by Dr. Michelle Gibson James 3 hours later

Yes you can start the allopurinol while you are using the diet and then it can be discontinued after or sometimes during the course of the diet if the uric acid levels remain low.

Fungal infections on the skin can respond to topical creams and ointments but whenever there is a fungal infection of the finger nails, toe nails or scalp oral medication must be used in addition to anything that you apply.
To cure the fungal nails you would oral medication such as lamisil, sporanox or griseofulvin. For toe nail infections the medication has to be used for 6 weeks to 3 mths.

You are right in that mammograms are painful because they do squeeze the breasts but after age 50 yr , it is recommended that you have them done each year.
In terms of distributing the tumor , this is not a complication. the main complication is that if the persons starts mammogram early in 40's they may be exposed to excess radiation from the mammogramm itself but they will diagnose a tumor not spread it.

Please feel free to ask anything else
Above answer was peer-reviewed by
Follow-up: Trying to lose weight. Having more red meat. High fat and low carbohydrates diet would lose weight? Guide 17 hours later
Ok. Thanks Doctor. Hopefully my uric acid levels are already low and I won't have to take that stuff and can continue my diet without it. Thanks for the info re the meds for nails and mammo etc. I've had xrays for other things already so I think I'll leave the mammo and just eat lots of turmeric and good cultures and other stuff. All the best - good clear thinking to the point - thank you very much.
Answered by Dr. Michelle Gibson James 6 hours later
You are welcome, all the best

feel free to contact regarding other queries
Above answer was peer-reviewed by
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