Oxalates, Gout, and Kidney Stones ｜ DrEricBergDC

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Transcript

now when you’re dealing with complex

health problems like kidney stones and

gout it’s really important to break down

the component parts of this problem and

then look at those parts very very

closely because there’s some interesting

similarities and differences between

gout and kidney stones uric acid is

involved in kidney stones as well as

gout but uric acid Stones is not very

common compared to the oxalate stones in

the kidney and so my question was is

there any connection between oxalates

okay and gout and there’s definitely a

huge connection people who have high

oxalates in their urine tend to have a

worsening gout situation you can even

have it’s called pseudogout which is

kind of a gout that’s not related to

uric acid coming from oxalates which is

interesting but just like any problem

it’s important to have as much

information as possible and I found a

very interesting paper that was written

in 1978 in this connection between in

oxalates and gout and kidney stone so

I’m going to share with you some

information because it can be very very

important in solving this mystery

especially if you are doing the

ketogenic diet now I’m assuming that you

already know that the most common

type of kidney stone is calcium oxalate

stones and I’m also assuming that you

know that some of the highest sources of

dietary oxalates come from spinach

rhubarb

almonds chocolate cacao buckwheat wheat

beans soy which includes tofu and miso

definitely includes the potato chip and

the french fries beet tops a Swiss chard

then we have star fruit as well and out

of all the berries raspberry is highest

in oxalates and we even have black

pepper and black tea

now if you’re steeping the tea in some

hot water for a very short period of

time let’s say for example a minute

versus seven minutes there’s going to be

a huge variation in how much oxalates

are in your tea I mean it can range

between you know two milligrams of

oxalates to up to like 65 milligrams if

you’re soaking this black tea in this

water for like seven minutes almonds are

very high in oxalates but also you have

the Brazil nut hazelnut cashews and pine

nuts but just as a side note if you’re

doing like coconut or peanuts or

pistachios or macadamia nuts or walnuts

those are much lower another interesting

point is if you’re doing a like massive

amounts of ascorbic acid as a powder for

some remedy like over four grams which

is quite large that can actually

increase your oxalate levels as well the

amino acid glycine which a lot of people

take that to help them sleep and to help

various health conditions can also

increase your risk of oxalates as well

and also if you have problems with

absorbing fats like fat malabsorption

because you’re low in bile you can have

more oxalates and this is just another

reason why bile is so important in your

body to help you fully digest fats and

also keep your oxalates to a minimum but

Xylitol which is

a sugar alcohol which is an alternate

sweetener that I recommend a lot in the

Keto Plan if you’re sensitive to kidney

stones and gout you should just try

avoiding Xylitol because apparently

Xylitol can really spike your oxalates

and just in nature oxalates are formed

in plants

from non-oxidized saccharins which are

sugars maybe that’s why the Xylitol can

also turn into oxalates I’m not sure

exactly however there’s just a

interesting connection between the

consumption of Xylitol and the worsening

of kidney stones and gout for certain

individuals not everyone but it’s a real

simple thing to avoid in your diet to

see if you get better you might be

saying well I don’t consume Xylitol as a

sweetener well do you have sugar-free

gum

it’s loaded with Xylitol a lot of times

toothpaste has Xylitol and even mouth

washes have Xylitol I mean it’s just so

interesting if I look at myself now my

own health Now versus in my 20s I’m much

healthier now I’m 57 years old almost 58

years old I didn’t even know the basics

it wasn’t even on my radar until I

started having problems later in my well

my late 20s and my 30s so a person can

learn

from their own experiences

which just takes a long time or they can

learn from other people’s experiences

and that’s what I’m trying to do with

you give you the experience of many

other studies or people going through

these things so you don’t have to go

through the mistakes that people made or

are spending yours trying to figure

stuff out now there’s another little

interesting point about this topic

related to gout I always ask the

question like why would someone develop

gout as they get older like after 40

years old or 45 or 50 all of a sudden

they end up with gout why doesn’t it

happen earlier in life well I found

another paper which I’m going to put a

link down below which is actually very

interesting it’s called Ferris

oxalate so in other words if someone has

too much of ferritin iron is stored in

different forms in your body and

ferritin is one form it’s like I think

10 to 20 percent of your body stores

iron in this ferritin which is a type of

protein and so as your ferritin goes

higher this can cause it to bind with

oxalates and aggravate gout symptoms and

cause like arthritis in different parts

of your body you know one thing that’s

interesting about iron is that it’s we

have no mechanism to get rid of iron so

what happens as we age if especially if

we’re exposed to more iron we can’t get

rid of it especially in men but also

post-menopausal females too because

they’re not menstruating and releasing

this blood which is releasing the iron

one big clue is that if you were to

donate blood and you feel a lot better

with your arthritis or your gout then we

need to suspect this could be the

problem so as we age we may start

noticing more of the problems with iron

than when we were younger especially

since the more inflammation we have as

we age the more iron we tend to

accumulate more problems with their

health including gout if that’s your

potential situation well you just need

to work on getting rid of your

inflammation but also making sure that

you reduce the amount of iron in the

diet I’m talking about vitamin mineral

products loaded with iron okay and you

should not be taking those at all and

it’s definitely the wrong type of iron

another reason why some people might

feel better if they consume less red

meat could be this problem as well

on the ketogenic diet it’s not a high

protein diet it’s a moderate protein

diet so red meat which is loaded in iron

and so is liver could also be connected

to this in certain people so it’s

something to look at personally my body

does really good on red meat but of

course I’m not consuming massive amounts

but I I do very well some people don’t

so this could be one of the reasons so

how can we neutralize this problem of

oxalates okay well one thing you could

do is make sure that your fluids that

you consume every day are roughly

between 2 to 2.5 liters that is going to

dilute this concentration of calcium

oxalates in your urine and prevent

stones and also can decrease the

intensity of gout pain number two you

want to start consuming calcium-rich

Foods especially if you happen to be

consuming foods high in oxalates

unfortunately the oxalates are in a lot

of different foods so it’s almost

impossible to completely eliminate them

but if you’re having calcium or dairy

with these vegetables okay you can

reduce the amount of oxalates that are

reabsorbed into the body because the

calcium binds with oxalates in your

intestine and then that just goes right

through you it’s not reabsorbed into the

blood and then ending up in the kidneys

or your urine when you go to the

hospital for kidney stones or someone

goes to a clinic sometimes they’re left

with a little brochure and uh

usually it’ll say you know things like

oh avoid calcium-rich Foods I’m like no

you need to have calcium-rich Foods the

next point is vitamin D now what is the

big thing that vitamin D does to calcium

it majorly increases the absorption of

calcium by 20 times

this means that much less calcium is

going to end up in your kidneys in your

urine That’s What vitamin D does so a

vitamin D deficiency

could be another Factor so taking

vitamin D at least 10 000 IUS per day

could help reduce the formation of

kidney stones as well as gout because

you’re going to form less calcium

oxalates and then another factor is

citrates okay in like lemon juice lemon

juice on a regular basis in your water

would be very very important because the

more citrates you have the less calcium

oxalates will be formed a lemonade will

go a long way as well as the lemon juice

in your water now in this article

written in 1978 there is another

interesting factor that I want to bring

up that I think is very very important

people tend to have more oxalates in

their urine when they’re B6 deficient

yeah B6 B6 naturally lowers the

formation of oxalates here’s the thing

B6 is in a lot of our Foods so it’s

apparently very difficult to become

deficient however

if you take B6 as a supplement in the

form of pyridoxine which is the most

common you know form that they put in

supplements you can actually create a

deficiency of the active form of

paradoxine especially if you’re prone to

kidney stones or gout I would recommend

taking a different form which you can

find as a p5p form of B6 now another B

vitamin that can help reduce the

formation of oxalates is B1 the number

one cause of a B1 deficiency is

consuming too many refined carbohydrates

so this could also be wise people when

they do refined carbs they start hurting