Navigating the Sea of Options: What Fish is Good for Uric Acid?

Posted by Alerna Kidney Health on

  • Uric acid, a metabolic byproduct, can lead to kidney stones and gout if levels are too high, necessitating dietary adjustments.
  • Fish, rich in essential fatty acids and nutrients, can help manage uric acid levels and promote overall well-being. Specific fish like salmon, trout, and mackerel, abundant in omega-3s, offer a positive impact on uric acid balance.
  • While some fish should be consumed in moderation due to higher purine content, mindful choices ensure uric acid balance.
  • Lifestyle changes – hydration, weight management, exercise, and moderation – in tandem with dietary adjustments, support effective uric acid management and kidney health.
  • Natural supplements, like Uric Acid Support, complement a balanced diet and lifestyle in offering a tailored approach to maintaining healthy uric acid levels.

What is Uric Acid?

In the intricate symphony of our body's functions, substances like uric acid play a significant yet often misunderstood role. Uric acid, a natural byproduct of our metabolic processes, can have both beneficial and potentially harmful effects on our health.1

Understanding the fundamentals of uric acid is essential not only for those navigating kidney health but for anyone seeking to maintain their overall well-being.

In this article, we will unravel the mysteries surrounding uric acid, exploring its role within our body and its implications for our health. By delving into the world of uric acid, we empower ourselves with the knowledge needed to make informed decisions about our diet and lifestyle.

The Role of Uric Acid in Your Body

Uric acid is a natural waste product that results from the breakdown of purines – compounds found in certain foods and cells.2 While uric acid is typically filtered by the kidneys and excreted through urine, elevated levels can lead to health complications, including kidney stones. Understanding the role of uric acid in your body is a crucial step toward effective prevention and management.

Dangers of High Uric Acid Levels

When uric acid levels become excessive, they can crystallize and form kidney stones – solid deposits that can be painful and disruptive. High uric acid levels are also associated with a condition known as gout, characterized by sudden and severe joint pain.23 To avoid these complications, it's essential to maintain a balanced diet that supports healthy uric acid levels.

The Connection Between Diet and Uric Acid Levels

Different fresh fish and raw ingredients. Image by Freepik

Foods That Raise Uric Acid Levels

Certain foods are notorious for elevating uric acid levels. These include purine-rich foods such as red meat, organ meats, certain seafood, and sugary beverages.45 Additionally, excessive alcohol consumption, particularly beer, can contribute to increased uric acid production.

Foods That Lower Uric Acid Levels

On the flip side, there are foods that help lower uric acid levels and promote kidney health. These include fruits, vegetables, whole grains, and, notably, fish. Incorporating the right types of fish into your diet can be a wise choice for managing uric acid levels.4

The Importance of a Balanced Diet

Maintaining a balanced diet is key to managing uric acid levels effectively. Rather than focusing on single dietary components, it's the overall composition of your meals that matters most. Strive for a diet that includes a variety of nutrient-rich foods, emphasizes whole grains, and limits foods high in purines and sugars.

Why Include Fish in Your Diet?

Fish is often touted as a heart-healthy protein source, but its benefits extend beyond cardiovascular health.45 When it comes to uric acid management, fish's unique nutritional profile makes it a valuable addition to your diet. Rich in essential fatty acids, vitamins, and minerals, fish provides a range of nutrients that support overall well-being and kidney health.

Which Fish is Good for Uric Acid?

For individuals monitoring their uric acid levels, choosing the right foods is essential. Uric acid buildup often results from the breakdown of purines found in many foods and can lead to health issues such as gout. While some fish are high in purines, others with low purine content can be a healthier choice for those looking to manage their uric acid levels.67

  • Salmon: Packed with omega-3 fatty acids, salmon offers anti-inflammatory properties that can help mitigate the effects of high uric acid levels. Omega-3s also support heart health, making salmon a dual-purpose addition to your diet.
  • Trout: Similar to salmon, trout is a fatty fish that boasts omega-3 fatty acids. Its lean and flavorful meat provides essential nutrients while contributing to uric acid balance.
  • Sablefish (Black Cod): Rich in omega-3s and boasting a buttery texture, sablefish provides a delightful culinary experience while supporting kidney health by promoting uric acid balance.
  • Monkfish: While monkfish meat contains purines, its purine content is considered moderate. Incorporating monkfish into your diet can offer valuable nutrients without significantly impacting uric acid levels.

Which Types of Fish to Eat in Moderation?

While fish is generally considered a kidney-friendly protein source, some types are higher in purines than others.678 Consuming these fish in moderation can still provide benefits without significantly affecting uric acid levels:

  • Herring: Herring contains higher purine levels. It's advisable to consume herring occasionally rather than regularly.
  • Mackerel: Despite its omega-3 richness, mackerel contains higher purine levels. Limit your intake to prevent excessive uric acid production while still reaping its health advantages.
  • Sardines: These small fish pack a nutritional punch, delivering omega-3s, vitamin D, and calcium. Their impact on uric acid levels is generally positive, but like mackerel, they should be consumed in moderation.

Which Types of Fish To Avoid?

Certain fish have higher purine content67 and should be limited if you're aiming to manage uric acid levels:

  • Sardines: While sardines offer numerous health benefits, their purine content makes them a candidate for moderation.
  • Anchovies: These intensely flavored fish are high in purines, but enjoying them in small amounts can contribute to your overall fish intake.
  • Mussels: These shellfish are relatively high in purines and should be enjoyed occasionally.

How about Shellfish?

Shellfish photo by Unsplash


When it comes to shellfish, moderation is key due to their varying purine content.7 While they provide valuable nutrients, individuals aiming to manage uric acid levels should consume shellfish mindfully. Opt for lower-purine choices such as shrimp, crab, and lobster, and enjoy them in moderation as part of a balanced diet.

Is Eating Seaweed Good for Gout?

Seaweed, a nutrient-rich marine plant, has gained popularity for its potential health benefits. While it's not a direct contributor to gout or uric acid levels, seaweed offers essential minerals, vitamins, and antioxidants.7 Including seaweed in your diet can provide a range of nutrients that support overall well-being, although its impact on uric acid specifically is limited.

How to Prepare Fish for a Low Uric Acid Diet?

To fully enjoy the benefits of fish for uric acid management,8 consider these preparation tips:

  • Grilling: Grilling fish adds a delicious smoky flavor without excessive oil. Marinate with herbs, spices, and lemon juice for added taste.
  • Baking: Baking fish in the oven with a drizzle of olive oil and a sprinkle of herbs creates a healthy and flavorful dish.
  • Steaming: Steaming fish preserves its natural flavors and nutrients while keeping it moist and tender.
  • Poaching: Poaching fish in broth or water infused with herbs results in a delicate and succulent dish.

For a more sophisticated taste, you may also add herbs to elevate the flavors. Just make sure they are gout-friendly herbs!

The Bigger Picture: Lifestyle Changes for Lower Uric Acid Levels

Woman drinking water. Image by Unsplash

In addition to dietary adjustments, lifestyle changes play a crucial role in managing uric acid levels:

  • Hydration: Staying well-hydrated supports kidney function and helps flush out excess uric acid.
  • Weight Management: Maintaining a healthy weight reduces the risk of elevated uric acid levels and related health issues.
  • Alcohol Moderation: Limiting alcohol intake, particularly beer, can help prevent spikes in uric acid production.
  • Physical Activity: Regular exercise supports overall well-being and can contribute to managing uric acid levels.

Uric Acid Support

Considering the potential impact of uric acid on kidney health, it's advisable to consult a healthcare professional before making significant dietary or lifestyle changes. If you're experiencing persistent symptoms related to high uric acid levels, seeking medical advice is crucial for proper diagnosis and management.

For those seeking additional support in managing uric acid levels, some natural supplements can complement a balanced diet and lifestyle. Products like Uric Acid Support9 offer a tailored approach to maintaining healthy uric acid levels. However, it's essential to discuss any supplement usage with your healthcare provider to ensure they align with your individual health needs.

Alerna Uric Acid Support

Conclusion: The Right Fish for Uric Acid Management

Navigating the realm of uric acid management requires a combination of dietary awareness, lifestyle adjustments, and informed decisions. By incorporating fish with beneficial nutritional profiles and making mindful choices about fish consumption, you're taking proactive steps toward supporting your kidney health and overall well-being. Embracing a holistic approach, guided by medical expertise and personal responsibility, empowers you to harmonize your body's delicate equilibrium and ensure that uric acid remains an ally rather than a foe in your health journey.

Frequently Asked Questions

  1. Can fish consumption lower my uric acid levels?

    Yes, certain fish like salmon, trout, and mackerel are rich in omega-3 fatty acids, which can positively impact uric acid balance and kidney health.

  2. Are all types of fish good for managing uric acid?

    While many fish offer benefits, some higher-purine choices like anchovies and herring should be consumed in moderation for optimal uric acid management.

  3. Can lifestyle changes alone control uric acid levels?

    Lifestyle adjustments, including hydration, weight management, exercise, natural supplements, and moderation, complement dietary changes for effective uric acid management and kidney health support.

  4. How do I know if I have high uric acid levels?

    Symptoms of high uric acid levels include joint pain (gout) and kidney stone formation. Consult a healthcare professional for proper diagnosis and guidance.

  5. Can supplements like Uric Acid Support replace dietary changes?

    Natural supplements can complement dietary adjustments, but consulting healthcare professionals is essential to ensure they align with your individual health needs and goals.

Medical Disclaimer

The information provided in this article is for educational and informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment. Please consult with your healthcare provider before starting any new dietary supplement, especially if you are pregnant, nursing, have a medical condition, or are taking other medications. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.


  1. Uric Acid (Blood) - Health Encyclopedia - University of Rochester Medical Center. (n.d.). Uric Acid (Blood) - Health Encyclopedia - University of Rochester Medical Center. acid is a normal,when DNA is broken down.
  2. Pillinger, M. H., Goldfarb, D. S., & Keenan, R. T. (2010). Gout and its comorbidities. Bulletin of the NYU hospital for joint diseases68(3), 199–203.
  3. C. (n.d.). Hyperuricemia (High Uric Acid Level): Symptoms, Causes & Treatment. Cleveland Clinic.
  4. C. (n.d.). Gout (Low Purine) Diet: Best Foods to Eat & What to Avoid. Cleveland Clinic.
  5. Schmidt JA, Crowe FL, Appleby PN, Key TJ, Travis RC. Serum uric acid concentrations in meat eaters, fish eaters, vegetarians and vegans: a cross-sectional analysis in the EPIC-Oxford cohort. PLoS One. 2013;8(2):e56339. doi: 10.1371/journal.pone.0056339. Epub 2013 Feb 13. PMID: 23418557; PMCID: PMC3572016.
  6. A. (n.d.). Gout and Fish: Purine Content in Fish and Seafoods - Gout and Fish: Purine Content in Fish and Seafoods -
  7. Kaneko K, Aoyagi Y, Fukuuchi T, Inazawa K, and Yamaoka N. Total Purine and Purine Base Content of Common Foodstuffs for Facilitating Nutritional Therapy for Gout and Hyperuricemia. Biol. Pharm. Bull 37(5), 709 - 721 (2014).
  8. Wu B, Rosalind JM, Haytowitz DB, Pehrsson PR, Ershowc AG. Availability and quality of published data on the purine content of foods, alcoholic beverages, and dietary supplementsJ Food Comp and Anal. 2019;84:103281. doi:10.1016/j.jfca.2019.103281.x
  9. Li R, Tan Y, Li Y, Zhu X, Tang X, Zhang L, Chen J. Effects of Tart Cherry Powder on Serum Uric Acid in Hyperuricemia Rat Model. Evid Based Complement Alternat Med. 2020 Jul 22;2020:1454305. doi: 10.1155/2020/1454305. PMID: 32774405; PMCID: PMC7396008.
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