Tabbouleh is a Middle Eastern salad made primarily from parsley, tomatoes, onions, mint, and a small amount of bulgur wheat, dressed with olive oil and lemon juice. It is very low in purines—the compounds that break down into uric acid—since its main ingredients are vegetables (parsley, tomato, onion, mint), herbs, and a tiny portion of whole grain. The olive oil and lemon juice are also gout-friendly. There are no high-purine meats, seafood, organ meats, or high-fructose sweeteners. The lemon juice may even be mildly beneficial because citrate can help alkalinize urine and support uric acid excretion. Overall, tabbouleh is a safe, anti-inflammatory, and nutrient-dense choice for people managing gout.

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