Even 100% fruit juice blends lack fiber and contain high levels of fructose, which can raise uric acid levels and trigger gout flares. The American College of Rheumatology strongly recommends limiting or avoiding fructose-sweetened and fruit-juice-sweetened drinks. However, small occasional servings (e.g., 4 oz or ½ cup) of low-fructose juice (such as tart cherry juice, which has anti-inflammatory properties and may help lower uric acid) is acceptable for most people with gout. Any 100% fruit juice should be treated as an occasional treat, not a daily beverage.

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