Pear nectar is a fruit-based drink that contains moderate amounts of naturally occurring sugars and is generally low in purines, which makes it unlikely to directly trigger gout flares via purine metabolism. However, many commercial pear nectars contain added sugars (such as high-fructose corn syrup or other sweeteners) that can raise serum uric acid levels and increase gout risk. For people with gout, the primary concern is the fructose content -- both naturally occurring and added. While 100% pure pear nectar without added sugars is a better option, even natural fruit juices provide concentrated fructose. Current medical consensus advises that people with gout should limit intake of sugar-sweetened beverages and fruit juices high in fructose. If consumed, pear nectar should be enjoyed only occasionally and in small portions (e.g., 4-6 oz / 120-180 ml), and preferably choose varieties with no added sugars. Water, unsweetened herbal tea, or low-fat milk are better daily beverage choices for gout management.

Added by vblinden