Cherry juice helps gout by reducing uric acid levels, decreasing inflammation, and alleviating pain due to its antioxidant and anti-inflammatory properties.
Gout sufferers have long turned to cherry juice as a natural remedy, but does science support this tradition? Emerging research reveals tart cherries may help manage gout symptoms through unique anti-inflammatory properties and uric acid regulation. This in-depth guide explores how cherry juice impacts gout, optimal consumption methods, and what current studies really show.
How Cherry Juice Affects Gout
Gout occurs when uric acid crystallizes in joints, causing sudden, severe pain. Cherry juice appears to help through two primary mechanisms:
1. Reduces Uric Acid Levels
Cherries contain compounds that may:
- Inhibit xanthine oxidase (enzyme producing uric acid)
- Enhance kidney excretion of uric acid
- Lower serum urate concentrations
A 2014 study in Journal of Functional Foods found Montmorency tart cherry concentrate significantly reduced uric acid levels within 5 hours of consumption.
2. Decreases Inflammation
Cherries are rich in anthocyanins – powerful antioxidants that:
- Block inflammatory pathways (COX-1 and COX-2 enzymes)
- Reduce C-reactive protein (CRP) levels
- Lower interleukin-6 (IL-6) production
This anti-inflammatory effect may explain why some patients report fewer gout flares with regular cherry juice consumption, even when uric acid levels remain unchanged.
Best Types of Cherry Juice for Gout
Not all cherry juices are equally effective. For gout management:
| Type | Benefits | Considerations |
|---|---|---|
| Tart cherry juice (Montmorency) | Highest anthocyanin content, most researched | Very sour taste, often needs sweetening |
| Black cherry juice | Rich in antioxidants, slightly sweeter | Less research specifically on gout |
| Sweet cherry juice | More palatable | Lower anthocyanin concentration |
For maximum benefit, look for:
- 100% pure juice (no added sugars)
- Cold-pressed processing (preserves nutrients)
- Concentrate options (higher anthocyanin density)
Consider using a cold press juicer to make fresh cherry juice at home for optimal nutrient retention.
Scientific Evidence: What Research Shows
Clinical studies present mixed but promising results:
Supportive Findings
- A 2012 pilot study showed 50% reduction in gout flares with cherry extract
- 2019 UK trial protocol (published in BMJ Open) designed to test tart cherry juice over 12 months
- Multiple studies confirm rapid uric acid reduction (within hours)
Contradictory Evidence
- A 2020 study in Rheumatology found no urate-lowering effect from cherry concentrate
- Some trials show symptom relief without uric acid changes
Key consideration: Most studies use concentrated forms, not typical store-bought juice.
How to Use Cherry Juice for Gout
Recommended Dosage
Based on available research:
- Prevention: 8-16 oz daily (or equivalent in concentrate)
- During flare: Up to 32 oz spread throughout day
- Concentrate: 1-2 tablespoons mixed in water
Timing Matters
For acute attacks:
- Consume immediately at first symptoms
- Repeat every 2-4 hours for first 24 hours
- Continue for 3 days post-flare
Pair with a high-powered blender to create anti-inflammatory smoothies combining cherries with pineapple (bromelain) and ginger.
Potential Limitations and Considerations
- Not a substitute for urate-lowering medications
- May interact with blood thinners (warfarin)
- High in natural sugars – monitor if diabetic
- Possible digestive upset in large quantities
Always consult your rheumatologist before making significant dietary changes to manage gout.
