Why Do You Get Gout in Your Big Toe? | DrEricBergDC

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i had another question from  someone that wanted to know why  

am i getting gout in my big toe why isn’t it in my  left shoulder so we’re going to cover that today  

first of all what is gout that is a situation  where you have uric acid crystals that are  

depositing in certain joints okay and it’s  causing pain now what causes this to happen  

is a mystery in fact researchers have a big  problem trying to understand this because  

the minority of people with gout attacks  have high uric acid so in other words  

the 10 of the population that has high uric acid  only a half a percent point five percent of them  

get the actual gout attacks okay so that’s kind  of a mystery you would think it would just be  

the opposite and on top of that most of the gout  attacks occur when people have normal levels of  

uric acid the other point about this is the uric  acid crystals are not in the exact location of  

where the person is feeling the inflammation in  other words they’re located in the extracellular  

area okay the inflammation is inside the cell  so that throws a little wrench into the whole  

theory and so what they basically concluded  from that is that it’s an immune reaction  

that is transmitting through this membrane so  your immune system is reacting to the uric acid  

crystals creating inflammation and they also  know that people with gout they have a problem  

eliminating uric acid from the kidney so the  kidney is not getting rid of uric acid and  

that could be from various reasons it could be  because you’re diabetic or pre-diabetic or have  

insulin resistance and that alone weakened  the kidneys because kidneys are a target  

from having high amounts of sugar in the diet  and they also know that these gut attacks occur  

usually at night after you have consumed alcohol  like beer especially beer meat seafood organ meats  

fructose things that are high in purine which  then gets converted to uric acid through a very  

specific enzyme which i’m going to come back to in  a little bit but the point is that there’s certain  

foods that can trigger this reaction okay so now  the question is why does it attack the big toe  

well because of this these uric acid crystals  that are developing and depositing in the body  

are dependent on ph and temperature in other  words if your ph is too acidic like your urine  

is like like 5.7 or in that range you’ll start  developing these crystals and if your temperature  

is a little more on the cooler side you can  get more flare-ups from gout now i have a  

question what part of your body is typically the  coldest part of your body is it around your heart  

no it’s in your toes or your fingertips that’s  where they get gout they can actually get it in  

the fingertips too but usually in the big toe  so apparently out of all your toes the big toe  

is the coldest part of your body all right  so what can you do about this condition  

there’s some natural remedies number  one celery celery has a certain chemical  

that inhibits that enzyme i told you about which  is converting purine to uric acid it’s called  

xanthine oxidase so celery blocks that enzyme so  you don’t get the accumulation of uric acid that  

would be number one number two is coffee now i’m  not telling you to drink a lot of coffee i’m just  

telling you the coffee bean not the caffeine can  also decrease that enzyme but i’m only going to  

recommend drinking one cup per day in the morning  the next remedy is tart cherry directly decreases  

inflammation from the reaction from the uric acid  crystals so it influences the immune inflammatory  

reaction now also to help you become more alkaline  there’s two things one is to drink lemon juice so  

you might say wait a second lemon juice is acidic  citric acid how is that going to alkalize me  

well it just so happens that when you consume  citrates from lemon juice it oxidizes and it turns  

alkaline in the body okay you can also alkalize  your body from things like potassium citrate and  

that can help reduce the attacks from gout also  lemon has vitamin c which can actually inhibit  

gout attacks and then the other thing you can  do is you can start consuming more vegetables  

and keep your protein moderate because those  vegetables will not only alkalize you they can  

help reduce the gout attacks now there are purines  in certain vegetables and things like mushrooms  

but they will not trigger the gout attack now one  last point i want to bring up fasting can increase  

uric acid okay now why does fasting increase uric  acid because when you fast you recycle certain  

proteins okay it’s called autophagy like nucleic  acids which are high in purine which can then  

increase uric acid but uric acid in the body  is one of the most powerful antioxidants in  

your blood so as your body is healing in the  fasting mode you’re increasing more uric acid  

to actually act as one of the antioxidants in  the healing process all right thanks for watching  

and i will see you in the next video hey before  you go if you’re benefiting from any of my content  

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