Why does gout always flare up in the big toe? The truth about "uric acid crystals + immune response" and 7 natural remedies that Hong Kong residents should know.

Dr. Eric Berg explained that gout is not simply a matter of "high uric acid." The real cause of the excruciating pain is the immune system's attack on uric acid crystals . The fact that the big toe is the first affected area has a scientific reason behind it.

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🧠 Causes of gout: High uric acid does not necessarily trigger an attack.

Only a small percentage of people with high uric acid levels will develop gout → Most gout patients have normal uric acid levels.
Uric acid crystals exist outside cells , but inflammation occurs inside cells → it is an immune response.
Poor kidney function/insulin resistance/prediabetes → difficulty in uric acid excretion → crystal accumulation
High-purine foods + alcohol + fructose → stimulate uric acid production

🦶 Why does gout always flare up in the big toe?

Uric acid crystal formation is affected by temperature and pH.
Low temperature + slightly acidic environment → easier crystallization
The big toe is one of the coldest parts of the body → becoming the first area to be affected.
It can also occur in the distal joints of the fingers, ankles, and other joints.

🥗 Foods high in purines (to be avoided)

Food types	example
Internal organs	Beef liver, beef kidney
Seafood	Fish, shrimp, crab
wild game	Venison, etc.
yeast	Brewer's yeast, nutritional yeast
Legumes	Black-eyed peas, lentils
High sugar foods	Fructose, desserts, processed foods

🌿 7 Best Natural Remedies

natural ingredients	Efficacy description
celery	Inhibiting xanthine oxidase → reducing uric acid production
Coffee (small amount)	Coffee bean components can inhibit uricase (non-caffeine).
Sour cherry juice	Anti-inflammatory → Reduces the immune system's attack response
Lemon juice	Acidic but becomes alkaline after metabolism → helps dissolve uric acid + antioxidant
Apple cider vinegar	Improving the immune system response may help reduce uric acid crystal formation.
Vitamin C	Anti-inflammatory + helps excrete uric acid
Potassium citric acid	Regulate the body's pH balance → reduce crystal formation

🧘 ♂️ Other suggestions

Increase vegetable intake → Alkalize body constitution + anti-inflammatory
Adequate protein intake → Avoid excessive purines
Note that intermittent fasting , while helpful for metabolism, can increase uric acid levels in the short term (due to autophagy).
Maintaining adequate hydration and avoiding alcohol can help the kidneys excrete uric acid .

🧾 In conclusion: Don't assume that "gout = high uric acid" anymore. Understanding how to regulate your immune system and improve your diet is the key to real improvement.

Starting today, a glass of lemon water, a plate of celery salad, and a purine diet will lay a solid foundation for your joint health!

Don't be misled by the idea that "gout equals giving up meat." True health comes from knowing how to avoid it, supplement it appropriately, and regulate your diet properly! 💪🦶🍋