Can uric acid levels of 500-600 be restored

Uric acid levels of 500-600 μ mol/L can mostly be restored to the normal range through standardized intervention. The main measures include dietary control, increased water intake, moderate exercise, medication assistance, and regular monitoring.

1. Dietary control:

Reducing the intake of high purine foods is key. Foods with purine content exceeding 150mg/100g, such as animal organs, thick meat soup, and seafood, should be strictly restricted, and daily purine intake is recommended to be controlled below 200mg. It can increase the intake of low-fat dairy products, fresh vegetables, and whole grains, among which foods such as cherries and celery contain flavonoids that help promote uric acid excretion.

2. Increase water intake:

The recommended daily water intake is 2000-3000ml, evenly distributed throughout the day. Adequate hydration can dilute urine concentration and prevent urate crystal deposition. You can choose weakly alkaline water or light lemon water, and avoid sugary drinks and alcohol. Maintaining a daily urine output of over 2000ml can effectively reduce uric acid levels.

3. Moderate exercise:

Engage in 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, cycling, etc. During exercise, it is necessary to avoid intense anaerobic exercise that can lead to lactate accumulation, which may inhibit uric acid excretion. Overweight individuals can significantly improve uric acid metabolism by losing 5% -10% of their weight through exercise.

4. Medication assistance:

For those who still exceed 540 μ mol/L after 3 months of dietary and exercise intervention, uric acid lowering drugs may be considered. Common medications include allopurinol, febuxostat, which inhibits uric acid production, and benzbromarone, which promotes excretion. During medication, it is necessary to regularly monitor liver and kidney function and avoid using drugs such as diuretics that affect uric acid metabolism in combination.

5. Regular monitoring:

Recheck blood uric acid and urine routine every 3 months to observe the fluctuation trend of uric acid. Patients with metabolic diseases such as hypertension and diabetes need to monitor relevant indicators simultaneously. When symptoms such as joint pain and edema occur, timely medical attention should be sought to prevent complications such as gouty arthritis or kidney stones. Long term maintenance of uric acid levels requires establishing a healthy lifestyle. Ensure 7-8 hours of sleep daily to avoid staying up late and affecting metabolism. The main cooking method is steaming and boiling, reducing the intake of fried foods. Moderate supplementation of vitamin C up to 500mg per day can assist in regulation. Patients with combined metabolic syndrome are recommended to undergo renal ultrasound examination every six months to evaluate urate deposition. Through continuous management, the uric acid levels of most patients can gradually decrease to below 420 μ mol/L within 3-6 months.