Oxalates, Gout, and Kidney Stones

Dr. Berg’s Healthy Keto and Intermittent Fasting Podcast

Dr. Eric Berg

Health & Fitness

4.6 • 1.6K Ratings

🗓️ 4 October 2023

⏱️ 13 minutes

🔗️ Recording | iTunes | RSS

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Summary

Today we’re going to look at the interesting similarities between gout and kidney stones and natural alternatives for these concerns.

Oxalates are involved in both kidney stones and gout. People who have high oxalates in their urine tend to have a worsening gout situation, and the most common type of kidney stones are calcium oxalate stones.

Top foods high in oxalates:

• Spinach

• Rhubarb

• Almonds

• Chocolate

• Cacao

• Buckwheat

• Wheat

• Beans

• Soy

• Tofu

• Miso

• Potato chips

• French fries

• Beet tops

• Swiss chard

• Star fruit

• Raspberries

• Black pepper

• Black tea

Nuts high in oxalates:

• Almonds

• Brazil nuts

• Hazelnuts

• Cashews

• Pine nuts

Nuts low in oxalates:

• Coconuts

• Peanuts

• Pistachios

• Macadamia nuts

• Walnuts

Something else that can increase oxalates is consuming excess ascorbic acid or glycine. Fat malabsorption due to a bile deficiency can also cause an increase in oxalates. If you’re prone to kidney stones or gout, you may also want to avoid consuming xylitol.

Some people develop gout as they age due to an increase in iron and inflammation. If you’re in this situation, you might want to try reducing the amount of iron you consume and work on lowering your inflammation.

How to neutralize oxalates:

1. Drink two and a half liters of fluid per day

2. Consume calcium-rich foods

3. Take vitamin D3

4. Consume citrates (lemon juice in water)

5. Get plenty of vitamin B6

6. Get plenty of vitamin B1

7. Consume a moderate amount of protein on Healthy Keto®

8. Lower your sodium

9. Consume more potassium

10. Consume foods low in oxalates

DATA:

https://www.sciencedirect.com/science...

https://www.racgp.org.au/afp/2012/dec...

https://www.hormonesmatter.com/margin...

https://pubmed.ncbi.nlm.nih.gov/351269/

Transcript

Click on a timestamp to play from that location

0:00.0	Now, when you're dealing with complex health problems like kidney stones and gout, it's really
0:06.1	important to break down the component parts of this problem and then look at those parts very,
0:12.1	very closely because there's some interesting similarities and differences between gout and kidney
0:17.5	stones. Uric acid is involved in kidney stones as well as gout, but Uric acid stones is not very
0:25.2	common compared to the oxalit stones in the kidney. And so my question was, is there any connection
0:32.2	between oxalits in gout? And there's definitely a huge connection. People who have high oxalits
0:39.7	in their urine tend to have a worsening gout situation. You can even have it's called pseudo gout,
0:46.1	which is kind of a gout that's not related to uric acid coming from oxalits, which is interesting.
0:52.2	But just like any problem, it's important to have as much information as possible. And I found
0:58.4	a very interesting paper that was written in 1978 in this connection between oxalits and gout
1:06.8	in kidney stones. So I'm going to share with you some information because it could be very,
1:10.4	very important in solving this mystery, especially if you are doing the ketogenic diet. Now,
1:16.3	I'm assuming that you already know that the most common type of kidney stone is calcium
1:23.8	oxalit stones. And I'm also assuming that you know that some of the highest sources of dietary
1:30.1	oxalits come from spinach, rhubarb, almonds, chocolate, cacao, buckwheat, wheat, beans,
1:40.5	soy, which includes tofu and miso. Definitely includes the potato chip and the french fries.
1:46.3	Beat tops Swiss chard. Then we have star fruit as well. And out of all the berries,
1:51.9	raspberry is highest in oxalits. Then we even have black pepper and black tea. Now, if you're
2:00.2	steeping the tea in some hot water for a very short period of time, let's say for example,
2:05.6	a minute versus seven minutes, there's going to be a huge variation in how much oxalits
2:11.3	are in your tea. I mean, it can range between you know, two milligrams of oxalits, two up to like
2:17.9	65 milligrams. If you're soaking this black tea in this water for like seven minutes,
	...

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