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Dr. Grey AI

Condition

Gout

Gout is a form of inflammatory arthritis in which high blood uric acid forms crystals in joints, causing sudden, severe pain, swelling, and redness. Vitamin C and tart cherry have the most support, with moderate evidence, yet a trial of tart cherry in 50 people found no clear difference in gout symptoms. That was a single small study, so the picture is still unsettled.

Sources: PMID 31891407

Supplements studied
3
Graded outcomes
2
Trials
2
People studied
14,731

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

3 supplements

Tart Cherry Juice: outcomes studied for Gout
GradeOutcomeEffectSizeStudiesPeopleStudies list
Gout Symptoms

No effect

NoneNo effect1 study50 people

Studies that measured gout symptoms

HbA1c

No effect

NoneNo effect50 people
Uric AcidImproves (the measure goes down)2 studies50 people
Fish Oil: outcomes studied for Gout
GradeOutcomeEffectSizeStudiesPeopleStudies list
Gout SymptomsImproves (the measure goes down)1 study40 people
Vitamin C: outcomes studied for Gout
GradeOutcomeEffectSizeStudiesPeopleStudies list
Gout SymptomsImproves (the measure goes down)1 study14,641 people

Key findings

  • Gout SymptomsTart Cherry Juice
  • HbA1cTart Cherry Juice

The Gout Support protocol

2 primary supplements · 3 supporting supplements

  • Vitamin C500–1,500 mg daily
  • Tart Cherry8–16 oz tart cherry juice or 480 mg cherry extract daily

See the full protocol

Shop the evidence-backed picks

Support alongside medical care. These supplements are not a treatment for Gout. If you are being treated for it, talk to your clinician before adding one: supplements can interact with medicines.

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Studies cited

100 studies from PubMed

  1. Influence of vitamin C supplementation on oxidative and immune changes after an ultramarathonJ Appl Physiol, 1985 · PMID 11960947
  2. A comparison of the effects of n-3 fatty acids from linseed oil and fish oil in well-controlled type II diabetesDiabetes Care · PMID 8732710
  3. Effect of omega 3 fatty acid on plasma lipids, cholesterol and lipoprotein fatty acid content in NIDDM patientsDiabetologia · PMID 9028717
  4. Dietary supplementation with eicosapentaenoic acid, but not with other long-chain n-3 or n-6 polyunsaturated fatty acids, decreases natural killer cell activity in healthy subjects aged >55 yAm J Clin Nutr · PMID 11237929
  5. Metabolic and endocrine effects of long-chain versus essential omega-3 polyunsaturated fatty acids in polycystic ovary syndromeMetabolism · PMID 21640360
  6. DHA-rich oil modulates the cerebral haemodynamic response to cognitive tasks in healthy young adults: a near IR spectroscopy pilot studyBr J Nutr · PMID 22018509
  7. Effects of a Small Quantity of omega-3 Fatty Acids on Cardiovascular Risk Factors in NIDDM. A Randomized, Prospective, Double-Blind, Controlled StudyDiabetes Care · PMID 8112187
  8. Eicosapentaenoic and Docosahexaenoic Acids Attenuate Progression of Albuminuria in Patients With Type 2 Diabetes Mellitus and Coronary Artery DiseaseJ Am Heart Assoc · PMID 28710178
  9. Early impact of prescription Omega-3 fatty acids on platelet biomarkers in patients with coronary artery disease and hypertriglyceridemiaCardiology · PMID 21701167
  10. Fish oil supplementation for primary prevention of atrial fibrillation after coronary artery bypass graft surgery: A randomized clinical trialInt J Surg · PMID 28419884
  11. Intake of n-3 fatty acids from fish does not lower serum concentrations of C-reactive protein in healthy subjectsEur J Clin Nutr · PMID 15100717
  12. A systematic review of fish-oil supplements for the prevention and treatment of hypertensionEur J Prev Cardiolog · PMID 22345681
  13. Benefits of fish oil supplementation in hyperlipidemia: a systematic review and meta-analysisInt J Cardiol · PMID 18774613
  14. Efficacy and tolerability of adding prescription omega-3 fatty acids 4 g/d to simvastatin 40 mg/d in hypertriglyceridemic patients: an 8-week, randomized, double-blind, placebo-controlled studyClin Ther · PMID 17825687
  15. A controlled study on the effects of n-3 fatty acids on lipid and glucose metabolism in non-insulin-dependent diabetic patientsAtherosclerosis · PMID 1872925
  16. Effects of adding prescription omega-3 acid ethyl esters to simvastatin (20 mg/day) on lipids and lipoprotein particles in men and women with mixed dyslipidemiaAm J Cardiol · PMID 18678300
  17. Effect of n-3 Polyunsaturated Fatty Acid Supplementation on Metabolic and Inflammatory Biomarkers in Type 2 Diabetes Mellitus PatientsNutrients · PMID 28587203
  18. Prescription omega-3-acid ethyl esters reduce fasting and postprandial triglycerides and modestly reduce pancreatic β-cell response in subjects with primary hypertriglyceridemiaProstaglandins Leukot Essent Fatty Acids · PMID 21775113
  19. Additive benefits of long-chain n-3 polyunsaturated fatty acids and weight-loss in the management of cardiovascular disease risk in overweight hyperinsulinaemic womenInt J Obes · PMID 16552404
  20. Effects of prescription omega-3-acid ethyl esters on fasting lipid profile in subjects with primary hypercholesterolemiaJ Cardiovasc Pharmacol · PMID 21297494
  21. A comparison of fish oil or corn oil supplements in hyperlipidemic subjects with NIDDMDiabetes Care · PMID 7698053
  22. The hypotriglyceridemic effect of fish oil in adult-onset diabetes without adverse glucose controlAnn N Y Acad Sci · PMID 8352456
  23. Effect of fish oil supplementation on serum triglycerides, LDL cholesterol and LDL subfractions in hypertriglyceridemic adultsNutr Metab Cardiovasc Dis · PMID 21924882
  24. Acute fish oil and soy isoflavone supplementation increase postprandial serum (n-3) polyunsaturated fatty acids and isoflavones but do not affect triacylglycerols or biomarkers of oxidative stress in overweight and obese hypertriglyceridemic menJ Nutr · PMID 19339704
  25. Dose-response effects of omega-3 fatty acids on triglycerides, inflammation, and endothelial function in healthy persons with moderate hypertriglyceridemiaAm J Clin Nutr · PMID 21159789
  26. Combined effects of aerobic exercise and omega-3 fatty acids in hyperlipidemic personsMed Sci Sports Exerc · PMID 2691812
  27. The effect of low-dose marine n-3 fatty acids on the biosynthesis of pro-inflammatory 5-lipoxygenase pathway metabolites in overweight subjects: a randomized controlled trialProstaglandins Leukot Essent Fatty Acids · PMID 22748976
  28. The influence of n-3 polyunsaturated fatty acids and very low calorie diet during a short-term weight reducing regimen on weight loss and serum fatty acid composition in severely obese womenPhysiol Res · PMID 15857162
  29. Dietary supplementation with n-3 PUFA does not promote weight loss when combined with a very-low-energy dietBr J Nutr · PMID 22214842
  30. Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restrictionNutrition · PMID 19487105
  31. Effects of fish oil supplementation on glucose and lipid metabolism in NIDDMDiabetes · PMID 2676659
  32. Metabolic effects of omega-3 fatty acids in type 2 (non-insulin-dependent) diabetic patientsAnn N Y Acad Sci · PMID 8251021
  33. Moderate intake of n-3 fatty acids for 2 months has no detrimental effect on glucose metabolism and could ameliorate the lipid profile in type 2 diabetic men. Results of a controlled studyDiabetes Care · PMID 9589230
  34. Effects of omega-3 fatty acid supplements on serum lipids, apolipoproteins and malondialdehyde in type 2 diabetes patientsEast Mediterr Health J · PMID 18561722
  35. Fish oil supplementation in type 2 diabetes: a quantitative systematic reviewDiabetes Care · PMID 10977042
  36. Effect of fish oil concentrate on lipoprotein composition in NIDDMDiabetes · PMID 3181646
  37. Fish oil supplementation improves endothelial function in normoglycemic offspring of patients with type 2 diabetesAtherosclerosis · PMID 19394939
  38. Supplementation with n-3 fatty acids reduces triglycerides but increases PAI-1 in non-insulin-dependent diabetes mellitusEur J Clin Invest · PMID 1459169
  39. Effects of fish oil supplements in NIDDM subjects. Controlled studyDiabetes Care · PMID 2209315
  40. The efficacy of omega-3 fatty acid supplementation on plasma homocysteine and malondialdehyde levels of type 2 diabetic patientsNutr Metab Cardiovasc Dis · PMID 19540739
  41. Treatment for 2 mo with n 3 polyunsaturated fatty acids reduces adiposity and some atherogenic factors but does not improve insulin sensitivity in women with type 2 diabetes: a randomized controlled studyAm J Clin Nutr · PMID 18065585
  42. Randomized Controlled Trial of DHA Supplementation during Pregnancy: Child Adiposity OutcomesNutrients · PMID 28574453
  43. Omega-3 fatty acid supplementation improves vascular function and reduces inflammation in obese adolescentsAtherosclerosis · PMID 20727522
  44. Is fish oil supplementation effective on maternal serum FBS, oral glucose tolerance test, hemoglobin and hematocrit in low risk pregnant women? A triple-blind randomized controlled trialJ Complement Integr Med · PMID 29489457
  45. Effect of 6 Weeks of n-3 fatty-acid supplementation on oxidative stress in Judo athletesInt J Sport Nutr Exerc Metab · PMID 21116022
  46. The effects of ingestion of omega-3 fatty acids on perceived pain and external symptoms of delayed onset muscle soreness in untrained menClin J Sport Med · PMID 19451765
  47. The effects of fish oil and isoflavones on delayed onset muscle sorenessMed Sci Sports Exerc · PMID 12370562
  48. Effect of eicosapentaenoic and docosahexaenoic acid on resting and exercise-induced inflammatory and oxidative stress biomarkers: a randomized, placebo controlled, cross-over studyLipids Health Dis · PMID 19691834
  49. Dietary fish oil decreases C-reactive protein, interleukin-6, and triacylglycerol to HDL-cholesterol ratio in postmenopausal women on HRTJ Nutr Biochem · PMID 14505813
  50. Supplementation with omega3 polyunsaturated fatty acids and all-rac alpha-tocopherol alone and in combination failed to exert an anti-inflammatory effect in human volunteersMetabolism · PMID 14767877
  51. Fish oil supplementation alters circulating eicosanoid concentrations in young healthy menMetabolism · PMID 23522836
  52. The effects of low dose n-3 fatty acids on serum lipid profiles and insulin resistance of the elderly: a randomized controlled clinical trialInt J Vitam Nutr Res · PMID 20803425
  53. Effect of fish oil (n-3 polyunsaturated fatty acids) on plasma lipids, lipoproteins and inflammatory markers in HIV-infected patients treated with antiretroviral therapy: a randomized, double-blind, placebo-controlled studyScand J Infect Dis · PMID 19685375
  54. Effect of dietary supplementation with increasing doses of docosahexaenoic acid on neutrophil lipid composition and leukotriene production in human healthy volunteersBr J Nutr · PMID 18304388
  55. No effect of fish oil supplementation on serum inflammatory markers and their interrelationships: a randomized controlled trial in healthy, middle-aged individualsEur J Clin Nutr · PMID 19623203
  56. Effects of marine omega-3 fatty acids on serum systemic and vascular inflammation markers and oxidative stress in hemodialysis patientsAnn Nutr Metab · PMID 21757893
  57. Influence of very long-chain n-3 fatty acids on plasma markers of inflammation in middle-aged menProstaglandins Leukot Essent Fatty Acids · PMID 18403189
  58. Influence of n-3 polyunsaturated fatty acids on soluble cellular adhesion molecules as biomarkers of cardiovascular risk in young healthy subjectsNutr Metab Cardiovasc Dis · PMID 18420395
  59. Effect of dietary fish oil on body fat mass and basal fat oxidation in healthy adultsInt J Obes Relat Metab Disord · PMID 15481762
  60. The effect of dietary n-3 fatty acids on serum concentrations of C-reactive protein: a dose-response studyBr J Nutr · PMID 12654170
  61. Effects of fish oil on the neuro-endocrine responses to an endotoxin challenge in healthy volunteersClin Nutr · PMID 17055120
  62. Blunting the response to endotoxin in healthy subjects: effects of various doses of intravenous fish oilIntensive Care Med · PMID 19844694
  63. Effect of Fish Oil on Insulin Sensitivity in Children: A Systematic Review and Meta-Analysis of Randomized, Controlled Trials.Can J Diabetes · PMID 33388274
  64. Omega-3 supplementation on inflammatory markers in patients with chronic Chagas cardiomyopathy: a randomized clinical studyNutr J · PMID 28599665
  65. Fish oil supplementation augments post-exercise immune function in young malesBrain Behav Immun · PMID 22902522
  66. Effects of omega-3 fatty acids on postprandial triglycerides and monocyte activationAtherosclerosis · PMID 23017356
  67. The effects of eicosapentaenoic acid-fortified food on inflammatory markers in healthy subjects--A randomized, placebo-controlled, double-blind studyJ Nutr Sci Vitaminol · PMID 17087052
  68. Limited effect of eicosapentaenoic acid on T-lymphocyte and natural killer cell numbers and functions in healthy young malesNutrition · PMID 16600816
  69. The synergistic effects of ω-3 fatty acids and nano-curcumin supplementation on tumor necrosis factor (TNF)-α gene expression and serum level in migraine patientsImmunogenetics · PMID 28478481
  70. Dietary supplementation with gamma-linolenic acid or fish oil decreases T lymphocyte proliferation in healthy older humansJ Nutr · PMID 11435508
  71. Docosahexaenoic acid supplementation decreases liver fat content in children with non-alcoholic fatty liver disease: double-blind randomised controlled clinical trialArch Dis Child · PMID 21233083
  72. Efficacy of fish oil supplementation on metabolic dysfunction-associated steatotic liver disease: a meta-analysis.Front Nutr · PMID 39927279
  73. DHA-rich Fish Oil Increases the Omega-3 Index and Lowers the Oxygen Cost of Physiologically Stressful Cycling in Trained IndividualsInt J Sport Nutr Exerc Metab · PMID 28338369
  74. n-3 Fatty Acid Supplementation During 4 Weeks of Training Leads to Improved Anaerobic Endurance Capacity, but not Maximal Strength, Speed, or Power in Soccer PlayersInt J Sport Nutr Exerc Metab · PMID 28387540
  75. Age- and dose-dependent effects of an eicosapentaenoic acid-rich oil on cardiovascular risk factors in healthy male subjectsAtherosclerosis · PMID 16879829
  76. Moderate doses of EPA and DHA from re-esterified triacylglycerols but not from ethyl-esters lower fasting serum triacylglycerols in statin-treated dyslipidemic subjects: Results from a six month randomized controlled trialProstaglandins Leukot Essent Fatty Acids · PMID 21862301
  77. n-3 LC-PUFA-enriched dairy products are able to reduce cardiovascular risk factors: a double-blind, cross-over studyClin Nutr · PMID 20304540
  78. The effect of prescription omega-3 fatty acids on body weight after 8 to 16 weeks of treatment for very high triglyceride levelsPostgrad Med · PMID 19820283
  79. The effect of omega 3 fatty acid supplementation on premenstrual syndrome and health-related quality of life: a randomized clinical trialJ Psychosom Obstet Gynaecol · PMID 28707491
  80. Cognitive and physiological effects of Omega-3 polyunsaturated fatty acid supplementation in healthy subjectsEur J Clin Invest · PMID 16269019
  81. Omega-3 fatty acids (fish-oil) and depression-related cognition in healthy volunteersJ Psychopharmacol · PMID 18583436
  82. Effect of maternal docosahexaenoic acid supplementation on postpartum depression and information processingAm J Obstet Gynecol · PMID 12748510
  83. High-dose eicosapentaenoic acid (EPA) improves attention and vigilance in children and adolescents with attention deficit hyperactivity disorder (ADHD) and low endogenous EPA levelsTransl Psychiatry · PMID 31745072
  84. Effect of supplementation with long-chain ω-3 polyunsaturated fatty acids on behavior and cognition in children with attention deficit/hyperactivity disorder (ADHD): a randomized placebo-controlled intervention trialProstaglandins Leukot Essent Fatty Acids · PMID 24958525
  85. Effect of Omega-3 Fatty Acids, Lutein/Zeaxanthin, or Other Nutrient Supplementation on Cognitive Function: The AREDS2 Randomized Clinical TrialJAMA · PMID 26305649
  86. Beneficial effects of docosahexaenoic acid on cognition in age-related cognitive declineAlzheimers Dement · PMID 20434961
  87. Effect of long-term omega 3 polyunsaturated fatty acid supplementation with or without multidomain intervention on cognitive function in elderly adults with memory complaints (MAPT): a randomised, placebo-controlled trialLancet Neurol · PMID 28359749
  88. Omega-3 Supplementation and the Neural Correlates of Negative Affect and Impulsivity: A Double-Blind, Randomized, Placebo-Controlled Trial in Midlife AdultsPsychosom Med · PMID 28121722
  89. Omega-3 fatty acids for a better mental state in working populations - Happy Nurse Project: A 52-week randomized controlled trialJ Psychiatr Res · PMID 29627596
  90. Blood profiles, body fat and mood state in healthy subjects on different diets supplemented with Omega-3 polyunsaturated fatty acidsEur J Clin Invest · PMID 16101670
  91. Do long-chain n-3 fatty acids reduce arterial stiffness? A meta-analysis of randomised controlled trialsBr J Nutr · PMID 22005318
  92. Effect of low doses of long-chain n-3 PUFAs on endothelial function and arterial stiffness: a randomized controlled trialAm J Clin Nutr · PMID 21865334
  93. A meta-analysis shows that docosahexaenoic acid from algal oil reduces serum triglycerides and increases HDL-cholesterol and LDL-cholesterol in persons without coronary heart diseaseJ Nutr · PMID 22113870
  94. Influence of age and dietary fish oil on plasma soluble adhesion molecule concentrationsClin Sci · PMID 11115423
  95. Effect of eicosapentaenoic acid and docosahexaenoic acid supplementation on C-peptide preservation in pregnant women with type-1 diabetes: randomized placebo controlled clinical trialEur J Clin Nutr · PMID 28378851
  96. Effects of dietary modification and fish oil supplementation on dyslipoproteinemia in pediatric systemic lupus erythematosusJ Rheumatol · PMID 7562770
  97. A randomised interventional trial of omega-3-polyunsaturated fatty acids on endothelial function and disease activity in systemic lupus erythematosusAnn Rheum Dis · PMID 17875549
  98. Beneficial effect of eicosapentaenoic and docosahexaenoic acids in the management of systemic lupus erythematosus and its relationship to the cytokine networkProstaglandins Leukot Essent Fatty Acids · PMID 7824535
  99. Effect of MaxEPA in patients with SLE. A double-blind, crossover studyScand J Rheumatol · PMID 2186476
  100. The clinical effect of dietary supplementation with omega-3 fish oils and/or copper in systemic lupus erythematosusJ Rheumatol · PMID 15290734