White rice with cheese and cream-based sauce and added fat is a moderate-risk food for gout. It is not high in purines by itself, but the combination of high-fat cheese, cream, and added fats can potentially trigger gout flares in some people. High-fat meals may increase uric acid levels by reducing the kidneys' ability to excrete uric acid. Additionally, the high calorie and saturated fat content can contribute to obesity and metabolic syndrome, which are risk factors for gout. If consumed, choose small portions, opt for lower-fat cheese or sauce, and avoid adding extra butter or oil.

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