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Gout – Shame on you, FSANZ!

gout01

According to a new study from Sydney University (1)

- gout is on the rise world-wide
- New Zealand now has the highest prevalence of gout in the world, with Australia second
- in the last 20 years, gout cases have risen up to 20% in Australia  

Experts can’t explain this - but it is pretty obvious to us that our food regulators FSANZ are to blame. The rise in gout corresponds to the approval of flavour enhancers 627, 631 and 635 by FSANZ  in the mid-1990s.

When these additives were tested in 1974, a label warning was recommended that

people suffering from conditions such as gout which require the avoidance of purines should avoid these substances (2)

But this recommendation was ignored by FSANZ.

In our experience, gout sufferers - and their doctors - have no idea these additives can be a problem, yet they are now common throughout our food supply.

Two reader reports

“About six weeks ago I stopped all foods with 635 flavour enhancers. Within 48 hours my symptoms – including episodes of joint and bone pains that lasted 24-48 hours - had gone …” – from reader report [569]

“I started getting gout attacks a few years ago - eventually I realised it was always the day after my wife and I ate in our favourite restaurant (Thai). First I thought it was the bottle of wine we shared but when we skipped the wine I still got the gout. Then I stopped eating the oyster sauce and haven’t had any more gout” – from reader report [1530] (So what’s in Maggi  oyster sauce? – Flavour enhancer 635! and only 0.4% oyster extract)

Where are they?

Look for 627, 631 or 635 (also called disodium inosinate, disodium guanylate and sodium 5’ribonucleotides) (3) in savoury flavoured processed foods such as

- instant noodles
- gravies, salad dressing, sauces - eg soy, oyster
- stock cubes, stocks, soups
- flavoured chips, crackers, snacks
- pies, party pies, sausage rolls
- supermarket ready meals
- sausages from your supermarket or butcher
- takeaways, such as Maccas (in the chicken burger garlic mayonnaise, chicken mcbites, fries with gravy, McNugget barbecue sauce) and KFC (in 15 dishes including some chicken, Caesar salad, sauces, gravies, seasoned rice) (4) (5)

An easier way

Official gout diets don’t seem to mention these additives. Our readers tell us that the RPAH elimination diet we support works better. A few weeks on the elimination diet followed by food challenges can identify which foods are causing problems and which are not – and so can be reintroduced. Experienced dietitians on our list can help and most will do Skype consultations.

“My male partner (47) has suffered from medically diagnosed gout for three years and has tried many things; prescribed medication, a low lectin diet (as per the Plant Paradox book by Stephen Grundy), the prescribed medical low purine diet to no avail ... He undertook the failsafe diet as per the RPAH regime … When we undertook the challenges he passed the salicylate challenge and failed miserably with amines and glutamates; both bringing on gout. He avoids all amines and glutamates and he is now gout free” – Susan from story [1532]

Conclusion

Of course, FSANZ could help reduce the burden of gout in NZ and Australia  by adding packet warning labels – but in the 25 years we have been running this Network, they have always supported the food industry and have not once done anything we have requested to help consumers.

What you can do

For the strict version of the RPAH Elimination diet, we recommend seeing a dietitian. See our list of experienced dietitians who specialise in food intolerance

See our free failsafe booklet showing how manageable this diet is. Yes, it is aimed at children, but the diet still works!

Our FREE DVD – yes, it appears to be aimed at children but adults find it useful too

My books (no need to buy, they are in libraries) and RPAH’s Friendly Food book

The new RPAH Food Challenges booklet

Our gout factsheet

Our gout blog post

Request our free salicylate mistakes information sheet (This email address is being protected from spambots. You need JavaScript enabled to view it. )
See our introduction to food intolerance
For support, join our facebook group

References

1. Prevalence, Incidence, and Years Lived With Disability Due to Gout and Its Attributable Risk Factors for 195 Countries and Territories 1990-2017: A Systematic Analysis of the Global Burden of Disease Study 2017. Safiri S et al. Arthritis Rheumatol. 2020 Aug 4. doi: 10.1002/art.41404.  https://ctc.usyd.edu.au/news-events/news/latest-news/gout-on-the-rise/ 

2. JECFA Eighteenth Report of the Joint FAO/WHO Expert Committee on Food Additives, Calcium and Sodium-5’-Ribonucleotides, Wld Hlth Org. techn. Rep. Ser., 1974, No. 557. http://www.inchem.org/documents/jecfa/jecmono/v06je02.htm

3. These additives were approved without evidence of safety in December 1994 in Australia and New Zealand, as described in our factsheet about MSG Boosters https://www.fedup.com.au/factsheets/additive-and-natural-chemical-factsheets/635-msg-boosters-ribo-rash-ribonucleotides-627-631

4. Maccas allergen, ingredients and nutrition information nutrition https://mcdonalds.com.au/maccas-food/nutrition accessed 6/11/2020

5. KFC  nutrition guide kfc ingredient list - ServiceCheck. www.servicecheck.net › fulfillment › kfc_ingredients https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwj55ZvftezsAhUBOisKHd_FBfQQFjAAegQIARAC&url=https%3A%2F%2Fwww.servicecheck.net%2Ffulfillment%2Fkfc_ingredients.pdf&usg=AOvVaw3FucuxVBF9v4xFe8WqYs9q accessed 6/11/2020


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Food intolerance

Some of the many symptoms of food intolerance that can be helped by diet:

Airways: Asthma, Stuffy blocked or runny nose/ nasal polyps, Frequent nose bleeds, Catarrh, chronic throat-clearing, Sinusitis, Frequent ear infections, Frequent tonsillitis, Frequent colds and flu, symptoms of Samter's Triad, hayfever, allergic rhinitis Skin: Eczema, Urticaria (hives), Cradlecap, Other skin rashes, Angioedema (swollen lips, eyes, tongue), Geographic tongue, Pruritis (itching), Rosaceae, Allergic shiners (dark circles under eyes), Pallor (pale skin), Flushing, Excessive sweating, Body odour, Sore vagina in children, Alopecia (patchy baldness) Digestive system: Irritable bowel symptoms (IBS), Dysphagia (difficulty swallowing), Recurrent mouth ulcers, Indigestion, Nausea, Bad breath, Vomiting, Diarrhea, Stomach ache, Bloating, Reflux in babies, adults, Constipation, Colic in babies, adults, Sluggish bowel syndrome (feeling of "more to come"), Encopresis, Soiling (sneaky poos), Dairy intolerance, Gluten and wheat intolerance, Eating disorders (ed), anorexia nervosa, bulimia nervosa, binge eating disorder (BED)  Bladder: Bedwetting, Daytime incontinence, Urinary urgency, Recurrent inflammation (cystitis) Skeletal: Growing pains, Gout, Arthritis, joint pain, arthralgia Eyes: Nystagmus (involuntary movement), Blurred vision Muscles: Low muscle tone, Myalgia (muscle pain), Tics (involuntary movement), Tremor, Leg 'jiggling', Heart: Rapid heart beat, Heart palpitations, Cardiac arrhythmias, Pseudo heart attack (feeling of impending doom, chest pressure, pain down arm), Tachycardia (fast heart beat), Angina-type pain, HHT Central nervous system: Headaches or migraines, unexplained tiredness, Chronic fatigue, Feeling 'hung-over', Confusion, Dizziness, Agitation, Tinnitus (noises in ear), HyperacusisAuditory sensory processing disorder (ASPD), Paraesthesia (pins and needles), Dysaesthesia (numbness), Hypoglycemia, Salicylate-induced hypoglycemia, Epileptic seizures, Fits, Sensory symptoms of multiple sclerosis, Scents and perfume sensitivity, Symptoms of lupus Anxiety: Panic attacks, Depression, Obsessive ruminations (repetitively focusing on bad feelings and experiences from the past), Self harm, Suicidal thoughts, actions, teeth grinding (bruxism) Impaired memory: Vague or forgetful, Unable to concentrate, Won't persevere, Unmotivated, Disorganised, Easily distracted, Difficulty reading and writing Speech: Loud voice (no volume control), Speech hard to understand, Speech delay, Selective mutism, Stuttering, Repetitive noises, Talks too much (empty chatter) Coordination: Poor handwriting, Poor coordination, Frequent accidents, Vertigo Sleep: Difficulty falling asleep, Restless legs syndrome (RLS), Persistent night waking, Insomnia, Nightmares/night terrors/sleepwalking, Sleepless babies, Sleep apnoea Mood: Brain snaps, Mood swings, Premenstrual tension, Grizzly or unhappy, Cries easily or often, Irritable, Uncooperative Oppositional defiance: ODD, Loses temper, Argumentative, Refuses requests, Defies rules, Deliberately annoys others, Blames others for own mistakes, Touchy, easily annoyed, Angry, resentful Other behaviour: ADHD, ADD, Autism, Aspergers, Inattentive, easily bored, unmotivated, 'Unable to entertain himself', Restless, fidgety or overactive, Head banging, Hyperactivity, Fights with siblings, Difficulty making friends, Destructive, aggressive, Unreasonable, Tantrums, Demanding, never satisfied, Disruptive, Discipline is ineffective, Pervasive Development Disorder

Some causes of food intolerance:

Food additives: Artificial colours: (food dyes, artificial colors) tartrazine 102 (E102, FD&C Yellow No.5), quinoline yellow 104 (E104), sunset yellow 110 (E110, FD&C Yellow No.6), azorubine, carmoisine 122 (E122), amaranth 123 (E123), ponceau, brilliant scarlet 124 (E124), erythrosine 127 (E127, FD&C Red No.3), allura red 129 (E129, FD&C Red No.40), indigotine, indigo carmine 132 (E132, FD&C Blue No.2), brilliant blue 133 (E133, FD&C Blue No.1), green S, food green, acid brilliant green 142 (E142), fast green FCF 143 (E143, FD&C Green No.3), brilliant black 151 (E151), brown, chocolate brown 155 (E155)  Natural colours: (colors) Annatto (annatto extracts, bixin, norbixin, 160b, E160b) Preservatives: Sorbates: (sorbic acid 200, E200, sodium sorbate 201, E201, potassium sorbate 202, E202, calcium sorbate 203, E203) Benzoates, hydroxybenzoates, parabens: (including benzoic acid 210, E210, sodium benzoate 211, E211, potassium benzoate 212, E212, calcium benzoate 213, E213, ethyl para-hydroxybenzoate 214, E214, sodium ethyl para-hydroxybenzoate 215, E215, propylparaben 216, E216, propyl 4 hydroxybenzoate 217, E217, methylparaben 218, E218) Sulfites, bisulfites, metabisulfites: (200-228, sulphites, sulphur dioxide, sulfur dioxide 220, E220, sodium sulphite 221, E221, sodium bisulphite 222, E222, sodium metabisulphite 223, E223, potassium metabisulphite 224, E224, potassium sulphite 225, E225, calcium sulphite 226, E226, calcium bisulfite 227, E227, potassium bisulphite 228, E228) Nitrates & nitrites: (249-252, potassium nitrite 249, E249, sodium nitrite 250, E250, sodium nitrate 251, E251, potassium nitrate 252, E252 Propionates: (bread preservative, mould inhibitor 280-283: propionic acid 280, E280, sodium propionate 281, E281, calcium propionate 282, E282, potassium propionate 283, E283, 'natural' preservatives in bread, cultured or fermented wheat, dextrose, sugar, flour, whey or anything) Synthetic antioxidants: Gallates 310, 311, 312 (E310, E311, E312), tBHQ 319, E319, BHA 320, E320, BHT 321, E321 Flavour enhancers: (flavor enhancers) glutamic acid and all glutamates, MSG monosodium glutamate 620-625, yeast extract, hydrolysed vegetable protein HVP, disodium guanylate 627 (E627, DSG, GMP), disodium inosinate 631 (E631, DSI, IMP), ribonucleotides 635 (E635, I&G, nucleotides)  Flavours: (flavors)  Natural food chemicals: Salicylates: salicylic acid, sodium salicylate, acetylsalicylic acid Biogenic amines: vasoactive amines (tyramine, phenylethylamine, histamine and others) Glutamates:  Natural foods: Dairy: milk, yoghurt, cheese, butter, lactose-free milks Wheat or Gluten: (wheat, rye, barley, oats) Soy: Sugar free sweeteners:Sugar free sweeteners: polyols, sorbitol, mannitol

On this website, failsafe refers to foods that are Free of Additives and Low in Salicylates, Amines and Flavour Enhancers. Note that copyright applies to the commercial use of the term "failsafe" in the food and health context so as to control inappropriate use by the food and health industries.