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Bone & Joint Health

Gout

Reviewed by the Nimbera editorial team · Last updated May 2026

Gout is a form of inflammatory arthritis caused by elevated uric acid (hyperuricemia) that crystallises in joints, most often the big toe. Flares cause sudden, severe pain, redness, and swelling. Dietary triggers and fluid intake play a major role in frequency of attacks.

When to see a doctor

See a doctor if you have your first gout attack, if attacks become more frequent or severe, if joints remain swollen between episodes, or if you develop tophi (uric acid crystal deposits under the skin). Gout left unmanaged can cause permanent joint damage and kidney stones.

Natural remedies · 6

Tap any remedy for the full how-to and citation.

How we rate evidenceâ–¾

Strong - Multiple randomised controlled trials or systematic reviews with consistent positive outcomes.

Moderate - At least one RCT or several high-quality observational studies with plausible mechanisms.

Limited - Small trials, animal studies, or traditional use with limited human clinical evidence.

Sources link directly to PubMed, Cochrane Reviews, or NCCIH.

Tart Cherry Juice

ingestible
Zhang et al. 2012 case-crossover study (Arthritis & Rheumatism, PMID 23023818) - 633 gout patients; cherry consumption over a 2-day window associated with a 35% lower risk of recurrent gout attacks (multivariate OR 0.65). Cherry extract showed comparable benefit.
$15-$30 per month for juice; $20-$35 for capsule supplements.

Vitamin C Supplementation

ingestible
Choi et al. 2009 prospective cohort of 46,994 men over 20 years (Archives of Internal Medicine, PMID 19273781) - vitamin C intake of 1,500 mg/day or more associated with a 45% lower risk of incident gout. Dose-response relationship confirmed.
$5-$15 per month for standard 500-1,000 mg supplements.

Adequate Daily Hydration

lifestyle
Supported by established nephrology and rheumatology consensus: higher fluid intake dilutes serum urate and promotes renal excretion. Gout clinical guidelines (ACR, EULAR) consistently recommend 2-3 litres of water daily as part of flare prevention. Williams 2008 prospective cohort (Am J Clin Nutr, PMID 18469274) supports dietary and lifestyle measures in gout risk reduction.
Effectively free.

Low-Purine Diet

lifestyle
Choi et al. 2004 prospective cohort of 47,150 men over 12 years (N Engl J Med, PMID 15014182) - highest meat intake associated with 41% increased gout risk; highest seafood intake with 51% increased risk. Organ meats and beer are established high-purine triggers in multiple guideline-cited studies.
Dietary changes may reduce food costs (organ meats and shellfish tend to be expensive).

Quercetin

ingestible
A randomized double-blind placebo-controlled crossover trial found 500 mg/day quercetin for 4 weeks significantly reduced plasma uric acid by 26.5 umol/L in males with pre-hyperuricemia.
$15-$30 per month

Celery Seed Extract

ingestible
A 2019 PubMed review documented celery seed's anti-gouty and anti-hyperuricemic properties via xanthine oxidase inhibition, with animal model studies confirming significant serum uric acid reduction.
$10-$20 per month

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Remedy information is compiled from primary clinical sources including PubMed, the Cochrane Library, and the National Center for Complementary and Integrative Health (NCCIH). Evidence ratings reflect published human trial data at time of writing. This content is for informational purposes only and is not a substitute for professional medical advice. Read our full disclaimer.