Quick answer
Uric acid is a waste product your body makes when it breaks down purines. Purines are found in your own cells and in certain foods. High uric acid, above about 6.5 to 7.0 mg/dL, can form crystals in your joints and cause gout. It can also raise your heart and kidney disease risk over time. A healthy target is under 6 mg/dL. Common Filipino foods like red meat, seafood, organ meats, and beer, plus sugary drinks, can push uric acid up.
What uric acid is
Your body makes uric acid when it breaks down purines. Purines are natural compounds found in your cells and in some foods.
Most uric acid leaves your body through urine. The rest passes out through stool. Problems start in one of two ways.
- Your body makes too much uric acid, often from a diet high in purines.
- Your kidneys do not clear enough of it, often due to reduced kidney function or certain medicines.
When uric acid builds up past a certain point, about 6.8 mg/dL, it can form crystals. These crystals settle in your joints and cause gout. They can also form in your kidneys as stones.
What your uric acid number means
Use this table to read your result.
Uric acid | Category |
|---|
Under 5 mg/dL | Healthy target range |
5 to 6 mg/dL | Borderline high |
6 to 7 mg/dL | Elevated for women, upper normal for men |
7 to 8 mg/dL | Hyperuricemia |
Over 8 mg/dL | Significantly elevated |
Standard lab ranges go up to 7.0 mg/dL for men and 6.0 mg/dL for women. A healthier target for anyone is under 6 mg/dL.
Why uric acid matters beyond gout
Many people think of uric acid only as a gout marker. Research points to a bigger picture.
Heart risk
Studies link high uric acid to high blood pressure, artery disease, heart failure, and stroke. It may also raise your risk of an irregular heartbeat. Some research suggests uric acid adds to this risk directly.
If your blood pressure runs high too, this guide to high blood pressure is a useful next read.
Kidney risk
High uric acid is linked to kidney disease that gets worse over time. It is also linked to kidney stones and, in some cases, sudden kidney injury.
Uric acid often runs high alongside metabolic syndrome. It may also play a role in insulin resistance and fatty liver.
The takeaway: a high uric acid result is worth addressing, even if you have never had a gout attack.
Why this matters so much for Filipinos
Three reasons stand out.
Gout is very common here
Gout is among the most common forms of joint disease in the Philippines. Many men show high uric acid by their 30s. Many women see it later, often around menopause.
Filipino food culture raises uric acid
Several common foods and drinks push uric acid up.
- Red meat, including pork and beef.
- Organ meats, like liver and other innards.
- Seafood, especially sardines, anchovies, and shellfish.
- Beer, which is high in purines.
- Sugary drinks, which raise uric acid through how your liver handles sugar.
Genes play a role too
Some people carry gene differences that affect how their kidneys handle uric acid. This adds to the effect of diet.
How the test works
A uric acid test uses a single blood sample. You do not need to fast, though it is often drawn fasting alongside other tests.
One high reading after a big meal does not mean you have gout. A pattern across several readings tells the real story. You can book a &you Labs panel to start tracking your own pattern.
Common patterns
Use this table as a guide.
Pattern | Uric acid | What it usually means |
|---|
High with no symptoms | 7 to 9 mg/dL, sustained | Often paired with metabolic syndrome. Worth lifestyle change and doctor follow-up. |
Gout-prone | 7.5 to 10 mg/dL | History of gout attacks or stones. Needs lifestyle change plus medicine. |
Borderline | 6 to 7 mg/dL | Common with aging or metabolic syndrome. Worth watching and retesting. |
Very high | Over 10 mg/dL | Often paired with kidney trouble. Needs prompt doctor care. |
How to lower uric acid
These steps can help bring your number down.
Cut back on purine-rich foods
Limit organ meats. Go easy on red meat and seafood like sardines and shellfish. Dairy and most plant foods are low in purines, so you do not need to avoid them.
Cut sugary drinks
Sugar can raise uric acid through your liver. This is most true for fructose, found in soda, sweet tea, and juice.
Limit alcohol, especially beer
Beer has the strongest effect on uric acid of any drink. Wine has less of an effect. Spirits vary.
Drink enough water
Good hydration helps your kidneys clear uric acid. Aim for pale yellow urine through the day.
Lose fat around your waist
Losing 5 to 10 percent of your body weight can meaningfully lower uric acid.
Consider vitamin C
About 500 mg of vitamin C a day can lower uric acid by roughly 0.5 mg/dL. It is a small effect, but a real one.
Coffee may help
Regular coffee drinkers tend to have lower uric acid in most studies. This is not a reason to start drinking coffee, but worth knowing if you already do.
Medicine for gout or high levels
Doctors often start with a medicine called allopurinol. It lowers how much uric acid your body makes. Febuxostat is another daily option that works in a similar way. For a sudden flare, doctors often use colchicine, an old gout medicine that eases the pain and swelling. These are all decisions to make with your doctor.
When to test uric acid
Test once a year as part of a full checkup. Test every 6 months if your levels run high, or if you have metabolic syndrome. Your doctor may also retest after starting new medicine. Levels can briefly drop during an actual gout attack, so a flare is not always the best time to test.
What a &you Labs panel shows you
Every &you Labs panel includes uric acid. Your report shows the standard lab range and the healthy target range side by side. It comes with a doctor's notes on what it means for you.
See what a &you Labs panel covers
Frequently asked questions
Can I have gout with normal uric acid?
Yes, sometimes. During an acute attack, uric acid can briefly drop as crystals leave your blood and settle in a joint. Testing again after the attack passes gives a truer picture.
What if my uric acid is high but I have never had gout?
This is called asymptomatic hyperuricemia. It still raises your heart and kidney risk, so it is worth addressing through lifestyle change. Medicine is usually saved for confirmed gout or very high, lasting levels.
Does avoiding pork or other Filipino foods really lower uric acid?
Yes, but the effect of any single food is modest. Cutting sugary drinks, alcohol, and your overall portion of high-purine meat and seafood makes the biggest difference.
Is uric acid linked to diabetes?
Yes. High uric acid often shows up alongside insulin resistance and metabolic syndrome. Addressing the whole pattern tends to work better than treating uric acid alone.
Are uric acid kidney stones the same as calcium stones?
No, they are different. Uric acid stones form in acidic urine. Treatment includes making your urine less acidic, lowering uric acid, and drinking more water.
Key takeaways
- High uric acid is common in Filipino adults, driven by diet, genes, and metabolic health.
- Beyond gout, high uric acid can raise your heart and kidney disease risk.
- A healthy target is under 6 mg/dL. Standard ranges allow up to 7 for men and 6 for women.
- Most cases improve with less sugar, less beer, more water, and less belly fat.
- Medicine such as allopurinol is used for confirmed gout or very high, lasting levels.