In the eyes of most gout patients, avoiding food is the top priority in gout treatment. However, there seems to be no standard answer to “what not to eat in gout”, and sometimes different doctors say different things, so it is not surprising that gout patients are confused. The next step is to answer the recommendations of the latest authoritative gout treatment guide: “2016 China Gout Treatment Guide” is arguably the most authoritative gout guide in China. The dietary recommendations for gout patients are: limit alcohol; reduce the intake of high-purine foods; reduce the intake of fructose-rich beverages; increase the intake of fresh vegetables; translated into plain language, animal offal, seafood, thick broth, fish roe as much as possible, meat in moderation; alcohol, commercially available sweet drinks as much as possible; eat more fresh vegetables. But each person’s body is different, there may be some differences in the reaction to food. Some people will find that they have gout attacks even when they eat certain foods that are not high in purines. For example, some people get gout attacks when they eat tomatoes. Ask yourself two questions If you think you can’t eat a certain food that will cause a gout attack, you need to ask yourself two questions at this time: 1. Gout attacks are not always due to eating the wrong foods. In fact, chronically high blood uric acid is the root cause of gout flare-ups in most people. So, before blaming a particular food, see if your blood uric acid is below 360 (without gout stones) or 300 (with gout stones) μmol/L. If not, you need to get your uric acid down first. The effect of lowering uric acid through diet control is limited. When strict abstinence from food and exercise to lose weight still can’t lower uric acid below the standard value, you need to take uric acid lowering drugs to further lower uric acid. 2.Do I have to eat this kind of food? If the blood uric acid has been controlled in the target range, and there are no obesity, insufficient water, alcohol, strenuous exercise, cold and other causes that trigger gout attacks, then you can consider not eating this food, after all, there is no one food that must be eaten. When it comes to gout, the general principles of treatment are the same for different people. However, in the details of diet and lifestyle, you still need to figure out and adjust yourself.