Guava nectar is generally safe for people with gout. Guava is a low-purine fruit, and its nectar form (unless heavily sweetened with added sugar) does not pose a purine or uric acid risk. In fact, guava is rich in vitamin C, which has been shown to help lower serum uric acid levels in some studies, and it provides antioxidants that can help reduce inflammation. The main concern with guava nectar is added sugar — if the product is sweetened with high-fructose corn syrup or significant amounts of sucrose, the fructose can trigger uric acid production. Choose unsweetened or lightly sweetened varieties, and keep portions moderate.

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