Evidence-based – 5 min read
PRESENTATION
An overweight male client with a with history of gastrointestinal symptoms, hypertension, spinal hernia and ‘healthy eating habits’ recently come to me for dietary and lifestyle support.
A ROUTINE BLOOD TEST
A routine blood test (fig. 1) revealed a few imbalances, chiefly moderately elevated LIVER ENZYMES and excessively high URIC ACID, the highest iv ever seen in literally hundreds of bloods tests i’ve requested and analysed through the years. The client had no past knowledge of these blood imbalances. He had no general liver and uric acid related symptoms (ie gout), but generally did not ‘feel himself’ and thought he was eating healthily. These imbalances, together with being overweight, contribute to systemic inflammation and reduced of detoxification potential which can manifest as abnormally heightened sensitivity to pain (ie spinal hernia) and hypertension.
ANALYSIS AND INTERVENTION
A dietary and lifestyle analysis quickly revealed where he may have been going wrong. Key areas of concerns were explained and how they may relate to his symptoms and health concerns through the years and presently. Behaviour change and dietary education was provided. A personalised diet and lifestyle plan has been recommended to tackle these imbalances and prevent further complications. Another blood tests will be conducted in two months to gauge progress.
WHAT IS URIC ACID
Uric acid is a waste product formed in the body when it breaks down purines (1), which are natural substances found in certain foods and in the cells of the body (fig. 2). Normally, uric acid dissolves in the blood, passes through the kidneys, and is excreted in urine. Uric acid is an anti-oxidant outside the cell in the blood, but a pro-oxidant inside the cell, and chronically elevated levels can contribute to a number of inflammatory and metabolic health issues over time (1).
HEALTH PROBLEMS ASSOCIATED TO ELEVATED URIC ACID (2) figure 3
– Gout: Painful joint inflammation due to urate crystal deposits
– Kidney stones: Formation of uric acid stones in the urinary tract
– Chronic kidney disease: Impaired kidney function over time
– Hypertension: Increased blood pressure risk, often coexists with obesity
– Cardiovascular disease: Higher risk of heart attacks and strokes (3)
– Metabolic syndrome: often coexists with obesity
– Type 2 diabetes: often coexists with obesity
RESOLVING HIGH URIC ACID AND GOUT
I have worked with several clients with elevated uric acid and in all cases I have successfully reduced their levels with personalised dietary and lifestyle plans. On the graph below (Figure 1) you can see real data (with permission) of one of my other clients, leading to a resolution of elevated uric acid and gout. You can clearly see the downwards trend to evidence the efficacy of Nutritional Therapy. The slight increase in Jan ’26 was due to a relapse (ie summer, Xmas etc), but still within normalcy and below the uric acid upper limit threshold, which suggests that this other client dietary knowledge and eating behaviours persisted over time and helped him avoid a full relapse, evidencing the benefit of dietary education and behaviour change in the prevention of diseases.
EARLY DETECTION & PERSONALISATION MATTERS
This case highlights why early detection of imbalances with a routine blood test and personalised Nutritional Therapy is so powerful, which helps reduce the burden on national healthcare resources. By tailoring diet and lifestyle interventions to an individual’s metabolic profile, weight, and risk factors (like elevated liver enzymes & uric acid), you can prevent serious health problems before they arise.
Contact me for a routine blood test if you are concerned about high uric acid, gout, other health issue or family history, have any symptoms whatsoever, or simply just for a routine test which can help save a lot of health complications and stress later on. A pound of prevention is worth a ton of cure!
1. Álvarez-Lario B, Alonso-Valdivielso JL. Hiperuricemia y gota: El papel de la dieta. Nutricion Hospitalaria. 2014;29(4):760–70.
2. Denoble AE, Huffman KM, Stabler TV, Kelly SJ, Hershfield MS, McDaniel GE, et al. Uric acid is a danger signal of increasing risk for osteoarthritis through inflammasome activation. Proceedings of the National Academy of Sciences of the United States of America. 2011;108(5):2088–93.
3. Treat-to-Target Urate-Lowering Treatment and Cardiovascular Outcomes in Patients With Gout | Rheumatology | JAMA Internal Medicine | JAMA Network [Internet]. [cited 2026 Jan 26]. Available from: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2844321?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jamainternmed.2025.7453
