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Spirits

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Low in purines but ethanol impairs uric acid excretion, increasing gout flare risk at higher intakes.

Added by vblinden

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Good for you

Spirits have negligible purine content. In very small amounts, some evidence suggests no acute rise in uric acid and may even increase excretion temporarily.

Bad for you

Ethanol reduces kidney clearance of uric acid, raising serum urate. The 2025 meta-analysis shows a 39% higher gout risk overall, and mixers often add fructose.

Information researched with AI — not medical advice.