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Low Purine Meal Plan: A 7-Day Menu of Meal Ideas

By Fabien Martin · Published November 9, 2026 · 11 min read

In short: This is an example week of meals built mainly from the foods that measure lowest in purines in both the USDA database and the Kaneko study: eggs, dairy, vegetables, potatoes, rice, bread and pasta, with a moderate portion of meat or fish at one meal on most days.[1][2] Drinks are water, coffee, tea or milk, with no alcohol or sugary drinks, as gout guidelines emphasise. It is inspiration, not a diet prescription or a treatment: ask your doctor or a dietitian to adapt it to you.

Purines are natural compounds found in almost every food. The body breaks them down into uric acid, a waste product the kidneys normally remove. When too much uric acid builds up in the blood, it can form crystals in a joint: that is gout. Here is a week of ordinary meals built from the foods in our list of low purine foods.

What does a low purine meal plan look like?

It mostly uses the foods lowest in purines and keeps meat and fish to a moderate portion, rather than cutting them out. That follows the guidelines. The American College of Rheumatology (ACR) conditionally recommends limiting purine intake, based on low-certainty evidence.[5] The European League Against Rheumatism (EULAR) advises avoiding heavy meals and "excessive intake of meat and seafood", not meat and seafood altogether.[6] Both say diet changes have only a modest effect on uric acid, so a menu like this does not replace any treatment your doctor advises.[5][6]

A 7-day low purine menu

Each day has breakfast, lunch, dinner and an optional snack. There are no portion sizes, because the tables have no portion data: "a moderate portion" means meat or fish is one part of the plate, not most of it.

Day 1

  • Breakfast: plain yogurt with sliced banana and a few almonds.
  • Lunch: cheese omelette, tomato and lettuce salad, a slice of bread.
  • Dinner: a moderate portion of roast chicken breast, roast potatoes, carrots and green beans.
  • Snack: strawberries.

Day 2

  • Breakfast: oatmeal made with milk, with strawberries (the tables we use have no value for oats).
  • Lunch: rice bowl with rinsed canned black beans, avocado, tomato and lettuce.
  • Dinner: a moderate portion of baked cod, boiled potatoes and broccoli.
  • Snack: a glass of milk.

Day 3

  • Breakfast: scrambled eggs on toast with sliced tomato.
  • Lunch: pasta salad with zucchini, tomato, cucumber and grated cheese.
  • Dinner: stir-fried firm tofu with cabbage, carrot, mushrooms and garlic, with rice.
  • Snack: cottage cheese with cucumber sticks.

Day 4

  • Breakfast: toast with butter, a boiled egg and a banana.
  • Lunch: baked potato with grated cheese and coleslaw (cabbage, carrot, yogurt dressing).
  • Dinner: a moderate portion of pork loin chop, roasted sweet potato and cauliflower.
  • Snack: yogurt with a little honey.

Day 5

  • Breakfast: pancakes made with flour, milk and eggs, topped with banana.
  • Lunch: vegetable soup (carrot, onion, potato, turnip, tomato) with bread and cheese.
  • Dinner: chickpea curry with rinsed canned chickpeas, tomato, onion, garlic and zucchini, with rice.
  • Snack: a handful of almonds.

Day 6

  • Breakfast: yogurt with strawberries.
  • Lunch: egg salad sandwich with lettuce and cucumber.
  • Dinner: a homemade burger with a moderate beef patty, lettuce, tomato and onion; green pepper and cucumber salad.
  • Snack: cherries in season, or a banana.

Day 7

  • Breakfast: scrambled eggs, toast and avocado.
  • Lunch: a moderate portion of roast lamb with roast potatoes, carrots and cabbage.
  • Dinner: tomato soup and a grilled cheese sandwich.
  • Snack: a glass of milk or a yogurt.

Drinks all week: water, coffee or tea without sugar, and milk. No alcohol and no sugary drinks (see below).

How was this week built?

Four rules shaped the menu. The figures behind it are measured values from the USDA purine database (2025) and a large laboratory study of common foods (Kaneko et al., 2014).[1][2]

  • Most of each plate comes from the foods lowest in purines. Both sources put small oily fish such as sardines near the top, fresh meat and fish in the middle, and dairy and starchy staples such as bread or rice near the bottom. The Kaneko study, which also measured offal, eggs and vegetables, puts liver at the top and eggs and most vegetables at the bottom.[1][2]
  • Meat or fish at one meal a day at most, in a moderate portion. In 47,150 US men followed for 12 years, those who ate the most meat had a higher risk of gout than those who ate the least (RR 1.41, 95% CI 1.07–1.86), and the same was seen for seafood (RR 1.51, 1.17–1.95). This was an observational study.[4]
  • Dairy and vegetables every day. In the same men, dairy was linked to a lower risk (RR 0.56, 0.42–0.74), limited to low-fat dairy, while purine-rich vegetables such as spinach, cauliflower, mushrooms, beans, lentils and oatmeal were not linked to a higher risk.[4] EULAR encourages low-fat dairy; the ACR made no recommendation on it.[6][5]
  • No milligram totals. The tables give values per 100 g of a single food, mostly raw, and no portion sizes, so adding up a day would be guesswork.

Why do the two sources give different numbers?

The labs used different methods and equipment, tested different samples in different countries and decades, and the USDA says its own meat values are mostly higher than published ones.[1] Raw chicken breast, for example, measured 289.0 mg per 100 g at the USDA and 141.2 in the Kaneko study.[1][2] So the exact milligrams depend on the lab, but the order of foods doesn't: compare foods within one source. The Kaneko study also sorts its own values into five bands, from very low (less than 50 mg per 100 g) and low (50–100) through moderate (100–200) and high (200–300) to very high (more than 300); those bands only fit its own numbers.[2]

Lowest-purine foods used this week: total purines, mg per 100 g [1][2][3]. Labs measure differently, so values from different sources shouldn't be compared closely.
FoodSourcemg/100 g
White breadUSDA12.2
Crusty bread, baguetteUSDA15.7
White rice, cookedUSDA5.9
Spaghetti (dry or cooked not stated)USDA6.8
Chickpeas, canned, rinsedUSDA21.6
Black beans, canned, rinsedUSDA24.1
Processed cheeseUSDA2.0
Cottage cheeseUSDA8.0
Monterey Jack cheeseUSDA9.1
Provolone cheeseUSDA12.55
Fresh creamUSDA0.2
ButterUSDAnot detected
MilkKaneko0.0
Chicken eggKaneko0.0
YogurtKaneko5.2
HoneyKaneko0.9
StrawberryKaneko2.1
BananaKaneko3.0
CarrotKaneko2.2
OnionKaneko2.3
CabbageKaneko3.2
TurnipKaneko [3]3.9
LettuceKaneko [3]4.6
TomatoKaneko [3]6.5
PotatoKaneko6.5
Green beansKaneko [3]7.4
CucumberKaneko9.4
Zucchini (courgette)Kaneko13.1
GarlicKaneko17.0
Sweet potatoKaneko17.0
AvocadoKaneko18.4
Wheat flour, bread flourKaneko25.8
Firm tofuKaneko31.1
AlmondKaneko31.4
Button mushroomKaneko49.5
Eggplant (aubergine)Kaneko50.7
CauliflowerKaneko57.2
Green bell pepperKaneko69.2
BroccoliKaneko70.0
Buckwheat flourKaneko75.9

Named European cheeses such as cheddar, brie or camembert are not in the tables we use; the cheeses that were measured are among the lowest foods in both sources.[1][2]

Meat and fish were measured by both labs, so the table below shows both values. The numbers differ, but the conclusion is the same: in both, fresh meat and fish sit far above bread and dairy, and below the top of the list (canned sardines in the USDA database, liver in the Kaneko study). That middle place is why they come as a moderate portion at one meal a day.

Meat and fish used this week, raw, in both sources: total purines, mg per 100 g [1][2][3]. Compare down a column, not across: the labs measure differently.
FoodUSDAKaneko
Chicken breast289.0141.2
Pork loin237.290.9
Lamb127.593.5
Cod110.3 (Atlantic)98.0 (Pacific) [3]
Salmon249.9 (farmed Atlantic)119.3
Ground beef, 27% fat133.3–
Ground beef, 7% fat188.9–
For comparison: white bread12.2–
For comparison: chicken liver–312.2
For comparison: sardines, canned399.0–

Cooking doesn't lower the figure per 100 g. In the USDA's paired samples, chicken breast went from 289.0 raw to 368.6 roasted, which the USDA explains by water and fat loss.[1]

Which drinks fit a low purine week?

Water, coffee, tea and milk, without sugar. Guidelines single out alcohol and sugary drinks:

  • Alcohol. The ACR conditionally recommends limiting alcohol (low certainty), EULAR advises avoiding it, especially beer and spirits, and the French Society of Rheumatology (SFR) advises avoiding alcohol, alcohol-free beer included, and sugary sodas.[5][6][7] In 47,150 US men, each daily serving of beer was linked to a higher risk of gout (RR 1.49, 1.32–1.70).[8] In 724 people with gout, more than 1–2 drinks in 24 hours was linked to higher odds of an attack (OR 1.36, 1.00–1.88), wine included.[9] More in our article on beer, wine and purines.
  • Sugary drinks. In 46,393 US men, 2 or more sugar-sweetened soft drinks a day were linked to a higher risk of gout (RR 1.85, 1.08–3.16) than less than one a month. Diet soft drinks were not linked.[10] See fructose and sugary drinks.
  • Coffee and tea. In 45,869 US men, 4–5 cups of coffee a day was linked to a lower risk of gout than none (RR 0.60, 0.41–0.87); tea was not linked.[11] This is an association, not proof: coffee and tea are here as ordinary drinks, not a remedy.
  • Water. The studies we use did not measure it; it is here as a drink with no sugar or alcohol.

What can I swap for higher purine foods?

The simplest swaps replace organ meats, oily canned fish and some shellfish with lower-purine foods. Each pair comes from a single source, so compare within a row, not between rows.

Swaps: total purines, mg per 100 g, each pair from one source [1][2]. Labs measure differently, so rows from different sources shouldn't be compared closely.
Higher in purinesmg/100 gLower-purine alternativemg/100 gSource
Sardines, canned399.0Salmon, canned88.0USDA
Herring, canned378.0Tuna, canned142.0USDA
Farmed Atlantic salmon, raw249.9Atlantic cod, raw110.3USDA
Chicken liver, raw312.2Chicken thigh, raw122.9Kaneko
Pork liver, raw284.8Pork shoulder, raw81.4Kaneko
Oyster184.5Scallop76.5Kaneko

A swap is about how often, not never. The Kaneko authors still recommend eating oily fish such as sardines in moderation for heart health.[2] For drinks, the swap is water or unsweetened coffee or tea instead of beer, wine or sugary sodas. Our article on foods high in purines lists more foods at the top of the tables.

What this means in practice

Treat the week as a template: repeat or swap days and change vegetables with the seasons, keeping most of the plate among the lowest-purine foods.

  • Portions matter. Values are per 100 g, so a big plate of meat adds more than a small one.
  • Check "dried" versus "canned". Dried beans and lentils are measured per dry weight: dried lentils are listed at 222 mg per 100 g, and the tables give no cooked value.[1]

Real meals are mixed dishes, which is where single-food tables get hard to use; an app like Smart Gout Care can estimate a dish from a photo. I'm not a doctor or a dietitian, so ask your doctor or a dietitian to adapt this week to your situation and treatment.

Frequently asked questions

Is this a gout diet I should follow?

No. It is an example week of meal ideas built from foods lower in purines, for inspiration only. Ask your doctor or a dietitian to adapt it to you.

Is chicken low in purines?

It sits with other fresh meats, in the middle: raw chicken breast measured 289.0 mg per 100 g in the USDA database and 141.2 in the Kaneko study.[1][2] In both, that is far above bread or dairy, and in the Kaneko study well below chicken liver (312.2), which is why it appears here as a moderate portion.

Are bread, rice and pasta low in purines?

In the USDA database, white bread measured 12.2 mg per 100 g, cooked white rice 5.9 and spaghetti 6.8 (dry or cooked not stated), among the lowest values in the database.[1]

Which fruit fits a low purine menu?

Banana (3.0 mg per 100 g) and strawberry (2.1) are the only fruits in the tables we use.[2] In US men, fruit juice and fructose-rich fruits such as apples and oranges were linked to a higher risk of gout.[10] Cherries over 2 days were linked to 35% lower odds of an attack in 633 people with gout (OR 0.65, 0.50–0.85), but the ACR found the evidence too weak to recommend them.[12][5]

Sources

  1. Heydorn KC, Wu X, Garrett TJ, et al. USDA and ODS-NIH Database for the Purine Content of Foods, Release 2.0. USDA Agricultural Research Service, Methods and Application of Food Composition Laboratory; March 2025. ars.usda.gov
  2. Kaneko K, Aoyagi Y, Fukuuchi T, Inazawa K, Yamaoka N. Total purine and purine base content of common foodstuffs for facilitating nutritional therapy for gout and hyperuricemia. Biol Pharm Bull. 2014;37(5):709-721. doi:10.1248/bpb.b13-00967
  3. Kaneko K, Fukuuchi T, Inazawa K, Yamaoka N, Fujimori S. Comparison of purine content and purine base ratios in foods (in Japanese). Gout and Nucleic Acid Metabolism. 2015;39(1):7-21. doi:10.6032/gnam.39.7
  4. Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med. 2004;350(11):1093-1103. doi:10.1056/NEJMoa035700
  5. FitzGerald JD, Dalbeth N, Mikuls T, et al. 2020 American College of Rheumatology Guideline for the Management of Gout. Arthritis Care Res. 2020;72(6):744-760. doi:10.1002/acr.24180
  6. Richette P, Doherty M, Pascual E, et al. 2016 updated EULAR evidence-based recommendations for the management of gout. Ann Rheum Dis. 2017;76(1):29-42. doi:10.1136/annrheumdis-2016-209707
  7. Pascart T, Latourte A, Flipo RM, et al. 2020 recommendations from the French Society of Rheumatology for the management of gout: Urate-lowering therapy. Joint Bone Spine. 2020;87(5):395-404. doi:10.1016/j.jbspin.2020.05.002
  8. Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Alcohol intake and risk of incident gout in men: a prospective study. Lancet. 2004;363(9417):1277-1281. doi:10.1016/S0140-6736(04)16000-5
  9. Neogi T, Chen C, Niu J, et al. Alcohol quantity and type on risk of recurrent gout attacks: an internet-based case-crossover study. Am J Med. 2014;127(4):311-318. doi:10.1016/j.amjmed.2013.12.019
  10. Choi HK, Curhan G. Soft drinks, fructose consumption, and the risk of gout in men: prospective cohort study. BMJ. 2008;336(7639):309-312. doi:10.1136/bmj.39449.819271.BE
  11. Choi HK, Willett W, Curhan G. Coffee consumption and risk of incident gout in men: a prospective study. Arthritis Rheum. 2007;56(6):2049-2055. doi:10.1002/art.22712
  12. Zhang Y, Neogi T, Chen C, et al. Cherry consumption and decreased risk of recurrent gout attacks. Arthritis Rheum. 2012;64(12):4004-4011. doi:10.1002/art.34677

Food information, not medical advice. This article gives general information about food. It is not medical advice and does not replace your doctor or dietitian, who know your situation and treatment.

How this article was made. Researched and drafted with the help of AI, checked figure by figure against the sources listed above, and reviewed by Fabien Martin.

About the author

Fabien Martin: Founder of Smart Gout Care. Unlucky enough to get gout at 37, I built the food diary I wanted. I'm not a doctor or a dietitian: every figure in these articles comes from a published source, cited at the end.

Keep reading

Low Purine Diet: Foods List and What People With Gout Eat

Which foods are lowest in purines, group by group, with measured values per 100 g, what is missing from the tables, and what studies and guidelines say about dairy, cherries and drinks.

Know the purines on your plate

Smart Gout Care estimates the purine and added sugar of a meal from a photo, on your phone. No account, no photo uploaded.

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Smart Gout Care is a food information diary. It estimates the purine and added-sugar content of meals from photos, for general information. It is not a medical device and is not intended for the diagnosis, prevention, monitoring, treatment or alleviation of gout or any other disease.

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