Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 12/2/2025

High Protein Diet Recommendations for Individuals with Hyperuricemia

Introduction to Hyperuricemia Management

  • Individuals with elevated uric acid levels should avoid high-protein diets (≥1.3 g/kg/day) and instead limit protein intake to 0.8 g/kg/day, with a strong preference for plant-based over animal protein sources, as recommended by the American Journal of Kidney Diseases 1, 2

Dietary Recommendations for Hyperuricemia

  • High-protein foods, particularly meat, poultry, seafood, eggs, seeds, and nuts, are rich in purines, which are metabolized into uric acid, creating a direct pathway for worsening hyperuricemia and potentially triggering gout in susceptible individuals, according to Circulation 3, 4
  • The American College of Rheumatology recommends limiting consumption of purine-rich meats and seafood to reduce uric acid production 5
  • Individuals with concurrent diabetes or chronic kidney disease should avoid high-protein diets entirely, as these diets increase albuminuria and accelerate kidney function decline, as stated by the American Journal of Kidney Diseases 6

Optimal Protein Intake and Lifestyle Modifications

  • The Recommended Dietary Allowance (RDA) level of 0.8 g/kg body weight per day is recommended to balance nutritional needs without exacerbating uric acid levels, particularly for individuals with diabetes, chronic kidney disease, or a history of gout or kidney stones, according to the American Journal of Kidney Diseases 6
  • The American College of Rheumatology recommends limiting high-fructose corn syrup, reducing alcohol consumption, and encouraging weight management if overweight, to help manage hyperuricemia 5

Critical Considerations for Hyperuricemia Management

  • High-protein diets should not be prescribed for weight loss in patients with hyperuricemia, diabetes, or any kidney impairment, due to the significant health risks involved, as warned by the American Journal of Kidney Diseases and Circulation 3, 4, 7