Oxalates, Gout, and Kidney Stones

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now when you’re dealing with complex health problems like kidney stones and gout it’s really important to break down the component parts of this problem and then look at those parts very very closely because there’s some interesting similarities and differences between gout and kidney stones uric acid is involved in kidney stones as well as gout but uric acid Stones is not very common compared to the oxalate stones in the kidney and so my question was is there any connection between oxalates okay and gout and there’s definitely a huge connection people who have high oxalates in their urine tend to have a worsening gout situation you can even have it’s called pseudogout which is kind of a gout that’s not related to uric acid coming from oxalates which is interesting but just like any problem it’s important to have as much information as possible and I found a very interesting paper that was written in 1978 in this connection between in oxalates and gout and kidney stone so I’m going to share with you some information because it can be very very important in solving this mystery especially if you are doing the ketogenic diet now I’m assuming that you already know that the most common type of kidney stone is calcium oxalate stones and I’m also assuming that you know that some of the highest sources of dietary oxalates come from spinach rhubarb almonds chocolate cacao buckwheat wheat beans soy which includes tofu and miso definitely includes the potato chip and the french fries beet tops a Swiss chard then we have star fruit as well and out of all the berries raspberry is highest in oxalates and we even have black pepper and black tea now if you’re steeping the tea in some hot water for a very short period of time let’s say for example a minute versus seven minutes there’s going to be a huge variation in how much oxalates are in your tea I mean it can range between you know two milligrams of oxalates to up to like 65 milligrams if you’re soaking this black tea in this water for like seven minutes almonds are very high in oxalates but also you have the Brazil nut hazelnut cashews and pine nuts but just as a side note if you’re doing like coconut or peanuts or pistachios or macadamia nuts or walnuts those are much lower another interesting point is if you’re doing a like massive amounts of ascorbic acid as a powder for some remedy like over four grams which is quite large that can actually increase your oxalate levels as well the amino acid glycine which a lot of people take that to help them sleep and to help various health conditions can also increase your risk of oxalates as well and also if you have problems with absorbing fats like fat malabsorption because you’re low in bile you can have more oxalates and this is just another reason why bile is so important in your body to help you fully digest fats and also keep your oxalates to a minimum but Xylitol which is a sugar alcohol which is an alternate sweetener that I recommend a lot in the Keto Plan if you’re sensitive to kidney stones and gout you should just try avoiding Xylitol because apparently Xylitol can really spike your oxalates and just in nature oxalates are formed in plants from non-oxidized saccharins which are sugars maybe that’s why the Xylitol can also turn into oxalates I’m not sure exactly however there’s just a interesting connection between the consumption of Xylitol and the worsening of kidney stones and gout for certain individuals not everyone but it’s a real simple thing to avoid in your diet to see if you get better you might be saying well I don’t consume Xylitol as a sweetener well do you have sugar-free gum it’s loaded with Xylitol a lot of times toothpaste has Xylitol and even mouth washes have Xylitol I mean it’s just so interesting if I look at myself now my own health Now versus in my 20s I’m much healthier now I’m 57 years old almost 58 years old I didn’t even know the basics it wasn’t even on my radar until I started having problems later in my well my late 20s and my 30s so a person can learn from their own experiences which just takes a long time or they can learn from other people’s experiences and that’s what I’m trying to do with you give you the experience of many other studies or people going through these things so you don’t have to go through the mistakes that people made or are spending yours trying to figure stuff out now there’s another little interesting point about this topic related to gout I always ask the question like why would someone develop gout as they get older like after 40 years old or 45 or 50 all of a sudden they end up with gout why doesn’t it happen earlier in life well I found another paper which I’m going to put a link down below which is actually very interesting it’s called Ferris oxalate so in other words if someone has too much of ferritin iron is stored in different forms in your body and ferritin is one form it’s like I think 10 to 20 percent of your body stores iron in this ferritin which is a type of protein and so as your ferritin goes higher this can cause it to bind with oxalates and aggravate gout symptoms and cause like arthritis in different parts of your body you know one thing that’s interesting about iron is that it’s we have no mechanism to get rid of iron so what happens as we age if especially if we’re exposed to more iron we can’t get rid of it especially in men but also post-menopausal females too because they’re not menstruating and releasing this blood which is releasing the iron one big clue is that if you were to donate blood and you feel a lot better with your arthritis or your gout then we need to suspect this could be the problem so as we age we may start noticing more of the problems with iron than when we were younger especially since the more inflammation we have as we age the more iron we tend to accumulate more problems with their health including gout if that’s your potential situation well you just need to work on getting rid of your inflammation but also making sure that you reduce the amount of iron in the diet I’m talking about vitamin mineral products loaded with iron okay and you should not be taking those at all and it’s definitely the wrong type of iron another reason why some people might feel better if they consume less red meat could be this problem as well on the ketogenic diet it’s not a high protein diet it’s a moderate protein diet so red meat which is loaded in iron and so is liver could also be connected to this in certain people so it’s something to look at personally my body does really good on red meat but of course I’m not consuming massive amounts but I I do very well some people don’t so this could be one of the reasons so how can we neutralize this problem of oxalates okay well one thing you could do is make sure that your fluids that you consume every day are roughly between 2 to 2. 5 liters that is going to dilute this concentration of calcium oxalates in your urine and prevent stones and also can decrease the intensity of gout pain number two you want to start consuming calcium-rich Foods especially if you happen to be consuming foods high in oxalates unfortunately the oxalates are in a lot of different foods so it’s almost impossible to completely eliminate them but if you’re having calcium or dairy with these vegetables okay you can reduce the amount of oxalates that are reabsorbed into the body because the calcium binds with oxalates in your intestine and then that just goes right through you it’s not reabsorbed into the blood and then ending up in the kidneys or your urine when you go to the hospital for kidney stones or someone goes to a clinic sometimes they’re left with a little brochure and uh usually it’ll say you know things like oh avoid calcium-rich Foods I’m like no you need to have calcium-rich Foods the next point is vitamin D now what is the big thing th