How does “The End of Gout By Shelly Manning” by Shelly Manning suggest reducing uric acid levels in the body?

September 20, 2024


The End Of GOUT Program™ By Shelly Manning The program, End of Gout, provides a diet set up to handle your gout. It is a therapy regimen for gout sufferers. It incorporates the most efficient techniques and approaches to be implemented in your daily life to heal and control gout through the source.


How does “The End of Gout By Shelly Manning” by Shelly Manning suggest reducing uric acid levels in the body?

“The End of Gout” by Shelly Manning provides a comprehensive approach to reducing uric acid levels in the body by focusing on a holistic lifestyle change that addresses diet, gut health, and overall body function. Manning’s approach challenges the conventional method of treating gout with medications and focuses on natural ways to balance uric acid levels through dietary and lifestyle modifications. Below is a detailed exploration of how the book suggests reducing uric acid levels:

1. Focus on Gut Health

One of the core principles of “The End of Gout” is the relationship between gut health and uric acid production. Manning emphasizes that poor gut health can lead to an imbalance in how the body processes and eliminates uric acid. She argues that restoring gut health is essential for reducing uric acid levels and preventing future gout flare-ups. Here’s how this is approached:

  • Probiotics and Fermented Foods: Manning highlights the importance of consuming probiotics and fermented foods to enhance the health of gut bacteria. Foods like yogurt, kefir, kimchi, and sauerkraut are recommended to boost beneficial bacteria, which can help in the more efficient breakdown and elimination of purines, reducing uric acid levels.
  • Prebiotics: Manning also stresses the importance of feeding the beneficial bacteria in your gut with prebiotic foods like onions, garlic, bananas, and asparagus, which help maintain a healthy gut microbiome.

2. Dietary Modifications

Diet plays a significant role in managing uric acid levels, and “The End of Gout” recommends specific dietary changes to reduce uric acid production and promote overall health.

a. Low-Purine Foods

Manning advocates for reducing the intake of purine-rich foods, as purines break down into uric acid in the body. Foods high in purines include red meats, organ meats (like liver), shellfish, and certain fish (such as sardines and anchovies). The book suggests replacing these with low-purine foods such as:

  • Fruits and Vegetables: Manning encourages the consumption of a wide variety of fruits and vegetables, as they are low in purines and rich in vitamins, minerals, and antioxidants that support overall health. Particularly, cherries are emphasized for their ability to lower uric acid levels and reduce inflammation.
  • Whole Grains and Legumes: These are preferred over refined carbohydrates and processed foods. Whole grains like brown rice, oats, and legumes are low in purines and provide essential nutrients.
  • Dairy Products: Low-fat or non-fat dairy products, like yogurt and milk, are encouraged as they have been shown to reduce uric acid levels in the blood.

b. Alkaline Diet

Manning suggests adopting an alkaline diet to help neutralize the acid in the body, including uric acid. This involves increasing the intake of alkaline-forming foods such as:

  • Green leafy vegetables (like spinach and kale)
  • Nuts and seeds (especially almonds and chia seeds)
  • Lemon water, which despite being acidic in nature, has an alkalizing effect once metabolized

The idea is that by maintaining a more alkaline environment in the body, uric acid levels can be reduced, and the risk of crystallization in the joints is minimized.

c. Hydration

Proper hydration is key to flushing out excess uric acid through the kidneys. Manning emphasizes drinking plenty of water throughout the day, recommending at least 8-10 glasses of water daily. Staying hydrated helps the kidneys to effectively eliminate uric acid from the bloodstream and prevent its buildup.

3. Limit Alcohol and Sugary Beverages

Shelly Manning suggests minimizing or eliminating alcohol, particularly beer and spirits, as these can contribute to increased uric acid levels. Beer, in particular, contains purines, and alcohol in general can interfere with the kidneys’ ability to eliminate uric acid.

Similarly, sugary beverages, especially those sweetened with high-fructose corn syrup (like sodas and certain fruit juices), are to be avoided. Fructose has been shown to increase uric acid production, and reducing the intake of sugary drinks can help manage uric acid levels effectively.

4. Incorporate Uric Acid-Reducing Superfoods

Manning lists several superfoods that have been shown to reduce uric acid levels and suggests incorporating them into the diet:

  • Cherries: Research indicates that cherries can help reduce uric acid levels and inflammation, making them highly recommended for gout sufferers. Manning recommends eating fresh cherries or drinking cherry juice regularly.
  • Apple Cider Vinegar: Apple cider vinegar is suggested for its ability to help with digestion and uric acid regulation. Manning recommends diluting a tablespoon of apple cider vinegar in water and consuming it daily.
  • Lemon Juice: As mentioned earlier, lemon juice is highly alkalizing and can help reduce uric acid levels. Drinking lemon water is recommended as part of the daily routine.

5. Exercise and Weight Management

In “The End of Gout,” Manning stresses the importance of maintaining a healthy weight and engaging in regular physical activity. Obesity and excess body fat can lead to higher levels of uric acid in the body. Regular exercise helps in managing weight and improving overall health, which in turn supports the kidneys’ ability to eliminate uric acid.

  • Low-Impact Exercise: Manning suggests engaging in low-impact exercises, such as walking, swimming, or cycling, as high-impact exercises can sometimes exacerbate joint pain during a gout flare-up. Consistent physical activity helps improve circulation and supports the body’s natural detoxification processes.

6. Natural Anti-Inflammatory Supplements

To further reduce the risk of gout flare-ups, Manning recommends natural anti-inflammatory supplements that can help manage uric acid levels and reduce joint inflammation:

  • Turmeric: Known for its powerful anti-inflammatory properties, turmeric (or its active compound curcumin) is suggested for its ability to help reduce inflammation and pain associated with gout.
  • Omega-3 Fatty Acids: Found in foods like flaxseeds, chia seeds, and fatty fish (which should be consumed in moderation), omega-3 fatty acids can help lower inflammation and may be beneficial for gout sufferers.
  • Ginger: Ginger is also known for its anti-inflammatory properties, and consuming ginger tea or including ginger in meals can help reduce inflammation and uric acid levels.

7. Stress Management

Manning also highlights the role of stress management in reducing gout flare-ups. Chronic stress can contribute to higher levels of inflammation in the body, which can worsen gout symptoms. Techniques such as mindfulness meditation, deep breathing exercises, and yoga are recommended to help manage stress and improve overall well-being.

8. Avoid Processed Foods

Finally, “The End of Gout” advises against consuming processed foods, which are often high in additives, refined sugars, and unhealthy fats that can increase inflammation and lead to higher uric acid levels. Instead, a whole-foods-based diet focusing on fresh, natural ingredients is encouraged to support overall health and reduce gout symptoms.


In summary, “The End of Gout” by Shelly Manning advocates for a multi-faceted approach to reducing uric acid levels through diet, gut health, hydration, exercise, and natural anti-inflammatory supplements. By addressing the root causes of uric acid buildup rather than just treating the symptoms, Manning’s method aims to provide long-term relief from gout and prevent future flare-ups.


The End Of GOUT Program™ By Shelly Manning The program, End of Gout, provides a diet set up to handle your gout. It is a therapy regimen for gout sufferers. It incorporates the most efficient techniques and approaches to be implemented in your daily life to heal and control gout through the source.